How To Become A Medicare Specialist: What It Is and Career Path

What is a medicare specialist and how to become one

Updated January 8, 2025

3 min read

The average medicare specialist salary is $36,923. The most common degree is a bachelor's degree degree with an business major. It usually takes 6-12 months of experience to become a medicare specialist. Medicare specialists with a Certified Billing and Coding Specialist (CBCS) certification earn more money. Between 2018 and 2028, the career is expected to grow 11% and produce 23,100 job opportunities across the U.S.

ScoreMedicare SpecialistUS Average

Salary

2.9

Avg. Salary $36,923

Avg. Salary $59,228

Stability level

4.8

Growth rate 11%

Growth rate 0.3%

Diversity

6.3

Race

American Indian and Alaska Native 1.43%

Asian 7.99%

Black or African American 8.53%

Hispanic or Latino 16.10%

Unknown 4.38%

White 61.56%

Gender

female 77.02%

male 22.98%

Age - 46

Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 46

Stress level

4.8

Stress level is manageable

7.1 - high

Complexity level

6.0

Complexity level is intermediate

7 - challenging

Work life balance

8.6

Work life balance is excellent

6.4 - fair

Key steps to become a medicare specialist

Explore medicare specialist education requirements

Most common medicare specialist degrees

Bachelor's

41.4 %

Associate

22.6 %

High School Diploma

13.6 %

Start to develop specific medicare specialist skills

Skills	Percentages
Customer Service	8.87%
Patients	8.81%
Health Insurance	8.63%
CMS	6.65%
CPT	6.55%

Complete relevant medicare specialist training and internships

Accountants spend an average of Less than 1 month on post-employment, on-the-job training. New medicare specialists learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a medicare specialist based on U.S. Bureau of Labor Statistics data and data from real medicare specialist resumes.

Research medicare specialist duties and responsibilities

Manage cases by aggressively directing the litigation process.
Submit correct claims when appropriate, assigning ICD-9-CM, CPT, HCPCS, and / or service codes when necessary.
Maintain HIPPA compliance with all communications.
Obtain accurate ICD-9 codes and process completed CMN's.

Prepare your medicare specialist resume

When your background is strong enough, you can start writing your medicare specialist resume.

You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a medicare specialist resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

Choose from 10+ customizable medicare specialist resume templates

Build a professional medicare specialist resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your medicare specialist resume.