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Health Insurance Jobs in Virginia (NOW HIRING)

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$31.7K

$85.2K

$154.2K

How much do health insurance jobs pay per year?

As of Jun 11, 2026, the average yearly pay for health insurance in Virginia is $85,152.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,100.00 and $99,100.00 per year, depending on experience, location, and employer.

What are some common challenges faced by professionals working in health insurance, and how can they be managed?

Professionals in health insurance often encounter challenges such as navigating complex regulations, addressing customer concerns about coverage, and keeping up with frequent policy updates. Managing these challenges requires strong attention to detail, effective communication skills, and ongoing training on industry changes. Working collaboratively with underwriters, claims specialists, and regulatory teams helps ensure accurate policy administration and responsive customer service.

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 a solid understanding of medical billing, coding procedures, and insurance regulations, often supported by a relevant certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Familiarity with claims processing software, electronic health records (EHR) systems, and industry-specific databases is essential. Attention to detail, problem-solving, and strong communication skills help specialists resolve discrepancies and assist clients effectively. These skills ensure accurate claim management, regulatory compliance, and excellent customer service in a complex, fast-paced industry.

What is the difference between Health Insurance vs Claims Adjuster?

AspectHealth InsuranceClaims Adjuster
Required CredentialsLicenses, certifications (e.g., health insurance licenses)Licenses, insurance adjuster certifications
Work EnvironmentOffice, healthcare settings, remoteInsurance companies, fieldwork, office
Industry UsageHealthcare, insurance providersInsurance claims processing, property & casualty
Common Search/ComparisonUnderstanding health coverage optionsEvaluating insurance claims and settlements

Health Insurance professionals focus on providing and managing health coverage plans, while Claims Adjusters evaluate insurance claims to determine coverage and settlement amounts. Both roles require insurance-related certifications and work within the insurance industry, but their daily tasks and environments differ significantly.

What are health insurance professionals?

Health insurance professionals are individuals who work in the health insurance industry, helping people and organizations understand, purchase, and manage health insurance policies. Their roles can include explaining different health plans, assisting with claims, ensuring compliance with regulations, and providing customer support. They may work for insurance companies, as brokers, or for healthcare providers, and play a key role in making sure clients receive the coverage and benefits they need.
What are the most commonly searched types of Health Insurance jobs in Virginia? The most popular types of Health Insurance jobs in Virginia are:
What are popular job titles related to Health Insurance jobs in Virginia? For Health Insurance jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Health Insurance jobs in Virginia look for? The top searched job categories for Health Insurance jobs in Virginia are:
What cities in Virginia are hiring for Health Insurance jobs? Cities in Virginia with the most Health Insurance job openings:
Health Insurance jobs near you
Medical Insurance Specialist

Medical Insurance Specialist

The US Oncology Network

Winchester, VA • On-site

$22.87 - $28.60/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

US Oncology rating

7.4

Company rating: 7.4 out of 10

Based on 104 frontline employees who took The Breakroom Quiz

252nd of 870 rated healthcare providers

Job description

Overview
Job: Medical Insurance Specialist
Hours: Monday - Friday, 8:00 - 4:30 p.m. or 8:30 - 5:00 p.m. (100% on-site)
Pay Range: $22.87 -$28.60 an hour. The actual hiring rate may vary based on several factors, including your previous work experience, educational background, the responsibilities of the position, and demonstrated performance. These elements help us ensure a fair and competitive offer aligned with your qualifications and the role's requirements.
Benefits: We offer a competitive benefits package that includes medical, dental, vision, life insurance, short-term and long-term disability coverage, generous PTO, an employer match 401K plan, a wellness program, tuition reimbursement, an employee assistance program (EAP), and retail discounts.
Job Summary: Shenandoah Oncology is looking for a Medical Insurance Specialist that will embody our core values, The RETIC Way: Respect, Excellence, Teamwork, Integrity, and Compassion. The Medical Insurance Specialist manages medical billing and insurance accounts by resolving claim discrepancies, working insurance accounts receivable (A/R), preparing and submitting payer appeals for denied claims, and securing outstanding balances. This role ensures accurate payment posting, refunds, and account resolution while serving as a patient-facing resource for billing and insurance inquiries. All responsibilities are performed in strict compliance with HIPAA and applicable regulatory requirements.
Responsibilities
  • Monitors delinquent accounts and performs collection duties
  • Reviews reports, researches and resolves issues
  • Reviews payment postings for accuracy and to ensure account balances are current
  • Works with co-workers to resolve insurance payment and billing errors
  • Monitors and updates delinquent accounts status
  • Recommends accounts for collection or write-off
  • Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations.
  • Answers patient payment, billing, and insurance questions and resolves complaints.
  • Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations
  • Answers patient payment, billing, and insurance questions and resolves complaints
  • May refer patients to Patient Benefits Representative to set up payment plans
  • Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations
  • Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records
  • Performs other duties as requested or assigned

Qualifications
  • High School diploma or equivalent required
  • Minimum two (2) years combined medical revenue cycle (billing, A/R, and denial) experience.
  • Demonstrate knowledge of state, federal, and third party claims processing required
  • Demonstrate knowledge of state & federal collections guidelines
  • Must successfully complete required e-learning courses within 90 days of occupying position

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to manipulate a computer keyboard and mouse. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation will be offered to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment.

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