ZipRecruiter

Log In

1

Medical Insurance Specialist Jobs (NOW HIRING)

RAYUS Radiology

Insurance Specialist

Boynton Beach, FL · On-site

RAYUS Radiology is looking for an Insurance Specialist to join our team. We are challenging the ... Obtains signs and symptoms in order to support medical necessity (5%) Completes other duties as ...

RAYUS Radiology

Insurance Specialist

Boynton Beach, FL · On-site

As an Insurance Specialist, you will be responsible for providing expertise in insurance pre ... Obtain patient signs and symptoms in order to support medical necessity (5%) Completes Other Duties ...

RAYUS Radiology

Insurance Specialist

Boynton Beach, FL · On-site

As an Insurance Specialist, you will be responsible for providing expertise in insurance pre ... Obtain patient signs and symptoms in order to support medical necessity (5%) Completes Other Duties ...

RAYUS Radiology

Insurance Specialist

Chelmsford, MA · On-site

$18.42 - $28.13/hr

As an Insurance Specialist, you will be responsible for providing expertise in insurance pre ... Obtain patient signs and symptoms in order to support medical necessity (5%) Completes Other Duties ...

RAYUS Radiology

Insurance Specialist

Boynton Beach, FL · On-site

As an Insurance Specialist, you will be responsible for providing expertise in insurance pre ... Obtain patient signs and symptoms in order to support medical necessity (5%) Completes Other Duties ...

RAYUS Radiology

Insurance Specialist

Mclean, VA · On-site

As an Insurance Specialist, you will be responsible for providing expertise in insurance pre ... Obtain patient signs and symptoms in order to support medical necessity (5%) Completes Other Duties ...

AECOM

Insurance Specialist

New Orleans, LA · On-site

Insurance Specialist will be responsible for supporting FEMA Public Assistance (PA) disaster ... Depending on your employment status, AECOM benefits may include medical, dental, vision, life, AD&D ...

RAYUS Radiology

Insurance Specialist

Alexandria, MN · On-site

$18 - $22.31/hr

As an Insurance Specialist, you will be responsible for providing expertise in insurance pre ... Obtain patient signs and symptoms in order to support medical necessity (5%) Completes Other Duties ...

AECOM

Insurance Specialist

New Orleans, LA · On-site

Insurance Specialist will be responsible for supporting FEMA Public Assistance (PA) disaster ... Depending on your employment status, AECOM benefits may include medical, dental, vision, life, AD&D ...

AECOM

Insurance Specialist

New Orleans, LA

Insurance Specialist will be responsible for supporting FEMA Public Assistance (PA) disaster ... Depending on your employment status, AECOM benefits may include medical, dental, vision, life, AD&D ...

Centers Home

Insurance Specialist

Margate, FL · On-site

The Insurance Specialist is responsible for managing the authorization process for home care ... This role involves obtaining necessary approvals, updating electronic medical records (EMR) with ...

RAYUS Radiology

Insurance Specialist

Clarksville, TN · On-site

As an Insurance Specialist, you will be responsible for providing expertise in insurance pre ... Obtain patient signs and symptoms in order to support medical necessity (5%) Completes Other Duties ...

previous pagenext page

Showing results 21-40

All JobsFinance and Insurance JobsInsurance JobsHealth Insurance Agent JobsMedical Insurance Specialist Jobs

Medical Insurance Specialist information

See salary details

$32K

$85.9K

$155.5K

How much do medical insurance specialist jobs pay per year?

As of Sep 3, 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.
More about Medical Insurance Specialist jobs

What cities are hiring for Medical Insurance Specialist jobs?

Cities with the most Medical Insurance Specialist job openings:

Who are the top companies hiring for Medical Insurance Specialist jobs?

The top employers for Medical Insurance Specialist jobs are:

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 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 Verification Specialist

NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP

Carlsbad, CA • On-site

$24 - $25/hr

Full-time

Medical

Posted 13 days ago

Job description

Description:

We are seeking an experienced Medical Insurance Verification Specialist to join our growing neurology practice. This is not an entry-level position. The ideal candidate must have a strong understanding of medical insurance plans, eligibility verification, authorizations, and managed care. Candidates without direct medical insurance verification experience will not be considered.

Requirements:
  • Minimum of 2 years of medical insurance verification experience in a physician practice or specialty clinic.
  • HMO and PPO insurance plans
  • Medicare and Medicare Advantage
  • Medi-Cal
  • Commercial insurance plans
  • IPA/Medical Groups
  • Referral and authorization requirements
  • Experience working with major California health plans and medical groups.
  • Strong understanding of insurance eligibility and benefit verification.
  • Excellent attention to detail and problem-solving skills.
  • Ability to prioritize work in a fast-paced medical environment.
  • Strong computer skills and experience using an EMR.
  • Experience navigating Insurance Portals

Responsibilities:

  • Verify patient insurance eligibility and benefits prior to appointments.
  • Review referrals and authorization requirements.
  • Understand and verify HMO, PPO,  Medicare, Medicare Advantage, Medi-Cal, and commercial insurance plans.
  • Identify contracted and non-contracted health plans and medical groups.
  • Verify PCP assignments and medical group affiliations.
  • Obtain and document insurance  information accurately in the electronic medical record (EMR).
  • Communicate with insurance companies, medical groups, referring offices, and patients regarding      coverage and authorization requirements.
  • Resolve insurance discrepancies prior to patient appointments.
  • Work closely with scheduling, referrals, and clinical staff to ensure timely patient care.
  • Maintain strict confidentiality

*Self-motivated with a strong work-ethic, solid interpersonal skills and excellent organization and prioritization skills.

*Excellent phone etiquette and customer service skills

*Work efficiently under deadlines *Dependable / Punctuality is a must.