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Health Insurance Jobs in Erie, PA (NOW HIRING)

Medix

Health Insurance Specialist

Erie, PA · On-site

$25/hr

Minimum 2+ years of experience specifically in provider payment disputes, claims appeals, out-of-network reimbursement, or health insurance dispute resolution . (Candidates without direct claims ...

HealthMarkets, Inc.

Insurance Agent

Erie, PA · On-site

HealthMarkets is a technology-enabled health insurance agency delivering high-touch, customized health and supplemental insurance solutions to individuals, families and small businesses. Millions of ...

HealthMarkets, Inc.

Insurance Sales Agent

Erie, PA · On-site

HealthMarkets is a technology-enabled health insurance agency delivering high-touch, customized health and supplemental insurance solutions to individuals, families and small businesses. Millions of ...

Nexera

Entry Level Remote Insurance Sales

Erie, PA · Remote

$1.5K - $3.2K/wk

Full licensing support -- we walk you through getting your Life and Health Insurance License (most pass in 2-4 weeks) * A dedicated mentor for your first 90 days with weekly one-on-ones * Warm ...

Community Health Net

Insurance Liaison

Erie, PA · On-site

$13.84 - $16.50/hr

Summary Under the direction of the Controller, the Insurance Liaison plays a crucial role in fostering communication and collaboration between the Federally Qualified Health Center (FQHC) and various ...

Community Health Net

Insurance Liaison

Erie, PA · On-site

$13.84 - $16.50/hr

Summary Under the direction of the Controller, the Insurance Liaison plays a crucial role in fostering communication and collaboration between the Federally Qualified Health Center (FQHC) and various ...

Community Health Net

Insurance Liaison

Erie, PA · On-site

$13.84 - $16.50/hr

Summary Under the direction of the Controller, the Insurance Liaison plays a crucial role in fostering communication and collaboration between the Federally Qualified Health Center (FQHC) and various ...

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All JobsHealth Insurance JobsHealth Insurance Jobs in Erie, PA

Health Insurance information

See Erie, PA salary details

$31K

$83.2K

$150.7K

How much do health insurance jobs pay per year?

As of Aug 22, 2026, the average yearly pay for health insurance in Erie, PA is $83,212.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,900.00 and $96,900.00 per year, depending on experience, location, and employer.

What is a health insurance professional?

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 key skills and qualifications needed to thrive as a health insurance specialist?

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 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 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 the most commonly searched types of Health Insurance jobs in Erie, PA?

The most popular types of Health Insurance jobs in Erie, PA are:

What are popular job titles related to Health Insurance jobs in Erie, PA?

For Health Insurance jobs in Erie, PA, the most frequently searched job titles are:

What job categories do people searching Health Insurance jobs in Erie, PA look for?

The top searched job categories for Health Insurance jobs in Erie, PA are:

What cities near Erie, PA are hiring for Health Insurance jobs?

Cities near Erie, PA with the most Health Insurance job openings:

Health Insurance jobs near you
Infographic showing various Health Insurance job openings in Erie, PA as of August 2026, with employment types broken down into 2% As Needed, 72% Full Time, 21% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $83,212 per year, or $40 per hour.

Health Insurance Specialist

Medix

Erie, PA • On-site

$25/hr

Full-time

Posted 25 days ago

Job description

Job Title: Determination Specialist
Position Type: Full-Time / Contract-to-Hire (High growth potential)
Location: Remote (IT Equipment Issued)
Industry: Healthcare / Federal Contracting (GSA)
About the Role
Are you an analytical healthcare claims specialist with direct experience handling payment disputes, provider appeals, or billing arbitrations? We are seeking an experienced Determination Specialist to join our team supporting a federal Independent Dispute Resolution Entity (IDRE) program.
Under the federal No Surprises Act, an IDRE is certified to resolve out-of-network payment disputes between healthcare providers and health plans. In this role, you will leverage your specialized background in provider dispute resolution to evaluate complex documentation, apply federal regulatory criteria, and render final, binding payment determinations for emergency services, facility care, and air ambulance cases.
This position requires demonstrated expertise in healthcare dispute resolution, claims appeals, or out-of-network payment adjudication. If you thrive in an ever-changing environment, excel at solving complex problems in the "grey," and want to apply your dispute experience to high-profile federal oversight, we want to hear from you.
Key Responsibilities
  • Dispute Adjudication: Evaluate and adjudicate complex out-of-network payment disputes between healthcare providers and health plans in strict accordance with No Surprises Act guidelines.
  • Binding Payment Determinations: Analyze submitted evidence, fee benchmarks, and documentation from both provider and payer to select the appropriate final payment offer.
  • Regulatory Compliance: Interpret complex federal and state billing regulations to ensure every dispute determination is legally sound, impartial, and compliant.
  • Case Documentation & Data Entry: Maintain precise, audit-ready case records within federal government portals.
  • Performance Metrics: Manage a active portfolio of dispute cases, meeting strict turnaround deadlines and high quality-assurance standards.

Qualifications & Requirements
Essential Experience (Required):
  • Direct Dispute & Appeals Background: Minimum 2+ years of experience specifically in provider payment disputes, claims appeals, out-of-network reimbursement, or health insurance dispute resolution. (Candidates without direct claims dispute or appeals experience will not be considered.)
  • Analytical Expertise: Demonstrated track record of reviewing complex medical claims, Explanation of Benefits (EOBs), contract terms, and regulatory guidance to solve payment discrepancies.
  • Technical Skills: Advanced data entry skills and proficiency in Microsoft Office (specifically Excel for data analysis and case tracking).
  • Compliance & Screening: Must clear all background checks and meet strict federal conflict-of-interest requirements.

Preferred Knowledge:
  • Education: Bachelor's degree or equivalent combination of specialized dispute-resolution experience.
  • Regulatory Knowledge: In-depth understanding of the Independent Dispute Resolution (IDR) process, the No Surprises Act, and varied plan types (Commercial, Medicare, Medicaid, Self-Funded/ERISA).

Core Competencies & Soft Skills
  • Mastery in Ambiguity: Ability to make sound, independent decisions in complex cases where guidelines require nuanced interpretation.
  • Precision & Detail: High level of accuracy when evaluating conflicting evidence and numerical data from opposing parties.
  • High-Volume Execution: Capacity to maintain quality and speed in a fast-paced environment with a heavy backlog of cases.

What We Offer & Why You Should Join
  • Massive Growth Opportunity: Backed by steady case volume and 50+ open FTE positions, offering exceptional stability and conversion to permanent roles for strong performers.
  • Equipment Provided: Complete IT equipment package provided upon hire.
  • High-Impact Work: Utilize your niche expertise in payment disputes on a vital federal GSA program shaping national healthcare reimbursement standards.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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