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Insurance Benefit Coordinator Jobs in Silver Spring, MD

Ryde Technologies

HR Coordinator

Sterling, VA · On-site

$20.75 - $27.25/hr

Assists with benefits administration and provides current information on benefits (i.e. insurance ... Assists with coordination for the employees' functions; * Performs other duties and projects as ...

Ally Behavior Centers

Enrollment Coordinator

Mclean, VA · On-site

As an Enrollment Coordinator, you are often the very first voice a family hears from Ally Behavior ... Guide families through the insurance benefit check process, answering questions and setting clear ...

Ally Behavior Centers

Enrollment Coordinator

Mclean, VA · On-site

As an Enrollment Coordinator, you are often the very first voice a family hears from Ally Behavior ... Guide families through the insurance benefit check process, answering questions and setting clear ...

Ally Behavior Centers

Enrollment Coordinator

Mclean, VA · On-site

As an Enrollment Coordinator, you are often the very first voice a family hears from Ally Behavior ... Guide families through the insurance benefit check process, answering questions and setting clear ...

Ally Behavior Centers

Enrollment Coordinator

Mclean, VA · On-site

As an Enrollment Coordinator, you are often the very first voice a family hears from Ally Behavior ... Guide families through the insurance benefit check process, answering questions and setting clear ...

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All JobsInsurance Benefit JobsInsurance Benefit Coordinator JobsInsurance Benefit Coordinator Jobs in Silver Spring, MD

Insurance Benefit Coordinator information

See Silver Spring, MD salary details

$13

$27

$41

How much do insurance benefit coordinator jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for insurance benefit coordinator in Silver Spring, MD is $27.27, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $30.34 per hour, depending on experience, location, and employer.

What is an insurance benefit coordinator?

Insurance Benefit Coordinators are professionals who manage and verify patients’ insurance benefits, ensuring that healthcare providers receive accurate information about coverage and eligibility. They assist patients by explaining their insurance policies, handling pre-authorizations, and resolving any coverage issues. These coordinators also work closely with billing departments to process claims and help maximize insurance reimbursement for medical services. Their role is essential in helping both patients and healthcare providers navigate the complex world of health insurance.

What are the key skills and qualifications needed to thrive as an insurance benefit coordinator?

To thrive as an Insurance Benefit Coordinator, you typically need knowledge of insurance policies, claims processing, and billing procedures, often supported by experience in healthcare administration or a related field. Familiarity with insurance management software, electronic health records (EHR) systems, and regulatory compliance tools is essential. Excellent attention to detail, problem-solving abilities, and strong interpersonal communication are important soft skills for success. These skills ensure accurate benefit coordination, minimize claim errors, and facilitate smooth interactions between patients, providers, and insurers.

How does an insurance benefit coordinator typically collaborate with clinical staff and patients to resolve insurance-related issues?

Insurance Benefit Coordinators frequently act as liaisons between patients, clinical staff, and insurance providers. They work closely with clinicians to verify patient coverage, obtain necessary authorizations, and clarify benefit details, ensuring treatments are approved and billed correctly. When issues arise, such as claim denials or coverage disputes, coordinators communicate with patients to explain their benefits and with insurers to resolve discrepancies. This collaborative approach helps streamline patient care and minimizes delays due to insurance complexities.

What is the difference between Insurance Benefit Coordinator vs Insurance Claims Specialist?

AspectInsurance Benefit CoordinatorInsurance Claims Specialist
CredentialsTypically requires health insurance or benefits administration certificationsOften requires claims processing or insurance adjuster certifications
Work EnvironmentOffice-based, interacting with employees and benefits providersOffice or claims processing centers, handling claims and documentation
Employer & IndustryHealthcare, insurance, large corporationsInsurance companies, third-party claims processors
Search & Comparison IntentUnderstanding benefits administration rolesClaims processing and reimbursement procedures

The main difference is that Insurance Benefit Coordinators focus on managing employee benefits and ensuring proper benefit administration, while Insurance Claims Specialists handle the processing and resolution of insurance claims. Both roles require knowledge of insurance policies but serve different functions within the insurance industry.

What are popular job titles related to Insurance Benefit Coordinator jobs in Silver Spring, MD?

For Insurance Benefit Coordinator jobs in Silver Spring, MD, the most frequently searched job titles are:

What job categories do people searching Insurance Benefit Coordinator jobs in Silver Spring, MD look for?

The top searched job categories for Insurance Benefit Coordinator jobs in Silver Spring, MD are:

What cities near Silver Spring, MD are hiring for Insurance Benefit Coordinator jobs?

Cities near Silver Spring, MD with the most Insurance Benefit Coordinator job openings:

Insurance Benefit Coordinator jobs near you
Infographic showing various Insurance Benefit Coordinator job openings in Silver Spring, MD as of June 2026, with employment types broken down into 29% Full Time, 55% Part Time, and 16% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $56,724 per year, or $27.3 per hour.

Pharmacy Benefit Coordinator

Maryland Care Management, Inc

Linthicum, MD • On-site

$67K - $72K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Job description

Description:

Summary:

The Pharmacy Benefit Coordinator is responsible for supporting clinical outreach services to our members, their pharmacies, and their healthcare providers to ensure member safety, minimize gaps in care, identify cost-effective medication strategies, and coordinate care to improve healthcare outcomes for our members. The position will support HEDIS adherence initiatives and work to support longitudinal improvement goals.

In addition, the Pharmacy Benefit Coordinator performs a variety of routine to moderately complex administrative and pharmacy-related tasks that support the Pharmacy Management team within the department. The Pharmacy Management team is responsible for managing the pharmacy benefits for Maryland Physicians Care in collaboration with the pharmacy benefit management (PBM) vendor and the organization’s utilization review, quality improvement, provider relations, and population health initiatives.


About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.


Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.

Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to impact our members' lives positively.


What You'll Do:

  • Work collaboratively with quality management to support HEDIS adherence projects.
  • Support the accurate implementation and coding of pharmacy benefits, formulary, and program changes, including review of PBM testing scenarios.
  • Review pharmacy services recommended for denial. Of those recommendations, investigate and review data and information retrieved from plan providers.
  • Assist in the management of members by collecting pertinent information from plan providers and other pharmacy data systems.
  • Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives.
  • Serve as a pharmacy liaison and resource person to plan pharmacies and members.
  • Assist the Pharmacist with monitoring and evaluation of pharmacy utilization.
Requirements:

Knowledge and Skills:

  • Thorough understanding of prescription benefit management (PBM) programs and practices.
  • Ability to identify, communicate findings, and resolve member, provider, process, and system issues, communicating recommendations verbally and in writing.
  • Business writing and presentation skills, including writing reports.
  • Excellent attention to detail, including but not limited to interpretation and understanding of benefits/codes.
  • Familiarity with government relations and the ability to operationalize and understand how various aspects of regulation are interdependent and related.
Education and Work Experience:
  • High School diploma/ GED, or equivalent.
  • Current Maryland State Pharmacy Technician licensure, including certification from a nationally recognized Pharmacy Technician Certification Board.
  • Minimum two (2) years of experience as a pharmacy technician.
  • Experience working in a managed care, insurance, PBM, or equivalent environment is strongly preferred.
  • Experience supporting utilization management/prior authorization processes.






EEOC Statement: Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment. As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive. We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.

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