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Medical Insurance Specialist Jobs (NOW HIRING)

CapLeo Global

Insurance Specialist

Chapel Hill, NC · On-site

Chapel Hill, NC This Insurance Specialist position performs both dental and medical insurance services for the client. The Insurance Specialist position works in all areas of billing and ...

eTeam

Insurance Specialist

Chapel Hill, NC · On-site

This Insurance Specialist position offers both dental and medical insurance services for the UNC Adams School of Dentistry. The Insurance Specialist works in all areas of billing and reimbursement ...

Momentum

Insurance Specialist

Torrance, CA · On-site

$20 - $23/hr

The Insurance Specialist is responsible for verifying benefits, obtaining authorizations, and ... Benefits (Full-time): * Medical/Dental/Vision Insurance * Life Assistance Program * Flexible ...

Kelly Services

Insurance Specialist

Richland, WA

$20 - $25/hr

Insurance Specialist Location: Richland, WA Job Type: Part-Time, Direct Hire Schedule: Monday ... The ideal candidate will have a strong background in medical insurance processes, including ...

LITHIA

Insurance Specialist

Medford, OR · On-site

$19.50 - $24.05/hr

DFC Insurance Specialist The DFC Insurance Specialist will be responsible for efficient, timely and ... Medical, Dental and Vision Plans * Paid Holidays & PTO * Short and Long-Term Disability * Paid Life ...

RAYUS Radiology

Insurance Specialist

Clarksville, TN · On-site

Insurance Specialist RAYUS Radiology is looking for an Insurance Specialist to join our team. We ... Obtain patient signs and symptoms in order to support medical necessity (5%) Completes Other Duties ...

RAYUS Radiology

Insurance Specialist

Alexandria, MN · On-site

$18 - $22.31/hr

Insurance Specialist RAYUS now offers DailyPay! Work today, get paid today! The pay range for this ... Obtain patient signs and symptoms in order to support medical necessity (5%) Completes Other Duties ...

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Medical Insurance Specialist information

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$32K

$85.9K

$155.5K

How much do medical insurance specialist jobs pay per year?

As of Aug 30, 2026, the average yearly pay for medical 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 medical insurance specialist?

To thrive as a Medical Insurance Specialist, you need a solid understanding of medical billing and coding, insurance policies, and healthcare regulations, often supported by a certificate or associate degree in medical billing or health information management. Proficiency with billing software, electronic health records (EHR) systems, and coding tools such as ICD-10 and CPT is typically required. Strong attention to detail, problem-solving abilities, and effective communication skills help you resolve claim issues and interact with both patients and insurance providers. These skills ensure accurate claims processing, minimize denials, and support the financial stability of healthcare organizations.

What are some common challenges medical insurance specialists face when handling insurance claims?

Medical Insurance Specialists often encounter challenges such as navigating complex insurance policies, keeping up with frequent regulatory changes, and resolving claim denials or discrepancies. They must ensure accuracy when entering patient and billing information, as mistakes can lead to delayed reimbursements. Additionally, specialists regularly communicate with both patients and insurance providers to clarify coverage details and resolve issues, requiring strong organizational and interpersonal skills.

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

AspectMedical Insurance SpecialistMedical Billing Specialist
CredentialsCertifications like CPC, CCS-P often preferredCertifications like CPC, CCS-P often preferred
Work EnvironmentInsurance companies, healthcare providers, billing officesMedical offices, billing companies, healthcare providers
Primary ResponsibilitiesVerifying insurance coverage, processing claims, resolving denialsCreating and submitting bills, following up on payments, coding procedures

Both roles require knowledge of insurance policies and coding, often share certifications, and work in healthcare settings. The main difference lies in focus: Medical Insurance Specialists handle insurance verification and claims management, while Medical Billing Specialists focus on generating bills and ensuring payment collection.

How to become a medical insurance specialist?

To become a medical insurance specialist, individuals typically need a high school diploma or equivalent, followed by completing relevant training or certification programs in health insurance and coding. Many employers prefer candidates with knowledge of medical billing, coding systems like ICD and CPT, and familiarity with insurance policies, often gained through on-the-job training or professional certifications such as the Certified Professional Coder (CPC) or Certified Medical Insurance Specialist (CMIS).

What does a medical insurance specialist do?

A medical insurance specialist manages and processes health insurance claims, verifies patient coverage, and ensures accurate billing. They often use insurance software, review policy details, and stay updated on healthcare regulations to facilitate smooth claims processing and reimbursement.

What skills do you need to be a medical insurance specialist?

A medical insurance specialist needs strong knowledge of health insurance policies, coding, and billing procedures. Excellent communication, attention to detail, and proficiency with insurance software are essential. Certifications such as Certified Professional Coder (CPC) or Certified Medical Insurance Specialist can enhance job prospects.
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Medical Insurance Specialist jobs near you
Infographic showing various Medical Insurance Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $85,888 per year, or $41.3 per hour.

Medical Insurance Specialist

University of Illinois

Peoria, IL

Full-time

Re-posted 22 days ago

Job description

Position Summary

The Medical Insurance Specialist independently submits or takes the necessary actions to resolve rejected or denied insurance claims by performing all collection tasks as assigned utilizing collection processes with a high level of knowledge, skills, abilities, and experience. The follow-up position will assume duties as a collector/denial specialist, to manage patient accounts receivable from the point of resubmission of rejected or denied medical claims through final resolution. Identify and address denials by writing appeal letters and ensure account balances are correct based on payer contract terms. Works under general supervision from the Revenue Cycle Manager.

Duties & Responsibilities

  • Conduct follow-up on unpaid or denied claims to ensure timely and accurate reimbursement.
  • Analyze denial reasons and take appropriate action to appeal or resubmit claims.
  • Contact payers and utilize online portals to resolve outstanding account balances.
  • Collaborate with billing, coding and clinical staff to gather necessary documentation for appeals or corrections.
  • Track and document follow-up activities in Epic.
  • Quickly identify and solve problems, escalating recurring denial trends or payer issues to reimbursement coding specialist when necessary.
  • Responsible to validate the payments and adjustments made on accounts are correct.
  • Maintains daily work queues.
  • Acts as a liaison between insurance and providers to ensure coverage and benefits are active at the time of billing.
  • Identify authorization numbers saved in the system and attach them to our claims as needed for processing.
  • Assist with training and continuous education for billing staff to ensure adherence to ethical billing practices.
  • Perform other related duties as assigned, including supporting process improvements and serving as a technical resource and duties that are consistent with the lower level of the medical insurance series.
    • University of Illinois logo

    About University of Illinois

    Sourced by ZipRecruiter

    The University of Illinois, located in Urbana, Illinois, US, is a prominent entity in the higher education sector. Operating its official functions through its website uillinois.edu, the institution provides a range of educational programs and services. The University was founded in 1867 and has since grown dramatically both in size and reputation. Its core values are embodied in its mission to enhance the lives of its students and citizens in the state, nation, and world through leadership in learning, discovery, engagement, and economic development. The university boasts several notable achievements including producing Nobel laureates and Pulitzer prize winners. It is renowned for its research programs and is known for significant advancements across various fields including engineering, science, and humanities.

    Industry

    Colleges, universities, and professional schools

    Company size

    5,001 - 10,000 Employees

    Headquarters location

    Urbana, IL, US

    Year founded

    1974

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