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Health Insurance Specialist Jobs (NOW HIRING)

CVS Health

Health Insurance Specialist

Streamwood, IL · On-site

$21.10 - $44.99/hr

Patient Relations Analyst (Health Insurance Specialist) Company: Oak Street Health Role Description: The purpose of the Patient Relations Analyst (PRA) at Oak Street Health is to educate patients ...

CVS Health

Health Insurance Specialist

Bellwood, IL · On-site

$21.10 - $44.99/hr

Oak Street Health Role Description: The purpose of the Patient Relations Analyst (PRA) at Oak Street Health is to educate patients about Medicare programs, resources, and affordable insurance ...

CVS Health

Health Insurance Specialist

Columbus, OH

$21.10 - $40.90/hr

Oak Street Health Role Description: The purpose of the Patient Relations Analyst (PRA) at Oak Street Health is to educate patients about Medicare programs, resources, and affordable insurance ...

CVS Health

Health Insurance Specialist

Cedar Rapids, IA

$21.10 - $40.90/hr

Oak Street Health Role Description: The purpose of the Patient Relations Analyst (PRA) at Oak Street Health is to educate patients about Medicare programs, resources, and affordable insurance ...

Birmingham

Health Insurance Specialist

Birmingham, AL · On-site

The incumbent most hold a health and life insurance license and will be required to pass all CMS tests administered upon hire and annually. PRINCIPAL ACCOUNTABILITIES * Ability to effectively handle ...

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Health Insurance Specialist information

See salary details

$32K

$85.9K

$155.5K

How much do health insurance specialist jobs pay per year?

As of Jun 16, 2026, the average yearly pay for health insurance specialist in the United States is $85,888.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,500.00 and $100,000.00 per year, depending on experience, location, and employer.

What is the role of a health insurance specialist?

A health insurance specialist manages and processes health insurance claims, verifies coverage, and assists clients with policy questions. They often review policy details, ensure compliance with regulations, and use insurance software to facilitate accurate and efficient service.

What Is a Health Insurance Specialist?

Health or medical insurance specialist is a general name given to those who work in a healthcare facility, overseeing financial proceeding for patients. As a health insurance specialist, your responsibilities may include checking for insurance coverage, verifying health information, and liaising with health professionals and patients on all factors related to billing. You may also be responsible for proofreading all billing and medical coding to make sure there are no errors. As this is an umbrella term covering several jobs, your specific duties vary based on your position. You must have excellent organizational skills and may need some post-secondary education training in this career.

What health insurance jobs pay the most?

Senior roles such as Health Insurance Directors, Underwriting Managers, and Claims Vice Presidents typically have the highest salaries in the health insurance industry. These positions often require extensive experience, advanced certifications, and strong leadership skills, and they can offer six-figure compensation packages.

What are some common challenges Health Insurance Specialists face when working with claims processing?

Health Insurance Specialists often encounter challenges such as navigating complex policy details, keeping up with frequently changing regulations, and ensuring the accuracy of claim documentation. Handling discrepancies or denials requires strong attention to detail and effective communication with both healthcare providers and insurance companies. Staying organized and continuously updating knowledge on billing codes and compliance standards are crucial for success in this role.

What qualifies as a specialist for health insurance?

A health insurance specialist is a professional knowledgeable in health insurance policies, regulations, and coverage options. They often hold relevant certifications, such as the Certified Health Insurance Specialist (CHIS), and have experience with insurance claims, customer service, and policy administration. Strong communication skills and familiarity with insurance software are also important qualifications.

What are the key skills and qualifications needed to thrive as a Health Insurance Specialist, and why are they important?

To thrive as a Health Insurance Specialist, you need strong knowledge of insurance policies, medical billing, coding systems, and typically a background in healthcare administration or related certifications. Familiarity with ICD-10, CPT coding, claims processing software, and government regulations like HIPAA is essential. Attention to detail, organizational skills, and effective communication help specialists resolve claims efficiently and interact with patients and providers. These competencies are vital to ensure accurate claims processing, regulatory compliance, and positive customer experiences.

What are Health Insurance Specialists?

Health Insurance Specialists are professionals who process, review, and manage health insurance claims, ensuring compliance with regulations and accuracy in billing and reimbursement. They often work in hospitals, clinics, insurance companies, or government agencies and serve as a liaison between patients, healthcare providers, and insurance companies. Their responsibilities may include verifying patient benefits, coding medical procedures, addressing claim denials, and providing guidance on insurance policies. Health Insurance Specialists play a crucial role in helping patients understand their coverage and in ensuring that healthcare providers receive proper payment for their services.

Is Parkinson's disease covered by health insurance?

As a Health Insurance Specialist, coverage for Parkinson's disease typically depends on the specific insurance plan and policy details. Most comprehensive health insurance plans, including private and government programs like Medicare and Medicaid, generally cover diagnosis, treatment, and medications for Parkinson's disease. It is advisable to review the policy's coverage terms or consult with the insurance provider for precise information.
More about Health Insurance Specialist jobs
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What are the most commonly searched types of Health Insurance Specialist jobs? The most popular types of Health Insurance Specialist jobs are:
Who are the top companies hiring for Health Insurance Specialist jobs? The top employers for Health Insurance Specialist jobs are:
What states have the most Health Insurance Specialist jobs? States with the most job openings for Health Insurance Specialist jobs include:
What job categories do people searching Health Insurance Specialist jobs look for? The top searched job categories for Health Insurance Specialist jobs are:
What are popular job titles related to Health Insurance Specialist jobs? For Health Insurance Specialist jobs, the most frequently searched job titles are:
Health Insurance Specialist jobs near you
Infographic showing various Health Insurance Specialist job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 96% Full Time, and 2% Part Time. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $85,888 per year, or $41.3 per hour.

Health Insurance Specialist

Department of Human Services

Denver, CO

$108K/yr

Other

Posted 15 days ago

Job description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS), Children and Adults Health Programs Group (CAHPG), Division of Tribal Affairs (DTA).
As a Health Insurance Specialist, GS-0107-13, you will serve as a lead policy advisor for Medicare, Medicaid, CHIP, and BHP programs impacting AI/AN populations and Indian health providers, supporting Tribal engagement.Qualifications:ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.
Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from being considered further.
In order to qualify for the GS-13, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-12 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Implementing Medicaid, CHIP, or the Basic Health Program policies affecting AI/AN (American Indian/Alaska Native) beneficiaries and the Indian Health Service IHS Indian Health Care delivery system; 2) Developing regulations, manuals, program guidelines, program memoranda, policy letters, or instructions to communicate health insurance program policies; AND 3) Presenting recommendations based on the evaluation of health insurance programs.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12979902Education:This job does not have an education qualification requirement.Employment Type: OTHER

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