How to hire a claims account specialist

How to hire a claims account specialist, step by step

Here's a step-by-step claims account specialist hiring guide:

• Step 1: Identify your hiring needs
• Step 2: Create an ideal candidate profile
• Step 3: Make a budget
• Step 4: Write a claims account specialist job description
• Step 5: Post your job
• Step 6: Interview candidates
• Step 7: Send a job offer and onboard your new claims account specialist
• Step 8: Go through the hiring process checklist

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1. Identify your hiring needs

   Before you post your claims account specialist job, you should take the time to determine what type of worker your business needs. While certain jobs definitely require a full-time employee, it's sometimes better to find a claims account specialist for hire on a part-time basis or as a contractor.

   Determine employee vs contractor status

   Is the person you're thinking of hiring a US citizen or green card holder?

   Yes

   No

   A claims account specialist's background is also an important factor in determining whether they'll be a good fit for the position. For example, claims account specialists from different industries or fields will have radically different experiences and will bring different viewpoints to the role. You also need to consider the candidate's previous level of experience to make sure they'll be comfortable with the job's level of seniority.

   Here's a comparison of claims account specialist salaries for various roles:

   Type of Claims Account Specialist	Description	Hourly rate
   Claims Account Specialist	Bill and account collectors, sometimes called collectors, try to recover payment on overdue bills. They negotiate repayment plans with debtors and help them find solutions to make paying their overdue bills easier.	$14-20
   Bill Collector	A bill collector is responsible for reaching out to the customers to collect overdue payments, negotiate repayment plans, and update account information upon settling of payments. Bill collectors monitor the contact details of the customer, utilizing locator tools and software as required by the organization, and review contract terms to decide on credit advice or escalate the issue to a higher tier... Show more	$14-19
   Debt Collector	Debt collectors are also known as collection agencies and are responsible for recovering past due debts. Most of them are hired by companies to collect debt either for a fee or a percentage of the total amount recovered... Show more	$12-20

   Show more

2. Create an ideal candidate profile

   Common skills:

   • Customer Service
   • Medical Terminology
   • Patient Accounts
   • Medical Treatment
   • Process Payments
   • Medicaid
   • Outbound Calls
   • CPT
   • Compensation Claims
   • HIPAA
   • Hippa
   • Insurance Verification
   • Telephone Calls

   Responsibilities:

   • Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
   • Interview incoming patients, his/her relatives, or other responsible individuals to obtain identifying and biographical information with insurance and financial information
   • Review HMO insurance vouchers and resubmitted if necessary.
   • Utilize excellent communication and negotiation skills to resolve credit card delinquency favorable to company and card member.

3. Make a budget

   Including a salary range in your claims account specialist job description is one of the best ways to attract top talent. A claims account specialist can vary based on:

   • Location. For example, claims account specialists' average salary in oklahoma is 39% less than in connecticut.
   • Seniority. Entry-level claims account specialists 28% less than senior-level claims account specialists.
   • Certifications. A claims account specialist with certifications usually earns a higher salary.
   • Company. Working for an established firm or a new start-up company can make a big difference in a claims account specialist's salary.

   Average claims account specialist salary

   $37,054yearly

   $17.81 hourly rate

   ---

   Entry-level claims account specialist salary

   $31,000 yearly salary

   Updated January 11, 2026

4. Writing a claims account specialist job description

   A good claims account specialist job description should include a few things:

   • Summary of the role
   • List of responsibilities
   • Required skills and experience

   Including a salary range and the first name of the hiring manager is also appreciated by candidates. Here's an example of a claims account specialist job description:

   Claims account specialist job description example

   Convergent Revenue Cycle Management Inc., a company which specializes in healthcare reimbursement for hospitals all over the United States, is interviewing for a Remote Accounts/Claims Specialist position. The selected candidate will report directly to a Supervisor or Supervising Attorney. Responsibilities include, but are not limited to, working a caseload of 300 to 350 claims, contacting insurance companies to appeal wrongfully denied or underpaid insurance claims, identifying client/payer issues, billing claims and adjusting balances in EPIC, and maintaining a working knowledge of assigned client hospitals and insurers. Full week of paid Virtual Training will be provided. The successful Candidate(s) will then work remotely from a HIPAA compliant home office.
   
   Draft appeals and demands to insurance companies to ensure timely resolution and payment of claims, as well as argue verbally over the phone with insurance companies to get denials overturned and paid
   
   Perform contractual analysis on paid claims to ensure that our client hospitals are reimbursed accurately and according to contract, and to ensure payment integrity
   Must work with the client to ensure the mutual success of our respective organizations Know how and when to involve key players in an account and effectively use internal employer resources to provide the best client solution Report any reimbursement trends/delays to supervisor Effectively utilize various means for collections, including but not limited to phone, fax, mail and online methods Attend meetings and complete post-meeting reports and summaries Establish regular communication with client regarding outstanding issues and program performance
   
   Education and Experience:
   Experience in a healthcare revenue cycle (claims, billing, coding, reimbursement etc.), role is required Experienced with Microsoft Office including PowerPoint, Excel, and Word Appeal Writing experience is preferred EPIC experience with billing and balance adjustment is preferred
   
   Competencies: Candidate must have excellent oral and written communication skills Individual must be high energy, creative, customer focused, proactive and action oriented Must have demonstrated competency in working in teams, and ability to effectively communicate with all levels Excellent interpersonal, oral and written communication skills Ability to work independently Ability to work with various EHR software (example: EPIC, Cerner, Meditech etc.) Outstanding organizational, analytical and problem-solving skills Strong attention to detail Ability to work well under pressure
   Why should you consider Convergent RCM: Paid training Team-oriented work environment Growth opportunity Community Involvement – Convergent RCM loves to give back! Comprehensive benefits package available: including medical, dental and vision, 401k retirement plan with employer matching, paid time off and paid holidays!
   
   Compensation will be discussed in further detail at the time of the interview.

   Copy this example

   

5. Post your job

   There are a few common ways to find claims account specialists for your business:

   • Promoting internally or recruiting from your existing workforce.
   • Ask for referrals from friends, family members, and current employees.
   • Attend job fairs at local colleges to meet candidates with the right educational background.
   • Use social media platforms like LinkedIn, Facebook, and Twitter to recruit passive job-seekers.

   Post your job online:

   • Post your claims account specialist job on Zippia to find and attract quality claims account specialist candidates.
   • Use niche websites such as efinancialcareers, financialjobsweb.com, careerbank, financial job bank.
   • Post a job on free websites.

6. Interview candidates

   Your first interview with claims account specialist candidates should focus on their interest in the role and background experience. As the hiring process goes on, you can learn more about how they'd fit into the company culture in later rounds of interviews.

   You should also ask about candidates' unique skills and talents to see if they match the ideal candidate profile you developed earlier. Candidates good enough for the next step can complete the technical interview.

   The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

7. Send a job offer and onboard your new claims account specialist

   Once you've found the claims account specialist candidate you'd like to hire, it's time to write an offer letter. This should include an explicit job offer that includes the salary and the details of any other perks. Qualified candidates might be looking at multiple positions, so your offer must be competitive if you like the candidate. Also, be prepared for a negotiation stage, as candidates may way want to tweak the details of your initial offer. Once you've settled on these details, you can draft a contract to formalize your agreement.

   It's equally important to follow up with applicants who don't get the job with an email letting them know that the position has been filled.

   After that, you can create an onboarding schedule for a new claims account specialist. Human Resources and the hiring manager should complete Employee Action Forms. Human Resources should also ensure that onboarding paperwork is completed, including I-9s, benefits enrollment, federal and state tax forms, etc., and that new employee files are created.

8. Go through the hiring process checklist

   • Determine employee type (full-time, part-time, contractor, etc.)
   • Submit a job requisition form to the HR department
   • Define job responsibilities and requirements
   • Establish budget and timeline
   • Determine hiring decision makers for the role
   • Write job description
   • Post job on job boards, company website, etc.
   • Promote the job internally
   • Process applications through applicant tracking system
   • Review resumes and cover letters
   • Shortlist candidates for screening
   • Hold phone/virtual interview screening with first round of candidates
   • Conduct in-person interviews with top candidates from first round
   • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
   • Conduct background checks on top candidates
   • Check references of top candidates
   • Consult with HR and hiring decision makers on job offer specifics
   • Extend offer to top candidate(s)
   • Receive formal job offer acceptance and signed employment contract
   • Inform other candidates that the position has been filled
   • Set and communicate onboarding schedule to new hire(s)
   • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)

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