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Medical Insurance Specialist Jobs (NOW HIRING)

Global Pharma Tek

Insurance Specialist

Chapel Hill, NC · On-site

M-F 8:30 - 5, or 4 days/week for 10 hour days This Insurance Specialist position performs both dental and medical insurance services for the client. The Insurance Specialist position works in all ...

RAYUS Radiology

Insurance Specialist

Scarborough, ME · 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 ...

UT Health East Texas

Insurance Specialist

Tyler, TX · On-site

Overview Join our team as a day shift, full-time, Insurance Specialist in Tyler, TX. Why Join Us ... High School diploma or equivalent. * 2 years of medical and insurance billing in a hospital setting ...

Robert Half

Medical Insurance Claims Specialist

Durham, NC · On-site

$20 - $23/hr

We are looking for a Medical Insurance Claims Specialist to join a growing revenue cycle team in Durham, North Carolina. This contract-to-permanent opportunity is ideal for someone who thrives in a ...

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Medical Insurance Specialist information

See salary details

$32K

$85.9K

$155.5K

How much do medical insurance specialist jobs pay per year?

As of Jul 26, 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.

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 healthcare regulations, insurance policies, and proficiency in computer systems or insurance software. Gaining experience through entry-level positions can also help develop necessary skills for this role.

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

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 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 is the highest paid position in insurance?

In the insurance industry, executive roles such as Chief Executive Officer (CEO), Chief Underwriting Officer, and Chief Risk Officer tend to be the highest paid positions. These roles require extensive experience, leadership skills, and often advanced certifications, and they oversee company strategy and risk management at the highest level.

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 considered a specialist for medical insurance?

A Medical Insurance Specialist is a professional who manages and processes health insurance claims, verifies coverage, and assists clients with policy questions. They typically have knowledge of insurance policies, coding, and may use claims processing software to perform their duties efficiently.

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.

More about Medical Insurance Specialist jobs
What cities are hiring for Medical Insurance Specialist jobs? Cities with the most Medical Insurance Specialist job openings:
What states have the most Medical Insurance Specialist jobs? States with the most job openings for Medical Insurance Specialist jobs include:
What job categories do people searching Medical Insurance Specialist jobs look for? The top searched job categories for Medical Insurance Specialist jobs are:
What are popular job titles related to Medical Insurance Specialist jobs? For Medical Insurance Specialist jobs, the most frequently searched job titles are:
Medical Insurance Specialist jobs near you
Infographic showing various Medical Insurance Specialist job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 70% Full Time, 23% Part Time, and 6% 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.
Medical Insurance Specialist

Medical Insurance Specialist

University of Illinois - Chicago

Chicago, IL

$22.48 - $23.86/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description


Medical Insurance Specialist
Medical Insurance Specialist
Hiring Department: Medical Billing
Location: Peoria, IL USA
Requisition ID: 1041998
FTE: 1
Work Schedule: M - F, 8 a.m. - 4:30 p.m.
Shift: Days
# of Positions: 3
Workplace Type: On-Site
Posting Close Date: 7/22/2026
Salary Range (commensurate with experience): $22.48 - $23.86
Please note that this position is not remote and is onsite in Peoria, IL.

About UICOMP
The University of Illinois College of Medicine Peoria (UICOMP) educates 244 medical students and nearly 300 physician residents annually. It is one of four campuses that make up the nation's largest public medical school. The Peoria campus is known among students for its small class sizes, rigorous curriculum and hands-on clerkships; to residents and fellows for the strong academic setting, large referral base and exceptional facilities; and by physicians seeking the ideal combination of teaching and practicing medicine in a research-based university setting.
This position is intended to be eligible for benefits. This includes Health, Dental, Vision, Life Insurance, a Retirement Plan, Paid time Off, and Tuition waivers for employees and dependents.
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.

    • Minimum Qualifications
    1. Any one or combination totaling two (2) years (24 months), from the categories below:
      1. College coursework in a health-related field, business administration/management, human resource management, or closely related fields, as measured by the following conversion table or its proportional equivalent:
        • 30 semester hours equals one (1) year (12 months)
        • Associate's Degree (60 semester hours) equals eighteen months (18 months)
        • 90 semester hours equals two (2) years (24 months)
      2. Work experience in a healthcare environment working independently with medical claims, denials, rejections, referrals, and prior authorizations.

    To Apply: For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application.
    Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required within 180 days of employment.
    Sponsorship for work authorization is not available for this position.
    The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.
    The university provides accommodations to applicants and employees. Request an Accommodation
    Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
    To apply, visit https://apptrkr.com/7312969"">https://uic.csod.com/ux/ats/careersite/1/home/requisition/20342?c=uic
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