Health Insurance Specialist Career


The career of a health insurance specialist deals with processing of claims for various insurance companies.  The tasks of a health insurance specialist includes reviewing patient records and documents, coding of diagnoses, services and procedures, posting of charges and payments, preparing and reviewing claims, reviewing and processing of insurance payments and remittance documents, correcting data errors, researching and preparing appeals for incorrect or denied claims.  He provides assistance in updating documents, registration forms and billing forms.   All insurance benefits, requirements and filing guidelines are explained by the health insurance specialist to patients.  With this type of career, one is faced with the challenge of being able to multitask.  The health insurance specialist must have skills in communication, organization, administration and human relations.

How to become a Health Insurance Specialist

To become a health insurance specialist, one must at least have a college degree.  Employers do look for individuals with education background.  Complete a health insurance specialist program to gain relevant experience and formal training.  One must have experience in billing, claims, medical coding, and medical terminologies.  Having knowledge in computers is also a must.  Obtain a certification through the American Academy of Professional Coders.One must be able to work independently and adhere to strict confidentiality as one works with pertinent information.  To become successful, one must be able to think critically and has organizational skills.

Health Insurance Specialist Courses, training, programs

Through a health insurance specialist program, one will gain background in various areas such as medical terms, anatomy, body systems, insurance billing, health insurance terminologies, international classification of diseases, clinical modification, diagnostic codes, coding guidelines, coding system, insurance claims, health care financing administration, and types of insurance coverage plans.

TOP 5 colleges/Universities

Anthem College-Phoenix, Arizona

United Education Institute-Huntington Park Campus, California

Florida Technical College, Florida

Schoolcraft College, Michigan

United Education Institute, Florida

Health Insurance Specialist Jobs, opportunities, salaries/pay

A health insurance specialist has the opportunity to earn an average of $83,000 per year depending on the work location, experience, employer, and benefits. Employment may be found in various hospitals, medical offices, or nursing homes.

Category: Insurance Careers

Leave a Reply


five − = 3