1

Health Insurance Specialist Jobs (NOW HIRING)

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 ...

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 ...

Home Health Insurance Specialist

Livonia, MI ยท On-site

$18.59 - $22/hr

EST Home Health Insurance Specialist Build a Career. Make a Difference. Love Where You Work. As a Home Health Insurance Specialist is responsible for processing all incoming referrals received by ...

Home Health Insurance Specialist

Livonia, MI ยท On-site

$18.59 - $22/hr

EST Home Health Insurance Specialist Build a Career. Make a Difference. Love Where You Work. As a Home Health Insurance Specialist is responsible for processing all incoming referrals received by ...

Home Health Insurance Specialist

Livonia, MI ยท On-site

$18.59 - $22/hr

EST Home Health Insurance Specialist Build a Career. Make a Difference. Love Where You Work. As a Home Health Insurance Specialist is responsible for processing all incoming referrals received by ...

Showing results 21-40

Health Insurance Specialist information

See salary details

$32K

$85.9K

$155.5K

How much do health insurance specialist jobs pay per year?

As of Sep 14, 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.

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 are popular job titles related to Health Insurance Specialist jobs?

For Health Insurance Specialist jobs, the most frequently searched job titles are:

Infographic showing various Health Insurance Specialist job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 76% Full Time, 17% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $85,888 per year, or $41.3 per hour.

Health Insurance Specialist

Kansas City, MO โ€ข On-site

$51K/yr

Full-time, Part-time

Re-posted 9 days ago


Job description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Clinical Standards and Quality (CCSQ) Survey and Operations Group (SOG).
As a Health Insurance Specialist, GS-0107-7/9, you will prepare and develop survey and certification policies, procedures and compliance oversight for healthcare providers and suppliers.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 receiving further consideration.

In order to qualify for the GS-07, you must meet one of the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-05 grade level in the Federal government, obtained in either the private or public sector, to include:
1. Assist in conducting analytical studies to evaluate the effectiveness of program initiatives by gathering, organizing, and interpreting data;
2. Assist in the development of short-term or long-range project plans to streamline logistics and improve operational efficiency and
3.Collaborate with internal and external stakeholders to support effective program policy implementation
-OR -
Substitution of Education for Experience:You may substitute education for specialized experience at the GS-07 grade level by possessing at least 1 full academic year of graduate level education. One year of full-time graduate education is considered to be the number of credit hours that the school attended has determined to represent 1 year of full-time study. If that information cannot be obtained from the school, 18 semester hours should be considered as satisfying the 1 year of full-time study requirement. Part-time graduate education is creditable in accordance with its relationship to a year of full-time study at the school attended.
-OR-
Superior Academic Achievement: A bachelor's degree from an accredited college or university AND one of the following provisions of superior academic achievement: NOTE: If you are claiming S.A.A. you must provide an unofficial transcript at the time of application that documents this claim:
    • A grade-point average of "B" (3.0 or higher on a 4.0 scale) for all completed undergraduate courses or those completed in the last two years of undergraduate study. For example, 2.95 is rounded to 3.0, and 2.94 is rounded to 2.9.
    • A grade-point average of 3.5 or higher on a 4.0 scale for all required courses completed in your major field of study, or those required courses in your major completed in the last two years of your undergraduate stud.
    • Rank in the upper one-third of your class in the college, university, or major subdivision.
    • Membership in a national honor society (other than freshman honor societies) recognized by the Association of College Honor Societies.
-OR-
Combination of Experience and Education:Equivalent combinations of successfully completed post-high school education and experience may be used to meet total experience requirements at the GS-07 grade level. The percentage of your total qualifying experience the education must equal to 100% to qualify for this grade.
In order to qualify for the GS-09, 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-07 grade level in the Federal government, obtained in either the private or public sector, to include:
1. Conducting analytical studies to evaluate the effectiveness of program initiatives by gathering, organizing, and interpreting data;
2. Developing short-term or long-range project plan to ensure logistics are handled efficiently; and
3. Responding to routine inquiries regarding program related activities to a variety of internal and external stakeholders.
- OR -
Substitution of Education for Experience: You may substitute education for specialized experience at the GS-09 level by possessing a Master's or equivalent graduate degree or 2 full years of progressively higher-level graduate education leading to such a degree or LL.B. or J.D., if related to the position being filled.
- OR - Combination of Experience and Education: Only graduate education in excess of the amount required for the GS-07 grade level may be used to qualify applicants for positions at the grade GS-09. Therefore, only education in excess of 1 full year of graduate-level education may be used to combine education and experience.
TRANSCRIPTS are required to verify satisfactory completion of the educational requirement related to the substitution of education for experience and the combination of experience and education. Please refer to the "Required Documents" section below for the documentation required at the time of application.
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 or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year 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/13059015Education:Employment Type: OTHER