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Insurance Billing Specialist Jobs (NOW HIRING)

RightSite Health

Insurance & Billing Specialist

San Antonio, TX · On-site

$17.25 - $23.50/hr

WHO YOU ARE The Insurance and Billing Specialist will be responsible for managing all aspects of the billing cycle, from insurance verification to claim submission and reconciliation. This dynamic ...

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UroStat Healthcare

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DME Insurance Billing Specialist

Suwanee, GA · On-site

$18 - $25/hr

We are DME (disposable medical equipment) provider seeking a detail-oriented Insurance Billing Specialist to support our Billing Manager and team . This role involves assisting with billing ...

The GEO Group

BILLING SPECIALIST

Doylestown, PA

$30/hr

The Billing Specialist verifies patients' insurance coverage and seek timelyauthorization to treat and continued stay authorizations, as needed. Identifies denial trends and researches the root ...

The GEO Group

BILLING SPECIALIST

Doylestown, PA · On-site

$30/hr

The Billing Specialist verifies patients' insurance coverage and seek timelyauthorization to treat and continued stay authorizations, as needed. Identifies denial trends and researches the root ...

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How much do insurance billing specialist jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for insurance billing specialist in the United States is $19.24, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $21.88 per hour, depending on experience, location, and employer.

What is an insurance billing specialist?

Insurance Billing Specialists are professionals who manage the processing of medical claims and ensure accurate billing to insurance companies. They review patient records, prepare and submit claims, follow up on unpaid claims, and resolve billing discrepancies. Their role is crucial in healthcare settings, as they help providers receive proper reimbursement for services while ensuring compliance with insurance policies and regulations. They also communicate with patients and insurance representatives to clarify coverage or billing issues.

What are the key skills and qualifications needed to thrive as an insurance billing specialist?

To thrive as an Insurance Billing Specialist, you need a solid understanding of medical billing procedures, insurance claim processing, and knowledge of healthcare regulations, often supported by a relevant certification such as Certified Professional Biller (CPB). Familiarity with billing software, electronic health record (EHR) systems, and coding systems like ICD-10 and CPT is typically required. Attention to detail, strong organizational skills, and effective communication are standout soft skills for this role. These competencies ensure accurate and timely claim submissions, minimize errors, and facilitate smooth reimbursement processes for healthcare providers.

What are some common challenges faced by insurance billing specialists when handling claim denials, and how are they typically addressed?

Insurance Billing Specialists often encounter claim denials due to issues such as coding errors, missing patient information, or discrepancies in coverage. Resolving these challenges requires attention to detail, effective communication with insurance companies, and persistence in following up on claims. Specialists typically review denial codes, correct any errors, resubmit claims, and sometimes coordinate with healthcare providers or patients to gather additional documentation. This process is crucial for ensuring timely and accurate reimbursement for healthcare services.

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

AspectInsurance Billing SpecialistMedical Coder
CredentialsHigh school diploma, certification (e.g., Certified Billing and Coding Specialist)Certification (e.g., CPC, CCS) often required
Work EnvironmentMedical offices, hospitals, billing companiesHospitals, clinics, billing companies
Primary ResponsibilitiesSubmitting insurance claims, follow-up, payment postingAssigning codes to diagnoses and procedures for billing
Industry UsageCommonly employed in healthcare billing departmentsUsed in medical record documentation and billing

While both roles are essential in healthcare revenue cycle management, the Insurance Billing Specialist focuses on submitting and managing insurance claims, whereas the Medical Coder assigns accurate codes to medical services for billing purposes. They often work closely but have distinct responsibilities within the billing process.

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Insurance Billing Specialist jobs near you
Infographic showing various Insurance Billing 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 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $40,012 per year, or $19.2 per hour.

Insurance Billing Specialist

Crossing Rivers Health

Prairie Du Chien, WI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Job description

Insurance Billing Specialist Full Time Days 80 hours per pay period
Come join our team! Crossing Rivers Health provides competitive pay along with an excellent benefits package including medical, dental, vision; life insurance, short term disability, paid time off, a retirement plan w/company match, and more!
The Insurance Billing Specialist accurately and promptly reviews and updates claims needing manual intervention prior to claim submission, submits claims to insurance carriers, follows up on the status of unpaid claims, works denied claims to resolve any errors or provides necessary information to payers needed for disputing or resubmitting. This position requires routine problem solving and handles inquiries from both insurance carriers and patients, with a goal of account resolution.
Our core values are practiced and exhibited throughout the organization in our actions and in services provided. Joy : Unity : Integrity : Compassion : Excellence
Essential Job Functions
  • Reviews, edits, and corrects claims, as necessary, checking for accuracy and readiness of claims to be submitted through the electronic health record (EPIC).
  • Prepares and submits claims to insurance carriers and intermediaries, i.e. releasing electronic claims, printing paper claims, and/or secondary claim as required per individual payer.
  • Works with various departments to ensure that held claims will be released to the payer within timely filing limits.
  • Performs follow-up procedures, inquiring on the status of unpaid claims via phone call or various payer portals, to ensure timely payment of insurance claims.
  • Responds to routine patient and insurance company inquiries and problems.
  • Researches denials/non-covered charges and re-submits or appeals, as necessary.
  • Reviews late charges for re-billing or adjustment of claims, as necessary.
  • Reviews insurance eligibility or coverage changes to ensure accuracy of information, resolve any outstanding issues, and rebill claims when necessary.
  • Updates necessary changes to patient demographics and/or insurance information.
  • Reviews accounts with insurance credit balances and determines if a refund or other action is necessary to settle account.
  • Accommodates patient requests and inquiries promptly and courteously, answering incoming calls to the Business Office, educating patients on their financial responsibilities to the organization, accepting payment, setting up payment plans, etc.
  • Performs other duties as deemed necessary for the continued viability and success of the department and organization as a whole.
  • Other job duties and responsibilities as assigned to effectively meet the needs of the patients, the department, and the organization as a whole.

Competencies
  • Accountability - Ability to accept responsibility and account for his/her actions.
  • Communication - The ability to get one's ideas across to others through oral or written means and to understand the ideas of others through effective listening skills.
  • Customer Oriented - Ability to take care of the customers' needs while following company procedures.
  • Detail Oriented - Ability to pay attention to the minute details of a project or task.
  • Organized - Possessing the trait of being organized or following a systematic method of performing a task.
  • Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.
  • Accuracy - Ability to perform work accurately and thoroughly.
  • Reliability - The trait of being dependable and trustworthy.
  • Research Skills - Ability to design and conduct a systematic, objective, and critical investigation.

Reasonable Accommodations Statement
To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.
Requirements
Education
  • High School Graduate or General Education Degree (GED): Required
  • Associate's Degree (two year college or technical school) Preferred, Field of Study: Business Related

Experience
  • 1-2 years of healthcare billing experience preferred
  • 1-2 years of EPIC experience preferred

Computer Skills
  • Microsoft Office proficiency

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