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Health Insurance Specialist Jobs in Decatur, GA (NOW HIRING)

Munich Re

Senior Claims Specialist - Health

Atlanta, GA · On-site

The Company Welcome to Munich Re Specialty - North America, a leading specialty insurance provider ... The Senior Claims Specialist on the Healthcare team plays a critical role in our growing Claims ...

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All JobsHealth Insurance Specialist JobsHealth Insurance Specialist Jobs in Decatur, GA

Health Insurance Specialist information

See Decatur, GA salary details

$31.2K

$83.9K

$151.8K

How much do health insurance specialist jobs pay per year?

As of Jul 13, 2026, the average yearly pay for health insurance specialist in Decatur, GA is $83,856.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,300.00 and $97,600.00 per year, depending on experience, location, and employer.

What do health insurance specialists do?

Health insurance specialists review and process insurance claims, verify coverage, and assist clients with policy questions. They often work with insurance databases and require knowledge of healthcare regulations and billing procedures to ensure accurate and efficient service.

How to become a health insurance specialist?

To become a health insurance specialist, typically one needs a high school diploma or equivalent, followed by relevant training or certification in health insurance policies and regulations. Many employers prefer candidates with knowledge of healthcare systems, customer service skills, and familiarity with insurance software. Earning certifications such as the Certified Health Insurance Specialist (CHIS) can enhance job prospects.

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 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 is the highest paying position in insurance?

In the insurance industry, executive roles such as Chief Executive Officer (CEO), Chief Underwriting Officer, and Chief Risk Officer tend to be the highest paying positions. These roles require extensive experience, leadership skills, and often advanced certifications, and they oversee company strategy and risk management at the highest level.

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.
More about Health Insurance Specialist jobs
What are popular job titles related to Health Insurance Specialist jobs in Decatur, GA? For Health Insurance Specialist jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Health Insurance Specialist jobs in Decatur, GA look for? The top searched job categories for Health Insurance Specialist jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Health Insurance Specialist jobs? Cities near Decatur, GA with the most Health Insurance Specialist job openings:
Health Insurance Specialist jobs near you
Infographic showing various Health Insurance Specialist job openings in Decatur, GA as of July 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, 1% Temporary, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $83,856 per year, or $40.3 per hour.
Insurance AR Specialist - Remote

Insurance AR Specialist - Remote

Surgical Information Systems

Alpharetta, GA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

Job description

For 30 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart™ by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS). 

Serving over 2,900 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes.

Recognized as the No. 1 ASC EHR vendor by Black Book for 11 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2026, 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.

Discover how SIS can help you Operate Smart™ at sisfirst.com.

THIS IS A REMOTE POSITION

This is an exciting opportunity to join a dynamic and growing Revenue Cycle Services (RCS) team that is actively expanding to support our continued success—all in a fully remote environment. The AR Specialist plays an important role in supporting the financial outcomes of our clients by working insurance accounts receivable for Ambulatory Surgical Centers and Clinics, including followup, denial resolution, and appeal submissions. As we continue to add to our team, this remote position offers the chance to join a collaborative, forwardmoving company where your contributions make a direct impact and your work is truly valued.

ESSENTIAL DUTIES/ RESPONSIBILITIES:

  • Work assigned insurance accounts receivable with accuracy, efficiency, and a strong sense of ownership
  • Proactively follow up on outstanding claims and insurance denials to ensure timely resolution
  • Research, prepare, submit, and track insurance appeals, including ongoing appeal followup
  • Communicate effectively with insurance representatives to resolve claim issues and obtain payment
  • Apply strong organizational and timemanagement skills to prioritize daily workloads and meet deadlines
  • Interpret managed care contracts, including fee schedules and allowable amounts, to support collection efforts
  • Work confidently with nonparticipating providers and payer guidelines
  • Maintain a clear understanding of the insurance collection process and apply best practices consistently
  • Identify issues and resolve problems independently, using sound judgment and attention to detail
  • Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time

EDUCATION DESIRED:

High school graduate or GED certification

SPECIFIC KNOWLEDGE & SKILLS REQUIRED:

  • Solid knowledge of medical billing processes, insurance guidelines, and the insurance appeals lifecycle
  • Prior experience in healthcare insurance collections, preferably in an ambulatory or clinical setting
  • Proficiency with computers and Windowsbased software systems
  • Strong written and verbal communication skills with excellent command of the English language
  • Ability to work cooperatively and professionally with teammates, patients, and external partners
  • Customerfocused mindset with the ability to represent the company positively to patients, insurance carriers, and the general public
  • Must have a minimum of 50Mbps internet download speed to effectively run SIS Systems

    BENEFITS:

    • Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
    • Vacation/Sick time
    • 401(k) retirement plan with company match
    • Paid Holidays
    • SIS Cares Day
    • Hybrid or Remote environment depending on the role

    We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, and all other protected statuses

    Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply.

    At this time we are unable to sponsor H1B candidates

    Apply