ZipRecruiter

Log In

1

Health Insurance Specialist Jobs (NOW HIRING)

Medix

Health Insurance Specialist

Erie, PA · On-site

$25/hr

... an analytical healthcare claims specialist with direct experience handling payment disputes ... As a job position within our Insurance division, a successful completion of a background check may ...

next page

Showing results 1-20

All JobsFinance and Insurance JobsInsurance JobsHealth Insurance Agent JobsHealth Insurance Specialist Jobs

Health Insurance Specialist information

See salary details

$32K

$85.9K

$155.5K

How much do health insurance specialist jobs pay per year?

As of Aug 23, 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 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 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 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.
More about Health Insurance Specialist jobs

What cities are hiring for Health Insurance Specialist jobs?

Cities with the most Health Insurance Specialist job openings:

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 August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $85,888 per year, or $41.3 per hour.

Health Insurance Specialist

Department of Human Services

Washington, DC • On-site

$143K/yr

Full-time

Posted 16 days ago

Job description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight (CCIIO), Front Office.
As a Health Insurance Specialist, GS-0107-14, you will serve as a Health Insurance Specialist and the Operations Lead responsible for designing, governing, and continuously improving the operational infrastructure that enables investigation, and remediation of fraud, waste, and abuse.Qualifications:

ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF 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-14 , 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-13 grade level in the Federal government, obtained in either the private or public sector, to include:
1. Designing and maintaining operational systems and analytical frameworks to identify, monitor, and remediate fraud, waste, and abuse within federal health insurance programs or marketplaces, AND;
2. Directing and managing center-level governance processes for fraud oversight across multiple organizational groups or divisions, AND;
3. Leading long-range strategic planning initiatives focused on fraud prevention and program integrity within federal health insurance programs, AND;
4. Serving as a principal liaison to senior leadership and executive stakeholders on complex health insurance fraud and program integrity issues.
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.
Time-in-Grade: To be eligible, current Federal employees must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying.

Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/13025148

Education:This job does not have an education qualification requirement.Employment Type: OTHER

Apply