0 selections
0 selections

What is a Health Insurance Specialist

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.

What Does a Health Insurance Specialist Do

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.

Learn more about what a Health Insurance Specialist does

How To Become a Health Insurance Specialist

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.

What is the right job for my career path?

Tell us your goals and we'll match you with the right jobs to get there.

And if you’re looking for a job, here are the five top employers hiring now:

  1. Fidelity Investments Jobs (28)
  2. Anthem Jobs (5)
  3. Aetna Jobs (6)
  4. HealthMarkets Jobs (3)
  5. Allstate Jobs (3)
Average Salary
$54,736
Average Salary
Job Growth Rate
10%
Job Growth Rate
Job Openings
107,229
Job Openings
resume document icon

Don't Have A Professional Resume?

0 selections

Health Insurance Specialist Career Paths

Top Careers Before Health Insurance Specialist

Top Careers After Health Insurance Specialist

Health Insurance Specialist Jobs You Might Like

What is the right job for my career path?

Tell us your goals and we'll match you with the rights job to get there.

Average Salary for a Health Insurance Specialist

Health Insurance Specialists in America make an average salary of $54,736 per year or $26 per hour. The top 10 percent makes over $89,000 per year, while the bottom 10 percent under $33,000 per year.
Average Salary
$54,736
Find Your Salary Estimate
How much should you be earning as an Health Insurance Specialist? Use Zippia's Salary Calculator to get an estimation of how much you should be earning.
See More Salary Information

Calculate your salary

Use Zippia's Salary Calculator to see how your pay matches up.

Choose From 10+ Customizable Health Insurance Specialist Resume templates

Zippia allows you to choose from different easy-to-use Health Insurance Specialist templates, and provides you with expert advice. Using the templates, you can rest assured that the structure and format of your Health Insurance Specialist resume is top notch. Choose a template with the colors, fonts & text sizes that are appropriate for your industry.

Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume
Health Insurance Specialist Resume

Health Insurance Specialist Demographics

Health Insurance Specialist Gender Distribution

Male
Male
28%
Female
Female
72%

After extensive research and analysis, Zippia's data science team found that:

  • Among Health Insurance Specialists, 71.9% of them are women, while 28.1% are men.

  • The most common race/ethnicity among Health Insurance Specialists is White, which makes up 69.2% of all Health Insurance Specialists.

  • The most common foreign language among Health Insurance Specialists is Spanish at 46.5%.

Job Openings

Find the best Health Insurance Specialist job for you

0 selections
0 selections

Health Insurance Specialist Jobs You Might Like

Health Insurance Specialist Education

Health Insurance Specialist Majors

30.3 %

Health Insurance Specialist Degrees

Bachelors

50.9 %

Associate

15.2 %

Masters

14.2 %

Top Colleges for Health Insurance Specialists

1. University of Pennsylvania

Philadelphia, PA • Private

In-State Tuition
$55,584
Enrollment
10,764

2. University of Minnesota - Twin Cities

Minneapolis, MN • Private

In-State Tuition
$14,760
Enrollment
31,451

3. Howard University

Washington, DC • Private

In-State Tuition
$26,756
Enrollment
6,166

4. California State University - Bakersfield

Bakersfield, CA • Private

In-State Tuition
$7,309
Enrollment
9,142

5. Stanford University

Stanford, CA • Private

In-State Tuition
$51,354
Enrollment
7,083

6. University of Southern California

Los Angeles, CA • Private

In-State Tuition
$56,225
Enrollment
19,548

7. Baylor University

Waco, TX • Private

In-State Tuition
$45,542
Enrollment
14,159

8. University of Louisiana at Lafayette

Lafayette, LA • Private

In-State Tuition
$9,912
Enrollment
14,245

9. Ball State University

Muncie, IN • Private

In-State Tuition
$9,896
Enrollment
15,529

10. Duke University

Durham, NC • Private

In-State Tuition
$55,695
Enrollment
6,596
Job Openings

Find the best Health Insurance Specialist job for you

0 selections
0 selections

Health Insurance Specialist Jobs You Might Like

Online Courses For Health Insurance Specialist That You May Like

Fundamentals of Insurance - 1
udemy
4.2
(668)

Fundamentals of Insurance - 1...

Certified Electronic Health Records Specialist
udemy
4.6
(352)

Health Information Technology HIT...

Understanding HIPAA for the Medical Office
udemy
4.5
(675)

A healthcare professional's guide to understanding the requirements HIPAA...

Show More Health Insurance Specialist Courses
Job type you want
Full Time
Part Time
Internship
Temporary

Top Skills For a Health Insurance Specialist

The skills section on your resume can be almost as important as the experience section, so you want it to be an accurate portrayal of what you can do. Luckily, we've found all of the skills you'll need so even if you don't have these skills yet, you know what you need to work on. Out of all the resumes we looked through, 15.6% of Health Insurance Specialists listed Insurance Companies on their resume, but soft skills such as Initiative and Self-confidence are important as well.

1. District of Columbia

Total Health Insurance Specialist Jobs:
225
Highest 10% Earn:
$174,000
Location Quotient:
0.99
Location Quotient is a measure used by the Bureau of Labor Statistics (BLS) to determine how concentrated a certain industry is in a single state compared to the nation as a whole. You can read more about how BLS calculates location quotients here

2. Wisconsin

Total Health Insurance Specialist Jobs:
926
Highest 10% Earn:
$134,000
Location Quotient:
1.24
Location Quotient is a measure used by the Bureau of Labor Statistics (BLS) to determine how concentrated a certain industry is in a single state compared to the nation as a whole. You can read more about how BLS calculates location quotients here

3. Ohio

Total Health Insurance Specialist Jobs:
1,655
Highest 10% Earn:
$132,000
Location Quotient:
1.2
Location Quotient is a measure used by the Bureau of Labor Statistics (BLS) to determine how concentrated a certain industry is in a single state compared to the nation as a whole. You can read more about how BLS calculates location quotients here
Full List Of Best States For Health Insurance Specialists

How Do Health Insurance Specialist Rate Their Jobs?

Working as a Health Insurance Specialist? Share your experience anonymously.
Do you work as a Health Insurance Specialist?
Rate how you like work as Health Insurance Specialist. It's anonymous and will only take a minute.

Top Health Insurance Specialist Employers

Most Common Employers For Health Insurance Specialist

RankCompanyZippia ScoreAverage Health Insurance Specialist SalaryAverage Salary
1$85,891
2$72,185
3$55,967
4$54,040
5$52,751
6$51,434

Health Insurance Specialist Videos