How much does a Claims Processing Clerk I - Healthcare make in Pennsylvania? The average Claims Processing Clerk I - Healthcare salary in Pennsylvania is $39,945 as of March 26, 2024, but the range typically falls between $37,142 and $44,609. Salary ranges can vary widely depending on the city and many other important factors, including education, certifications, additional skills, the number of years you have spent in your profession.

Claims Processing Clerk I - Healthcare Salaries by Percentile
Percentile Salary Location Last Updated
10th Percentile Claims Processing Clerk I - Healthcare Salary $34,590 PA March 26, 2024
25th Percentile Claims Processing Clerk I - Healthcare Salary $37,142 PA March 26, 2024
50th Percentile Claims Processing Clerk I - Healthcare Salary $39,945 PA March 26, 2024
75th Percentile Claims Processing Clerk I - Healthcare Salary $44,609 PA March 26, 2024
90th Percentile Claims Processing Clerk I - Healthcare Salary $48,856 PA March 26, 2024
25% $37,142 10% $34,590 90% $48,856 75% $44,609 $39,945 50%(Median) Didn’t find job title? Click
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What skills does a Claims Processing Clerk I - Healthcare need?

Each competency has five to ten behavioral assertions that can be observed, each with a corresponding performance level (from one to five) that is required for a particular job.

1.

Customer Service: Customer service is the provision of service to customers before, during and after a purchase. The perception of success of such interactions is dependent on employees "who can adjust themselves to the personality of the guest". Customer service concerns the priority an organization assigns to customer service relative to components such as product innovation and pricing. In this sense, an organization that values good customer service may spend more money in training employees than the average organization or may proactively interview customers for feedback. From the point of view of an overall sales process engineering effort, customer service plays an important role in an organization's ability to generate income and revenue. From that perspective, customer service should be included as part of an overall approach to systematic improvement. One good customer service experience can change the entire perception a customer holds towards the organization.

2.

Pricing: Pricing is a process of fixing the value that a manufacturer will receive in the exchange of services and goods.

3.

Claim Reviews: A claims review is the process in which the underwriter reviews a claim to assure that it meets a set of standards.

Customer Service 14.27%
Pricing 2.16%
Claim Reviews 1.25%
Others 82.32%

Job Description for Claims Processing Clerk I - Healthcare

Claims Processing Clerk I - Healthcare receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk I - Healthcare produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk I - Healthcare typically reports to a supervisor. The Claims Processing Clerk I - Healthcare works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)... View full job description

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Job Openings for Claims Processing Clerk I - Healthcare in Pennsylvania

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Location Avg. Salary Date Updated
Location Stroudsburg, PA Avg. Salary $40,465 Date Updated March 26, 2024
Location Aaronsburg, PA Avg. Salary $38,824 Date Updated March 26, 2024
Location Abbottstown, PA Avg. Salary $38,984 Date Updated March 26, 2024
Location Abington, PA Avg. Salary $42,226 Date Updated March 26, 2024
Location Ackermanville, PA Avg. Salary $42,066 Date Updated March 26, 2024
Location Acme, PA Avg. Salary $37,383 Date Updated March 26, 2024
Location Acosta, PA Avg. Salary $35,942 Date Updated March 26, 2024
Location Adah, PA Avg. Salary $39,185 Date Updated March 26, 2024
Location Adamsburg, PA Avg. Salary $39,265 Date Updated March 26, 2024
Location Adamstown, PA Avg. Salary $39,825 Date Updated March 26, 2024

Career Path for Claims Processing Clerk I - Healthcare

A career path is a sequence of jobs that leads to your short- and long-term career goals. Some follow a linear career path within one field, while others change fields periodically to achieve career or personal goals.

For Claims Processing Clerk I - Healthcare, the first career path typically starts with an Appeal Resolution Specialist position, and then Appeal Resolution Supervisor.

The second career path typically starts with a Claims Clerk II position, and then progresses to Claims Manager.

Additionally, the third career path typically starts with a Claims Processing Clerk II - Healthcare position, and then progresses to Claims Processing Supervisor - Healthcare.

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Claims Processing Clerk I - Healthcare Salary in Pennsylvania
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