Senior claims processor vs medical claims processor

The differences between senior claims processors and medical claims processors can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both a senior claims processor and a medical claims processor. Additionally, a senior claims processor has an average salary of $44,873, which is higher than the $36,777 average annual salary of a medical claims processor.

The top three skills for a senior claims processor include customer service, process claims and SR. The most important skills for a medical claims processor are patients, healthcare, and data entry.

Senior claims processor vs medical claims processor overview

	Senior Claims Processor	Medical Claims Processor
Yearly salary	$44,873	$36,777
Hourly rate	$21.57	$17.68
Growth rate	-3%	-3%
Number of jobs	14,768	59,992
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 37%	Bachelor's Degree, 29%
Average age	44	44
Years of experience	4	4

Senior claims processor vs medical claims processor salary

Senior claims processors and medical claims processors have different pay scales, as shown below.

	Senior Claims Processor	Medical Claims Processor
Average salary	$44,873	$36,777
Salary range	Between $30,000 And $65,000	Between $29,000 And $45,000
Highest paying City	-	Dover, DE
Highest paying state	-	Delaware
Best paying company	-	Cognizant
Best paying industry	-	Government

Differences between senior claims processor and medical claims processor education

There are a few differences between a senior claims processor and a medical claims processor in terms of educational background:

	Senior Claims Processor	Medical Claims Processor
Most common degree	Bachelor's Degree, 37%	Bachelor's Degree, 29%
Most common major	Business	Business
Most common college	Stanford University	-

Senior claims processor vs medical claims processor demographics

Here are the differences between senior claims processors' and medical claims processors' demographics:

	Senior Claims Processor	Medical Claims Processor
Average age	44	44
Gender ratio	Male, 16.3% Female, 83.7%	Male, 16.0% Female, 84.0%
Race ratio	Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%	Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	11%

Differences between senior claims processor and medical claims processor duties and responsibilities

Senior claims processor example responsibilities.

Manage confidential medical records and directs them to the appropriate practitioners while ensuring HIPPA regulations are maintain.
Investigate, manage, negotiate and resolve claims arising out of accidents involving automobile and homeowner policies.
Process CalPERS HMO facility claims.
Experience with HMO's, IPA's and insurance authorizations.
Handle confidential information according to new laws (HIPPA).
Review ICD-9 diagnosis codes against CPT codes for claim payment guidelines.

Medical claims processor example responsibilities.

Enter UB 92 and 1500 HCFA medical claims into computer system manage and process insurance claims.
Manage cases by aggressively directing the litigation process.
Submit medical claims to commercial insurance companies, Medicare, and Medicaid for payment with use of ICD-9 and CPT coding.
Review and verify patient account information against insurance program specifications, analyze surgical procedures and diagnoses using CPT-4 and ICD-9 codes.
Acknowledge and enforces confidentiality in alignment with (HIPPA) guidelines.
Audit encounters and ICD-10 codes to ensure correct coding and maximum reimbursement.

Senior claims processor vs medical claims processor skills

Common senior claims processor skills

Customer Service, 16%
Process Claims, 8%
SR, 6%
Medical Terminology, 5%
Appeals, 5%
CMS, 5%

Common medical claims processor skills

Patients, 13%
Healthcare, 10%
Data Entry, 10%
Medical Insurance Claims, 9%
Medical Terminology, 6%
Customer Service, 3%

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Senior Claims Processor
Senior Claims Processor vs Medical Claims Processor

Updated January 8, 2025

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