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Health Insurance Specialist Jobs (NOW HIRING)

CVS Health

Health Insurance Specialist

Cincinnati, OH · On-site

$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

Chicago, 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

Linden, AL

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 ...

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CVS Health

Health Insurance Specialist

Richmond, VA · On-site

$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 ...

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 ...

Trinity Health

Home Health Insurance Specialist

Livonia, MI · 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 ...

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Trinityhealth

Home Health Insurance Specialist

Livonia, MI · 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 ...

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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 Aug 21, 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.
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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

Employment Opportunities for Veterans | CMS

Windsor Mill, MD • On-site

$143K/yr

Full-time

Re-posted 6 days ago

Job description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare, Medicare Drug Rebate and Negotiations Group (MDRNG), in the Division of Contract Support (DCS).
As a Health Insurance Specialist, GS-0107-14, you will serve as a Lead and SME for the group and CMS leadership in navigating the contracting processes to ensure effective and efficient contracting operations within the center/organization.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. Providing technical direction for acquisition strategies supporting major healthcare and insurance programs, including the Medicare Drug Price Negotiation Program;
2. Formulating contract management approaches for complex acquisition programs affecting agency-wide program implementation; And
3. Overseeing administration of a multifaceted acquisition portfolio, ensuring compliance with applicable statutes, regulations, and agency policies.
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/13040150

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

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