Claims Adjudicator (Entry) Salary in United States

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Average Salary for Claims Adjudicator (Entry) in United States

The average salary of a(n) Claims Adjudicator (Entry) in United States is $30,034.

The average hourly rate of a(n) Claims Adjudicator (Entry) in United States is $14.44.

The average bonus of a(n) Claims Adjudicator (Entry) in United States is $426.00.

Job Description:

Adjudicates or processes health and dental benefit claims for payment. Reviews and adjudicates claims under direct supervision. This is an entry-level position and typically does not require previous claims processing experience. Determines whether to return, suspend, deny, or pay claims within established policies and procedures. Compares claim application and/or provider statement with plan file and other records to evaluate completeness and validity of claim. Analyzes and answers inquiries regarding claim adjudication, including method of payment, co-pay or deductible amounts, and/or reason for denial. Requests information from internal or outside sources to ascertain completeness and validity of claim including coordination of benefits information. Compares data on claim application, death certificate, or physician's statement with policy file and other organization records to ascertain validity and to adjudicate the claim. Routes claims requiring additional information or high-level decision-making. Researches claims as needed. Communicates with agents and claimants to correct errors or omissions on claim forms. Less

Adjudicates or processes health and dental benefit claims for payment. Reviews and adjudicates claims under direct supervision. This is an entry-level position and typically does not require previous claims processing experience. Determines whether to return, suspend, deny, or pay claims... More

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Results for Claims Adjudicator (Entry) in United States

HR Generalist - Everett, WA

Community Transit

Certified Claims Adjudicator, SPHR/PHR, SHRM-SCP/SHRM-CP, CEBS or NPELRA certification preferred. Self-Insured Workers' Compensation claims administration,...

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Medical Claims Reviewer - Westmont, IL

Medical Business Associates, Inc.

Work with adjudicators on claims for Medicare, Medicaid, and commercial clients. Claims Examiner/Adjustor Experience....

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Claims Adjudicator - Buffalo, NY

Independent Health

The Claims Adjudicator is responsible to respond to client, member, and/or provider inquiries on claim status, benefit designs, and claim payments working in...

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Billing Adjudicator - Daytona Beach, FL

Omnicare, Inc

A Billing Adjudicator is responsible for preparing and submitting claims for accounts and works with nursing facility staff, physician offices, and insurance...

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Claims Adjudicator - Olympia, WA

Physicians of Southwest Washington

Tracking claims financial transactions including claims payment, claims refunds, and claims recoups, with a high degree of accuracy within the compliance...

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