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Hospital Insurance information

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$23.5K

$59.1K

$97.5K

How much do hospital insurance jobs pay per year?

As of Jul 1, 2026, the average yearly pay for hospital insurance in the United States is $59,095.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,500.00 and $77,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Hospital Insurance Specialist, and why are they important?

To thrive as a Hospital Insurance Specialist, you need in-depth knowledge of healthcare billing and coding, insurance claims processing, and familiarity with regulations such as HIPAA, often supported by a relevant associate degree or certification (e.g., CPC, CPB). Proficiency with medical billing software, electronic health records (EHR), and payer portal systems is essential. Strong attention to detail, problem-solving abilities, and effective communication skills help specialists resolve claim issues and interact with patients and insurers. These skills ensure accurate claim submissions, timely reimbursements, and compliance with healthcare regulations, which are critical for hospital revenue and patient satisfaction.

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

AspectHospital InsuranceMedical Billing Specialist
CredentialsTypically requires health insurance knowledge, certifications like AHIP or HIPAA complianceRequires coding certifications (CPC, CCS), billing software proficiency
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, healthcare providers
Industry UsageInsurance providers, healthcare facilitiesHealthcare providers, billing services

Hospital Insurance focuses on managing and administering health insurance plans, including policy coverage and claims processing. Medical Billing Specialists handle the coding, billing, and reimbursement processes for healthcare services. While both roles are essential in healthcare finance, Hospital Insurance professionals primarily work with insurance policies and claims, whereas Medical Billing Specialists focus on translating medical services into billable codes and ensuring accurate payments.

What is hospital insurance and what does it cover?

Hospital insurance, often referred to as health insurance or inpatient coverage, is a type of insurance policy that helps pay for expenses related to hospital stays. It typically covers room and board, nursing care, diagnostic tests, surgery, and other services provided while you are admitted as an inpatient. Hospital insurance may also cover some outpatient services, but its main focus is on hospitalization costs. The extent of coverage depends on the specific plan, so it's important to review policy details to understand what is and isn't included.

What are some common challenges faced by hospital insurance professionals when coordinating claims with healthcare providers?

Hospital insurance professionals often encounter challenges such as navigating complex medical billing codes, ensuring timely and accurate documentation from healthcare providers, and resolving discrepancies between what was billed and what is covered. Effective coordination requires strong communication skills to clarify information with medical staff and to advocate for patients’ coverage. Additionally, staying up-to-date with frequently changing regulations and policies is crucial to minimize claim denials and ensure compliance.
More about Hospital Insurance jobs
What cities are hiring for Hospital Insurance jobs? Cities with the most Hospital Insurance job openings:
What states have the most Hospital Insurance jobs? States with the most job openings for Hospital Insurance jobs include:
What job categories do people searching Hospital Insurance jobs look for? The top searched job categories for Hospital Insurance jobs are:
Hospital Insurance jobs near you
Infographic showing various Hospital Insurance job openings in the United States as of June 2026, with employment types broken down into 3% As Needed, 70% Full Time, 17% Part Time, 1% Temporary, 8% Contract, and 1% Nights. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $59,095 per year, or $28.4 per hour.
Hospital Insurance Refund Specialist

Hospital Insurance Refund Specialist

Beaufort Memorial Hospital

Beaufort, SC • On-site

Full-time

Posted 5 days ago

Beaufort Memorial Hospital rating

6.4

Company rating: 6.4 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

716th of 1,004 rated hospitals

Job description

About the Organization
Join the team that's redefining healthcare in the Lowcountry. At Beaufort Memorial Hospital, we're not just filling positions, we're building the future of healthcare.
As the largest locally governed healthcare system between Charleston and Savannah, Beaufort Memorial is experiencing unprecedented growth, innovation, and transformation. With a new hospital in the horizon, expanded services, significant investments in workforce development, and a renewed commitment to employee experience, there has never been a more exciting time to join our team. Our People team has recently undergone a strategic transformation, bringing together some of the brightest minds in talent acquisition, workforce development, employee engagement, leadership development, analytics, and human resources. We've reimagined how we attract, develop, engage, and retain exceptional talent because we believe our employees deserve the same level of excellence that we provide to our patients.
Why Beaufort Memorial? At Beaufort Memorial, you'll find more than a job - you'll find purpose, opportunity, and a team that is invested in your success. Whether you're an experienced healthcare professional, a new graduate, or someone looking to grow your career, you'll have access to career pathways, leadership development, educational opportunities, mentorships, recognition programs, and a culture built on collaboration, accountability, and compassion. If you're looking for an organization where your voice matters, your contributions are recognized, and your career can thrive, we invite you to explore what is possible at Beaufort Memorial Hospital. Beaufort Memorial is a locally governed, community-focused healthcare system that offers competitive compensation and comprehensive benefits. Beaufort Memorial offers career growth, advancement opportunities, workforce education, and career pathway initiatives. Come be a part of something bigger!
Position
Hospital Insurance Refund Specialist
Location
Beaufort Memorial Hospital
Full-Time/Part-Time
Full-Time
Shift
Days
Exempt/Non-Exempt
Non-Exempt
Description
JOB SUMMARY:
The Hospital Insurance Refund Specialist is responsible for reviewing, validating, and processing insurance overpayments and refund requests in accordance with payer guidelines, regulatory requirements, and internal policies. This role ensures accurate financial transactions, prevents inappropriate refunds, and supports the integrity of the hospital's revenue cycle.
ONGOING COMPETENCIES (JOB SPECIFIC DUTIES & RESPONSIBILITIES):
Refund Processing
  • Review insurance overpayments, credit balances, and refund requests for accuracy and validity.
  • Process approved refunds to insurance carriers, government payers, and third party entities.
  • Ensure refunds are completed within required timeframes to avoid penalties or compliance issues.
  • Verify that all refund transactions are properly documented and posted in the billing system

Credit Balance Management
  • Analyze patient accounts to identify true credit balances versus misapplied payments or posting errors.
  • Research root causes of credit balances and coordinate corrections with cash posting, billing, and follow up teams.
  • Prevent inappropriate refunds by validating account activity and payer remittance details.

Compliance & Audit Support
  • Ensure all refund activities comply with federal and state regulations, including Medicare/Medicaid rules.
  • Maintain accurate records for internal and external audits.
  • Assist with responding to payer inquiries, audit requests, and compliance reviews.

Collaboration & Communication
  • Work closely with insurance companies, internal departments, and finance teams to resolve discrepancies.
  • Communicate clearly with payers regarding refund status, documentation, and required forms.
  • Escalate complex issues to leadership when necessary.

Reporting & Documentation
  • Prepare daily, weekly, or monthly reports on refund volumes, aging, and trends.
  • Track refund activity and credit balance resolution metrics.
  • Maintain detailed notes and documentation in the hospital billing system.

Position Requirements
JOB QUALIFICATIONS:
EDUCATION:
  • High school diploma or equivalent required

EXPERIENCE:
  • 1-3 years of experience in hospital billing, insurance follow up, cash posting, or credit balance resolution.
  • Experience with hospital billing systems (Epic, Cerner, Meditech, etc.) preferred.

JOB KNOWLEDGE, SKILLS & ABILITIES REQUIRED:
  • Strong understanding of insurance billing, remittance processing, and credit balance workflows.
  • Excellent analytical and problem solving skills.
  • High attention to detail and accuracy.
  • Ability to interpret EOBs, ERAs, and payer guidelines.
  • Strong communication and organizational skills.
  • Ability to work independently and manage multiple priorities.

CERTIFICATIONS/ LICENSES:
  • N/A

EOE Statement
Beaufort Memorial Hospital is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
This position is currently accepting applications.

What Beaufort Memorial Hospital employees say

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About Beaufort Memorial Hospital

Sourced by ZipRecruiter

Beaufort Memorial, a not-for-profit hospital founded in 1944 on the banks of the Atlantic Intracoastal Waterway, is licensed for 201 beds (169 acute, 14 rehabilitation and 18 mental health). We are an acute-care hospital, a regional referral center and the largest medical facility between Savannah, Ga., and Charleston, S.C. Read our most recent Report to the Community. Fully accredited by The Joint Commission, Beaufort Memorial boasts a dedicated, high-quality medical staff of nearly 230 board-certified or board-eligible providers. Our mission is to enhance the quality of life in the Lowcountry through improved health, innovative partnerships and superior care.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Beaufort, SC, US

Year founded

1944

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