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Medical Insurance Specialist Jobs in Raleigh, NC

AMBA

Inside Sales Insurance Specialist

Raleigh, NC · Remote

$50K - $60K/yr

Inside Sales Insurance Specialist (W2, Remote) Full-Time | Monday through Friday Compensation ... Comprehensive benefits package including medical, dental, vision, life, and long-term disability ...

AMBA

Inside Sales Insurance Specialist

Cary, NC · Remote

$50K - $60K/yr

Inside Sales Insurance Specialist (W2, Remote) Full-Time | Monday through Friday Compensation ... Comprehensive benefits package including medical, dental, vision, life, and long-term disability ...

AMBA

Inside Sales Insurance Specialist

Cary, NC · Remote

$50K - $60K/yr

Inside Sales Insurance Specialist (W2, Remote) Full-Time | Monday through Friday Compensation ... Comprehensive benefits package including medical, dental, vision, life, and long-term disability ...

AMBA

Inside Sales Insurance Specialist

Raleigh, NC · Remote

Inside Sales Insurance Specialist (W2, Remote) Full-Time | Monday through Friday Compensation ... Comprehensive benefits package including medical, dental, vision, life, and long-term disability ...

AMBA

Inside Sales Insurance Specialist

Cary, NC · Remote

Inside Sales Insurance Specialist (W2, Remote) Full-Time | Monday through Friday Compensation ... Comprehensive benefits package including medical, dental, vision, life, and long-term disability ...

AMBA

Inside Sales Insurance Specialist

Raleigh, NC · Remote

$50K - $60K/yr

Inside Sales Insurance Specialist (W2, Remote) Full-Time | Monday through Friday Compensation ... Comprehensive benefits package including medical, dental, vision, life, and long-term disability ...

CaptiveAire

Collections Specialist

Raleigh, NC · On-site

$18 - $24.25/hr

We are seeking a motivated and detail-oriented Collection Specialist to join our team at our ... Medical, dental and vision insurance * Disability & life insurance based upon election of medical ...

CaptiveAire

Collections Specialist

Raleigh, NC · On-site

$18 - $24.25/hr

We are seeking a motivated and detail-oriented Collection Specialist to join our team at our ... Medical, dental and vision insurance * Disability & life insurance based upon election of medical ...

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All JobsMedical Insurance Specialist JobsMedical Insurance Specialist Jobs in Raleigh, NC

Medical Insurance Specialist information

See Raleigh, NC salary details

$28.5K

$76.6K

$138.6K

How much do medical insurance specialist jobs pay per year?

As of Sep 5, 2026, the average yearly pay for medical insurance specialist in Raleigh, NC is $76,559.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,900.00 and $89,100.00 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.

What are popular job titles related to Medical Insurance Specialist jobs in Raleigh, NC?

For Medical Insurance Specialist jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Medical Insurance Specialist jobs in Raleigh, NC look for?

The top searched job categories for Medical Insurance Specialist jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Medical Insurance Specialist jobs?

Cities near Raleigh, NC with the most Medical Insurance Specialist job openings:

Medical Insurance Specialist jobs near you
Infographic showing various Medical Insurance Specialist job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $83,490 per year, or $40.1 per hour.

Inside Sales Insurance Specialist

AMBA

Raleigh, NC • Remote

$50K - $60K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

Job description

Inside Sales Insurance Specialist (W2, Remote)
Full-Time | Monday through Friday
Compensation: Hourly base plus performance bonuses
License: Life and Health preferred
 
Important Role Overview
This is a high-volume outbound calling role in a structured inside sales environment. Successful candidates are comfortable spending the majority of their workday actively dialing, following up, and converting member conversations into enrollments.
 
While leads are provided, this is not an inbound or appointment-setting role. Consistent outbound activity is the primary driver of success in this position.
 
About AMBA
AMBA partners with public employee, alumni, and professional occupation associations nationwide to deliver Life and Supplemental Health insurance benefits to their members. We work with some of the most significant retired public employee associations in the country, supporting millions of members across all 50 states.
 
As an Inside Sales Insurance Specialist, you will engage existing members and policyholders to educate them on benefit options and enroll them in coverage that meets their needs.
 
What You Will Do
  • Make 150 or more outbound calls per day using company-provided lead lists
  • Spend the majority of your workday actively dialing, speaking with members, and following up
  • Deliver scripted and consultative sales presentations over the phone
  • Educate members on supplemental Life and Health insurance products and complete enrollments
  • Manage inbound calls as volume allows, with outbound calling remaining the primary responsibility
  • Accurately document all activity in Salesforce and manage a personal sales pipeline
  • Meet daily activity expectations and monthly performance goals
  • Provide a professional, compliant, and member-focused experience on every call
Work Environment
This role operates in a structured, metrics-driven call center environment with clear daily expectations for outbound call volume, talk time, conversions, and documentation accuracy. Success requires consistency, resilience, and comfort with repetition.
 
This Role Is a Strong Fit If You
  • Have experience in a high-volume outbound sales or call center role
  • Are comfortable making frequent outbound calls throughout the day
  • Understand that leads support the work, but dialing drives results
  • Are motivated by structure, accountability, and measurable goals
  • Can handle phone-based rejection while maintaining professionalism
  • Are seeking a stable W2 role with performance-based earning potential
This Role May Not Be a Fit If You
  • Prefer inbound-only or appointment-based sales roles
  • Are uncomfortable with frequent dialing or high daily call expectations
  • Need a highly flexible or unstructured workday
  • Are looking for an account management or relationship-only role
What You Bring
  • Active Life and Health insurance license preferred. Candidates without an active license must be willing and able to obtain licensure within a defined onboarding timeframe.
  • Two or more years of insurance sales or high-volume call center experience preferred
  • Strong communication, listening, and objection-handling skills
  • Comfort working in a fast-paced, goal-driven environment
  • Technical proficiency with CRM tools. Salesforce experience is a plus
  • Reliability, resilience, and a consistent work ethic
Compensation and Benefits
  • Hourly base pay plus monthly performance bonuses
  • Typical first-year earnings range from $50,000 to $60,000
  • Top performers earn $100,000 or more
  • Comprehensive benefits package including medical, dental, vision, life, and long-term disability coverage
  • 401(k) with company match
  • Paid time off and paid holidays
  • Career development, coaching, and internal advancement opportunities
Apply Today
If you are licensed, comfortable with high-volume outbound calling, and ready to build a stable inside sales career with strong earning potential, we invite you to apply today. 
AMBA is proud to be an Equal Opportunity Employer.

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