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Medical Insurance Specialist Jobs in Raleigh, NC

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 ...

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

$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 ...

EmergeOrtho

Medical Records Specialist

Durham, NC · On-site

The Medical Records Specialist is responsible for maintaining patients' health records, ensuring ... Dental Insurance * Vision Insurance * Flexible spending account * Health savings account * Paid ...

CaptiveAire

Collections Specialist

Raleigh, NC

$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

$31.1K

$83.5K

$151.2K

How much do medical insurance specialist jobs pay per year?

As of Aug 30, 2026, the average yearly pay for medical insurance specialist in Raleigh, NC is $83,490.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,100.00 and $97,200.00 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.

Insurance Specialist Insurance Specialist

Chapel Hill, NC • On-site

CapLeo Global
Recruiting and Staffing Services • 51 - 200 employees
Learn more about CapLeo Globalexternal

Other

Medical, Dental

Re-posted 10 days ago

Job description

Insurance Specialist

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 reimbursement from private dental insurance companies as well as Managed Care companies. This position requires specialized knowledge of the insurance industry standards relating to billing and reimbursement in order to perform position duties and a strong understanding of accounts receivable. This position works closely with private insurance carriers, particularly those contracting with the clinics. The position also requires an extensive and detailed understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing and of insurance policies and contracts for multiple insurance vendors. The duties of this position include filing dental insurance claims and pre-treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, i.e. x-rays, chart notes and letters of necessity; investigating certain denied claims, following-up on those investigations and submitting claims appeals for those denied claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient records for accuracy and completion of billing, coding, and clinical documentation. This position answers questions from patients and providers regarding dental insurance benefits, claim status and account summary, as well as assisting patients with in-house payment arrangements under the policies of the school advising patient of their options. This position requires HIPAA compliance.

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About Capleo Global

Sourced by ZipRecruiter

Capleo Global, based in Edison, NJ, USA, operates in the field of financial management and consultancy. The company, as reflected on its official website capleoglobal.com, specializes in providing expert guidance and services in portfolio management, risk management, and business growth strategies. Since its foundation, Capleo Global has progressively expanded its services and consolidated its expertise, making it a reliable partner for businesses aiming to optimize their finances and risk factors. Their distinguished mission is to empower their clients by offering innovative financial solutions and strategic advice that drives growth and success.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

2019

Social media

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