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A Day In The Life Of A Medical Insurance Specialist


The job title of medical insurance specialist may not sound very exciting, but don’t be deceived! The field is fast paced and has plenty of advantages. The amount of billing information, coding, and the number of claims that hospitals and doctors’ offices have to deal with makes the position challenging in a good way and full of variety. As a health insurance specialist, you’re in charge of making sure charges, claims, billings, and payments run smoothly. Here is what’s in store for you in this career.

Getting A Foot In The Door

Having experience in the health insurance sector can get you into this position, so you may want to see if there are openings for receptionists or other entry-level positions at the smaller medical offices. Some people earn a specialist job based on the competency shown while in these types of roles. In that case, you should be able to learn on the fly and be prepared to reason your way through a lot of situations. This means learning to ask questions, even when you feel foolish.

You may also want to complete a certificate program or earn an associate degree, which can take up to two years. Some institutions offer accelerated classes so you can be ready in even less time. This may help you get hired right off the bat. However, employers value experience as well, so just be aware of the different avenues available to you. Do things in your free time like attend events or speeches in your field to network with the many people that can either hire you or give you a glowing recommendation.

Doing Your Job Well

This is a competitive field, so you'll want to have every advantage possible. No matter how you find your way in, your reward for successfully becoming a specialist will come from being able to help people get the care they need without having to pay out of pocket. You keep claims moving efficiently throughout the day so that your workplace is quickly reimbursed by the insurance companies as well.

Having the power to keep everything organized and error-free can give you a sense of control in healthcare, which is often extremely chaotic and overwhelming.

To do this job, you should have good communication skills and be extremely detail-oriented. Spotting errors can be difficult, considering the amount of paperwork and information you'll have to go through. People who find their eyes glazing over after staring at a computer screen for quite some time will not be a very good fit.

You'll need to be able to judge situations using both common sense and your own experience. You'll need to err on the side of caution and always be able to explain what you do, in case the company is ever investigated for insurance fraud.

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