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Healthcare Insurance Specialist Jobs (NOW HIRING)

COMPASSUS

Insurance Specialist

Tullahoma, TN · Remote

$20 - $35/hr

Position Summary The Insurance Specialist is responsible for modeling the Compassus values of ... Prior experience in the home health care insurance industry preferred. * Utilization management ...

COMPASSUS

Insurance Specialist

Columbia, TN · Remote

$20 - $35/hr

Position Summary The Insurance Specialist is responsible for modeling the Compassus values of ... Prior experience in the home health care insurance industry preferred. * Utilization management ...

COMPASSUS

Insurance Specialist

Brentwood, TN · Remote

$20 - $35/hr

Position Summary The Insurance Specialist is responsible for modeling the Compassus values of ... Prior experience in the home health care insurance industry preferred. * Utilization management ...

COMPASSUS

Insurance Specialist

Anaheim, CA · Remote

$20 - $35/hr

Position Summary The Insurance Specialist is responsible for modeling the Compassus values of ... Prior experience in the home health care insurance industry preferred. * Utilization management ...

COMPASSUS

Insurance Specialist

Warren, MI · Remote

$20 - $35/hr

Position Summary The Insurance Specialist is responsible for modeling the Compassus values of ... Prior experience in the home health care insurance industry preferred. * Utilization management ...

COMPASSUS

Insurance Specialist

Huntsville, TX · Remote

$20 - $35/hr

Position Summary The Insurance Specialist is responsible for modeling the Compassus values of ... Prior experience in the home health care insurance industry preferred. * Utilization management ...

COMPASSUS

Insurance Specialist

Cerritos, CA · Remote

$20 - $35/hr

Position Summary The Insurance Specialist is responsible for modeling the Compassus values of ... Prior experience in the home health care insurance industry preferred. * Utilization management ...

eTeam

Insurance Specialist

Chapel Hill, NC · On-site

The Insurance Specialist works in all areas of billing and reimbursement, including private dental insurance companies and managed care organizations. This role requires specialized knowledge of ...

Medix

Health Insurance Specialist

Erie, PA · On-site

$25/hr

Determination Specialist Position Type: Full-Time / Contract-to-Hire (High growth potential ... This position requires demonstrated expertise in healthcare dispute resolution, claims appeals, or ...

RAYUS Radiology

Insurance Specialist

Chelmsford, MA · On-site

As an Insurance Specialist, you will be responsible for providing expertise in insurance pre ... One (1) year of healthcare experience working with a variety of health insurance plans for pre ...

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All JobsHealthcare Insurance Specialist Jobs

Healthcare Insurance Specialist information

See salary details

$32K

$85.9K

$155.5K

How much do healthcare insurance specialist jobs pay per year?

As of Aug 16, 2026, the average yearly pay for healthcare 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 are the key skills and qualifications needed to thrive as a healthcare insurance specialist?

To thrive as a Healthcare Insurance Specialist, you need comprehensive knowledge of medical billing, insurance claims processing, and relevant healthcare regulations, along with at least a high school diploma or an associate degree in a related field. Familiarity with insurance verification systems, coding software (such as ICD-10 and CPT), and electronic health record (EHR) platforms is typically required. Strong attention to detail, problem-solving skills, and effective communication help specialists resolve claim issues and interact with patients and providers. These competencies are crucial for ensuring accurate claims processing, maximizing reimbursements, and maintaining compliance with industry standards.

How does a healthcare insurance specialist typically collaborate with other departments within a healthcare organization?

Healthcare Insurance Specialists regularly interact with billing, patient registration, and clinical teams to ensure accurate processing of claims and verification of patient coverage. They often act as a liaison between patients, healthcare providers, and insurance companies to resolve coverage issues and clarify policy details. Effective communication and teamwork are essential, as they must coordinate with various departments to gather necessary documentation and support timely reimbursement. This collaborative environment helps streamline insurance processes and improves overall patient satisfaction.

What is the difference between Healthcare Insurance Specialist vs Medical Billing Specialist?

AspectHealthcare Insurance SpecialistMedical Billing Specialist
CertificationsInsurance certifications (e.g., AHIP, CPCO)Billing and coding certifications (e.g., CPC, CCS)
Work EnvironmentInsurance companies, healthcare providers, hospitalsMedical offices, hospitals, billing companies
Primary ResponsibilitiesVerifying insurance coverage, processing claims, resolving denialsPreparing and submitting medical bills, coding diagnoses and procedures

Healthcare Insurance Specialists focus on managing insurance policies, verifying coverage, and handling claims processing. Medical Billing Specialists primarily handle billing, coding, and submitting claims for reimbursement. While both roles require knowledge of healthcare policies and coding, their core functions differ in scope and daily tasks.

What does a healthcare insurance specialist do?

A Healthcare Insurance Specialist is responsible for managing and processing health insurance claims, verifying patient coverage, handling billing issues, and ensuring compliance with insurance regulations. They serve as a liaison between healthcare providers, patients, and insurance companies to resolve any discrepancies and ensure that claims are processed efficiently. Their work helps patients understand their insurance benefits and assists healthcare facilities in receiving appropriate reimbursements.
More about Healthcare Insurance Specialist jobs

What states have the most Healthcare Insurance Specialist jobs?

States with the most job openings for Healthcare Insurance Specialist jobs include:

What job categories do people searching Healthcare Insurance Specialist jobs look for?

The top searched job categories for Healthcare Insurance Specialist jobs are:

Healthcare Insurance Specialist jobs near you
Infographic showing various Healthcare Insurance Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $85,888 per year, or $41.3 per hour.

Health Insurance Specialist

Department of Human Services

Windsor Mill, MD • On-site

$143K/yr

Full-time

Re-posted 2 days ago

Job description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight (CCIIO), Front Office.
As a Health Insurance Specialist, GS-0107-14, you will serve as a Health Insurance Specialist and the Operations Lead responsible for designing, governing, and continuously improving the operational infrastructure that enables investigation, and remediation of fraud, waste, and abuse.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. Designing and maintaining operational systems and analytical frameworks to identify, monitor, and remediate fraud, waste, and abuse within federal health insurance programs or marketplaces, AND;
2. Directing and managing center-level governance processes for fraud oversight across multiple organizational groups or divisions, AND;
3. Leading long-range strategic planning initiatives focused on fraud prevention and program integrity within federal health insurance programs, AND;
4. Serving as a principal liaison to senior leadership and executive stakeholders on complex health insurance fraud and program integrity issues.
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/13025148

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

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