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See Available Medical Claims Examiner Schools
Medical claims examiners are those responsible for inspecting and verifying medical claims, and authorizing any payments to be made. Mainly working for health insurance companies, they help to protect the company's bottom line while protecting the rights of the claimants. They carefully review each claim to determine if the costs are reasonable based on the diagnosis, referring to special guides which provide information on the average period of disability, the expected treatments, and the average hospital stay for various ailments for which a claim may be submitted. They check the claim for accuracy and completion, interview medical specialists, and consult policy files to help verify information reported in a claim. Following this, if the claim is valid, they authorize payment, and if they suspect fraud, they pass it on to an insurance investigator, who will take over inspection of the claim.
Earning Potential:
Salaries for Medical Claims Examiners can vary greatly ranging up to $71, 350
Educational Requirements:
Training and entry requirements for claims examiners vary widely as well. Employers prefer to hire college graduates. A medical background is useful and often preferred for those working in this field as well. They often take continuing education courses in claims, however, especially because laws are always changing and affect how claims can be handled. Licensing requirements vary from state to state, so it is best to check with your State government to determine what is required of you in order to enter this occupation.
Working Environment:
Most claims examiners are employed by health insurance companies, though some are self-employed or work for agencies. They usually work in an office environment, and their hours are usually those of a regular 40 hour week.
Employment of claims examiners is expected to grow as fast as the average for all occupations, and the best opportunities will be for those with college degrees. Larger companies are downsizing their claims departments to cut costs, but as the nation's largest population, the baby boom generation, passes into old age, there will be more claims filed, and therefore an increased need for professional claims examiners.
Alabama
Virginia
College
(Birminghan, Huntsville, Mobile*)
- Diagnostic Medical Sonography - Associate, Health
Services Management, Healthcare Reimbursement - Associate,
Medical Assistant - diploma, Medical Billing and Coding
- diploma, Medical Office Management - Associate, Orthopaedic
Technology - Associate, Pharmacy Technician, Surgical
Technology - Associate
Arizona
Everest College
(Phoenix)
- Medical Insurance Billing/Coding, Medical Assisting
TechSkills
(Phoenix, Tempe)
- Medical Billing
Medical Coding, Medical Office Administration, Medical
Transcription, Pharmacy Technician
The
Bryman School
(Phoenix, Tempe*)
- Dental Assistant, Hospital Unit Coordinator, Massage
Therapy, Medical Assistant, Medical Billing & Coding,
Pharmacy Technician, Practical Technologist in Radiology,
Surgical Technologist
California
Everest College
(El Monte, Alhambra, City of Industry, Gardena, Hayward, Los Angeles, Lynnwood, Reseda, San Bernardino, San Francisco, San Jose, Torrance, Wilshire)
- Medical Administrative Assistant, Medical Assisting,
Medical Insurance Billing/Coding, Pharmacy Technician
Career
Networks Institute
(Orange County) - Medical Assisting, Medical Insurance Billing,
Medical Office Administration
Central
Coast College
(Salinas)
- Medical Administrative Assistant, Medical Assisting,
Medical Biller/Coder
Empire
College
(Santa Rosa) - Medical Assisting, Billing/ Coding
High
Tech Institute
(Sacramento)
- Dental Assistant, Massage Therapy, Medical Assistant,
Medical Billing & Coding, Pharmacy Technician
Institute
for Business and Technology
(Santa Clara) - Lab Assistant, EKG Technician/Phleb, Massage
Therapy, Medical Assistant, Medical Biller/Coder/Office
Specialist
Institute
of Technology
(Clovis, Modesto, Mather)
- Medical Billing/Coding Specialist, Medical Office
Administration, Medical Office Administration, Pharmacy
Technician, Professional Medical Assistant
National
Career Education
(Citrus Heights) - Lab Assistant, EKG Tech/Phlebotomist,
Medical Assistant, Medical Biller/Coder/Office Assistant,
Optical/Optometric Assistant
National
Institute of Technology
(Long Beach) - Lab Assistant, EKG Tech/Phlebotomist, Medical
Assistant, Medical Biller/Coder/Office Assistant, Optical/Optometric
Assistant
TechSkills
(San Francisco, San Jose) - Medical Billing, Medical Coding, Medical
Office Administration
Medical Transcription, Pharmacy Technician
UEI
(Chula Vista, El Monte, Huntington Park, Los Angeles, Ontario, San Bernardino San Diego,Van Nuys) - Dental Assistant, Massage Therapy, Medical
Assistant, Medical Billing & Insurance Coding, Pharmacy
Technician
Colorado
Everest
College
(Colorado Springs*) - Medical Administrative Assistant, Medical
Assisting, Medical Insurance Billing/Coding
Cambridge
College
(Aurora)
- Medical Assistant, Medical Billing & Coding, X-ray
Technician (Ltd. Scope)
Institute
of Business and Medical Careers
(Ft Collins) - Medical Administrative Assistant, Medical
Assistant, Medical Insurance Billing/Coding
Everest College
(Denver)
- Medical Administrative Assistant, Medical Assisting,
Medical Insurance Billing/Coding, Surgical Technologist
TechSkills
(Denver)
- Medical Billing, Medical Coding, Medical Office Administration,
Medical Transcription, Pharmacy Technician
Florida
ACT-
Advanced Career Training
(Jacksonville)
- Dental Assistant, Medical Assistant, Medical Billing
and Insurance Coding
Edutech
Centers
(Riverview, Clearwater)
- Medical Assistant, Medical Insurance Billing &
Coding Specialist, Medical Transcription
Florida
Career College
(Hialeah, Lauderdale, Miami, Pembroke, West Palm Beach) - Massage Therapy Technician, Medical
Assistant Technician, Medical Coding and Billing Specialist,
Medical Office Administrator
Florida
Career Institute
(Mulberry)
- Medical Assistant, Medical Insurance Coding Specialist
Everest University
(Brandon, Jacksonville, Lakeland, Melbourne, Orlando, Orange Park, Pinellas, Pompano, Tampa)
- Assisted Living Administrator, Medical Assisting,
Medical Insurance, Billing/Coding, Pharmacy Technician,
Surgical Technologist, Massage Therapy
High-Tech
Institute
(Orlando)
- Dental Assistant, Massage Therapy, Medical Assistant,
Medical Billing & Coding, Pharmacy Technician, X-ray
Technician (Ltd. Scope)
Everest Institute
(Fort Lauderdale, Hialeah, Kendall, Miami)
- Medical Assisting, Surgical Technologist, Massage
Therapy, Cardiovascular Technologist, Pharmacy Technician,
Medical Insurance Billing/Coding, Cardiovascular Technologist,
Massage Therapy, Medical Assisting, Medical Insurance
Billing/Coding, Pharmacy Technician
Sanford
Brown
(Lauderdale, Jacksonville, Tampa)
- Diploma - Medical Billing and Coding Specialist, Diploma
- Medical Assistant, Diploma - Dental Assistant, Diploma
- Surgical Technology, Diploma - Advanced Massage Therapy,
Associate - Diagnostic Medical Sonography
Southwest
Florida College
(Ft.Myers, Tampa)
- Medical Assistant, Medical Insurance Billing &
Coding Specialist, Medical Transcription
Technical
Career Institute
(Miami)
-Medical Assistant, Medical Insurance, Medical Office
Administrator, Medical Secretary, Pharmacy Technician
TechSkills
(Orlando, Tampa)
- Medical Billing, Medical Coding, Medical Office Administration,
Medical Transcription, Pharmacy Technician
Virginia
College
(Pensacola)
-Medical Assistant - diploma, Medical Billing and Coding
- diploma, Pharmacy Technician, Practical Nursing -
diploma
Georgia
ACT
Advanced Career Training
(Atlanta, Riverdale)
- Dental Assistant, Massage Therapy, Medical Assistant,
Medical Billing and Insurance Coding
Career
Education Institute
(Marietta, Norcross)
- Massage Therapy, Medical Administrative Assistant,
Medical Assistant, Medical Coding & Billing
Everest Institute
(Atlanta, Dekalb, Jonesboro, Marietta, Norcross)
- Medical Insurance Billing/Coding, Medical Assisting,
Massage Therapy, Dialysis Technician
High
Tech Institute
(Marietta)
- Massage Therapy,Medical Assistant, Medical Billing
& Coding, Pharmacy Technician
Sanford
Brown Institute
(Atlanta)
- Certificate - Medical Assistant, Certificate - Medical
Billing and Coding Specialist, Certificate -, Cardiovascular
Technology, Certificate - Diagnostic Medical Sonography
Westwood
College
(Atlanta)
- Diploma - Medical Assisting, Diploma - Medical Insurance
Coding and Billing
Hawaii
Idaho
Illinois
TechSkills
(Chicago, Fairview Heights) - Medical Billing
Medical Coding, Medical Office Administration, Medical
Transcription, Pharmacy Technician
The
Chubb Institute
(Chicago)
- Massage Therapy, Medical Assistant, Medical Billing
& Coding, Surgical Technologist
Westwood
College
(O'Hare, River Oaks) - Diploma - Medical Assisting, Diploma - Medical
Insurance Coding and Billing
Indiana
Kaplan College
(Hammond, Merrillville)
- Clinical Massage Therapy, Medical Assistant, Medical
Coding & Billing, Medical Office Administration,
Therapeutic Massage & Bodywork
Kansas
TechSkills
(Kansas City) - Medical Billing, Medical Coding, Medical,
Office Administration, Medical Transcription, Pharmacy
Technician
Kentucky
ATA
Career Education
(Louisville)
- Dental Assisting, Medical Coding
Daymar
College
(Louisville, Newport, Owensboro)
- Dental Assisting, Medical Coding
Southwestern
College
(Florence)
- Medical Administrative, Assistant (Associate Degree),
Medical Assistant, Medical Billing and Coding, Phlebotomy
(Certificate)
Louisiana
American
Commercial College
(Shreveport)
- Medical Assisting, Medical Office Specialist, Medical
Records Transcriptionist
Everest College
(New Orleans) - Dental Assisting, Medical Administrative
Assistant, Medical Assisting, Medical Insurance Billing/Coding,Pharmacy
Technician
Remington
College
(Baton Rouge, Lafayette)
- Medical Assisting, Medical Insurance and Coding, Pharmacy
Technician, Medical Assisting, Medical Insurance and
Coding
Maine
Northeast
Technical Institute
(Hermon, Scarborough*) - Certified Clinical Medical Assistant, Health Information
Management, Medical Coding and Billing, Medical Office
Assistant, Medical Transcription
Pharmacy Technician
Seacost
Career School
(Sanford)
- Medical Assistant
Medical Billing Specialist
Maryland
Computer
Career Institute at Johns Hopkins University
(Baltimore, Columbia ) - Medical Administrative Assistant, Medical
Coding, Medical Coding & Billing
Hagerstown
Business College
(Hagerstown, Frederick)
- Health Information Technology, Medical Assistant,
Medical Billing/Coding
Massachusetts
Career
Education Institute
( Lowell, Somerville) - Massage Therapy, Medical Administrative Assistant,
Medical Assistant, Medical Coding & Billing, Pharmacy
Technician
Clark
University CCI
(Braintree, Cambridge, Framingham, Woburn)
- Medical Assisting, Medical Coding, Medical Coding
& Billing, Healthcare Professional, Medical Administrative
Assistant
Northeast
Technical Institute
(Haverhill)
- Certified Clinical Medical Assistant, Health Information
Management, Medical Coding and Billing, Medical Office
Assistant, Medical Transcription
Michigan
National
Institute of Technology*
(Detroit, Dearborn, Southfield)
- Medical Assisting, Medical Insurance Billing and Coding,
Medical Administrative Assistant
Everest Institute*
(Grand Rapids, Kalamazoo)
- Medical Administrative Assistant, Medical Assistant,
Medical Insurance Billing/Coding
Minnesota
Everest Institute
(Eagan)
- Medical Assisting, Medical Insurance Billing/Coding
Duluth
Business University
(Duluth)
- Billing and Coding Specialist, Medical Assistant,
Medical Office Specialist
High-Tech
Institute
(Minneapolis)
- Medical Assistant, Medical Billing & Coding
TechSkills
(Minneapolis)
- Medical Billing, Medical Coding, Medical Office Administration
Mississippi
Virginia
College
(Jackson)
- Medical Assistant, Medical Billing & Coding: Medical
Reimbursement, Medical Coding, Medical Office Administration
and Assisting
Missouri
Everest College
(St. Louis) - Medical Insurance Billing/Coding, Medical
Assisting
Sanford-Brown College*
(Fenton, St. Charles, Hazelwood)
- Healthcare Administration, Medical Assistant, Medical
Coding and Billing
Everest College
(Springfield)
- Medical Assisting, Medical Insurance Billing/Coding,
Medical Office Assistant, Medical Transcription
TechSkills
(St. Louis) - Medical Billing and Coding, Medical Transcription,
Medical Office Administration
Nebraska
Nevada
Heritage
College
(Las Vegas) - Medical Assistant, Medical Insurance Coder
and Biller
High-Tech
Institute
(Las Vegas) - Medical Assistant, Medical Billing &
Coding
Las
Vegas College
(Henderson, Las Vegas) - Administrative Medical Assistant, Medical
Assistant, Medical Insurance Billing/Coding
TechSkills
(Las Vegas) - Medical Billing, Medical Coding, Medical
Office Administration, Medical Transcription
New Jersey
ATI
Training Institute
(Edison)
- Medical Billing & Coding
CDM
Institute
* (Marlton, Wayne, West Long Beach) - Medical Billing, Coding, & Office
Administration
ProTrain,
Inc.
(Oakhurst)
- Medical Billing & Coding
Sanford-Brown Institute
(Formerly Ultrasound Diagnostic School)
(Iselin)
- Medical Assistant, Coding & Billing
New Mexico
New York
Branford
Hall Career Institute
(Bohemia)
- Medical Assistant, Medical Biller
Hunter
Business School
(Levittown)
- Medical Assistant, Medical Billing, Medical Office
Administration
Ridley-Lowell
Business & Technical Institute*
(Binghamton, Poughkeepsie)
- Medical Administrative Assistant, Medical Assistant,
Medical Billing & Coding Specialist, Medical Transcription
Specialist
Everest Institute
(Rochester)
- Medical Assisting, Medical Insurance Billing &
Coding, Administration Information Processing (Medical)
Sanford-Brown Institute*
(Formerly Ultrasound Diagnostic Schools)
(Garden City, New York, White Plains) - Medical Assistant, Coding & Billing
North Carolina
TechSkills*
(Charlotte, Greensboro, Raleigh)
- Medical Billing and Coding, Medical Transcription,
Medical Office Administration
North Dakota
Rasmussen
College
(Bismark, Fargo)
- Medical Coding, Medical Office, Medical Transcriptionist
Ohio
Akron
Institute
(Cuyahoga Falls) - Medical Assistant, Medical Biller/Administrator
Everest College
(Gahanna)
- Medical Assisting, Medical Insurance Billing/Coding
Remington
College
* (Cleveland, Cleveland West) - Medical Assisting, Medical Insurance and
Coding
Sanford Brown College
(Cleveland)
- Medical Assistant, Medical Billing and Coding Specialist
Southwestern
College*
(Dayton, Franklin, Tri-County, Vine Street) - Medical Administrative Assistant, Medical
Assitant, Medical Billing & Coding
TechSkills*
(Cincinnati, Cleveland, Columbus)
- Medical Billing and Coding, Medical Transcription,
Medical Office Administration
Oklahoma
TechSkills
(Oklahoma City) - Medical Billing and Coding, Medical Transcription,
Medical Office Administration
Oregon
Cambridge
College
(Beaverton)
- Medical Assistant, Medical Billing & Coding
Health
Career Institute
(Wilsonville)
- Healthcare Administration, Medical Assisting, Medical
Claims & Billing
Western
Business College
(Portland)
- Administrative Medical Assistant, Medical Assistant,
Medical Insurance Billing/Coding
Pennsylvania
Career Training
Academy
* (Monroeville, New Kensington, Pittsburgh)
- Advanced Medical Coder/Biller, Medical Biller, Medical
Administrative Assistant
CDM
Institute
(Allentown)
- Medical Billing, Coding, & Office Administration
CLN*
(Altoona, Mechanicsburg)
- Medical Assistant, Medical Billing & Coding Specialist
Everest Institute< a>
(Pittsburgh)
- Medical Administrative Secretary, Medical Assistant,
Medical Insurance Billing and Coding
Sanford-Brown Institute (Formerly
Ultrasound Diagnostic School)
(Philadelphia)
- Medical Assistant, Coding & Billing
Kaplan Career Institute
(Harrisburg)
- Medical Assisting, Billing and Coding
Thompson Institute
(Philadelphia)
- Medical Assisting, Billing and Coding
Tennessee
High-Tech
Institute
(Memphis, Nashville)
- Medical Assistant, Medical Billing & Coding
Texas
Academy
of Healthcare Professions*
(Austin, Houston North Loop, Houston Southwest) - Medical Assistant, Medical Coding and
Billing Specialist
CCI
Training Center*
(Arlington, Dallas)
- Medical Billing and Coding, Medical Transcription
Everest
College
* (Arlington/Mid-Cities, Dallas, Fort Worth) - Medical Assisting, Medical Insurance Billing
and Coding
High-Tech
Institute
(Irving)
- Medical Assistant, Medical Billing & Coding
National
Institute of Technology
* (Austin, Houston/Bissonnet, Houston/Galleria, Houston/Greenspoint, Houston/Hobby, San Antonio) - Medical Assistant, Medical Administrative
Assistant, Medical Assisting, Medical Business and Clinical
Specialist, Medical Insurance Billing & Coding
Pinnacle
Career Center
(Houston)
- Medical Assistant, Medical Billing
Remington
College*
(Dallas, Fort Worth, Houston)
- Medical Assistant, Medical Insurance and Coding
Sanford-Brown Institute*
(Dallas, Houston)
- Medical Assistant, Coding & Billing
TechSkills*
(Dallas, Fort Worth, Houston, San Antonio) - Medical Coding, Medical Billing, Medical
Office Administration, Medical Transcription
Virginia
College
(Austin)
- Medical Assistant, Medical Assisting and Office Administration,
Medical Billing and Coding
Westwood
College*
(Dallas, Fort Worth, Houston-Technology)
- Medical Assisting, Medical Insurance Coding &
Billing
Utah
Everest College
(Salt Lake City) - Medical Assisting, Medical Insurance
Coding and Billing, Medical Administrative Assistant
TechSkills*
(Salt Lake City) - Medical Coding, Medical Billing, Medical
Office Administration, Medical Transcription
Virginia
Everest Institute*
(Newport News, Chesepeake)
- Dental Assisting, Massage Therapy, Medical Administrative
Assistant, Medical Assisting, Medical Insurance Billing/Coding
Everest College*
(McLean)
- Medical Insurance Billing and Coding, Medical Administrative
Assistant, Medical Assisting
The
Chubb Institute
(Arlington)
- Medical Assistant, Medical Billing & Coding
Washington
Cambridge
College
(Seattle)
- Medical Assistant, Medical Billing & Coding
Capstone
Career College
(Tacoma)
- Medical Coding & Billing Specialist, Medical Transcription
Specialist
Northwest
Business College
(Lynnwood)
- Medical Billing and Coding, Medical Office Administration
Western
Business College
(Vancouver)
- Administrative Medical Assistant, Medical Assistant,
Medical Insurance Billing/Coding
Wisconsin
TechSkills*
(Madison, Milwaukee)
- Medical Coding, Medical Billing, Medical Office Administration,
Medical Transcription
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