The Office of Career Services
Library Building, Room 429 & 430
222-05 56th Avenue
Bayside, NY 11364
Phone: (718) 631-6297
Medical Insurance Claims Analyst
|Overview:||Medican Insurance claims analysts evaluate and decide the amount of insurance benefits to be paid to medical patients based upon the medical diagnosis and treatments they received. For ambiguous medical cases, they contact the physicians, hospitals or patients.|
|Duties:||They analyze patient's requests for payment of insurance benefits for medical services they received. They decide what medical category each request fits into in order to decide upon payments.
In patient's cases where the diagnosis or treatments are unclear or not compatible with medical record classification schemes, they contact physicians, hospitals, or patients involved.
They use computer system software to compute the amount of insurance benefits to be paid to the patient and prepare printed checks and documents required.
Participate in insurance task force teams to recommend changes needed in medical classification schemes in order to improve the accuracy of classifying patients' diagnoses and treatments.
|Degree(s):||A.S. Health Sciences
A.S. Liberal Arts and Sciences (Mathematics and Science)
|Job Outlook:||Employment of medical insurance claims analysts is expected to grow as fast as average through 2018 spurred by the growth of the health insurance industry. There is a greater need for claims analysts to more scrupulously review a growing number of medical claims. Demand for these jobs will increase despite technology because many tasks cannot be easily automated.|
|Salary Range (National Average):||$28,000 to $33,000|
|Education Level:||Training for this occupation generally requires an Associate Degree from a 2 year or community college.|
|Additional Training/Education:||Most insurance companies prefer to hire graduates with an associate or bachelor's degree and a curriculum background in insurance, business administration and economics. Certification can be achieved through a variety of professional associations in the insurance industry. Many insurance companies offer on-the-job training.|
Understanding acquiring positions in this field may be enhanced through continuing academic study (i.e. earning a baccalaureate or a master's degree) and/or work experience in the field, Queensborough Community College has established transfer agreements with other institutions for students who wish to further pursue their educational goals. Students are highly encouraged to meet with one of our Career Services to fully understand the opportunities available through study in their degree program.