Health insurance specialists are responsible for processing medical insurance claims. They apply appropriate medical coding for each case, arrange and archive documentation, and examine claims to determine whether they are eligible for insurance coverage. Keeping records of medical charges and locating coding errors is also their duty.
Working in this position, you will essentially fill the role of a technician specializing in handling medical documents. You will work with computers and electronic records maintaining the database of the documents and updating them with adjustments whenever necessary. Communicating with insurance carriers and educating patients about their medical benefits will be a part of your job as well.
You will need to be familiar with medical terminology, insurance coding, and medical billing practices. Excellent verbal and written communication is a must, and solid experience with data entry and basic office skills is also expected. A degree in a health-related field from a college or technical school, or a certificate program for health insurance specialists will provide the necessary knowledge to fill this role successfully. Salaries average around $24.31 per hour, adding up to annual wages of around $50,000.
There is more than meets the eye when it comes to being a Health Insurance Specialist. For example, did you know that they make an average of $26.32 an hour? That's $54,736 a year!
Between 2018 and 2028, the career is expected to grow 10% and produce 48,300 job opportunities across the U.S.
There are certain skills that many Health Insurance Specialists have in order to accomplish their responsibilities. By taking a look through resumes, we were able to narrow down the most common skills for a person in this position. We discovered that a lot of resumes listed Initiative, Self-confidence and Communication skills.
If you're interested in becoming a Health Insurance Specialist, one of the first things to consider is how much education you need. We've determined that 50.9% of Health Insurance Specialists have a bachelor's degree. In terms of higher education levels, we found that 14.2% of Health Insurance Specialists have master's degrees. Even though most Health Insurance Specialists have a college degree, it's possible to become one with only a high school degree or GED.
Choosing the right major is always an important step when researching how to become a Health Insurance Specialist. When we researched the most common majors for a Health Insurance Specialist, we found that they most commonly earn Bachelor's Degree degrees or Associate Degree degrees. Other degrees that we often see on Health Insurance Specialist resumes include Master's Degree degrees or High School Diploma degrees.
You may find that experience in other jobs will help you become a Health Insurance Specialist. In fact, many Health Insurance Specialist jobs require experience in a role such as Customer Service Representative. Meanwhile, many Health Insurance Specialists also have previous career experience in roles such as Administrative Assistant or Cashier.