Medical Insurance Claims Specialist

We are seeking a detail-oriented and customer-focused Claims Specialist to join a growing healthcare-related organization. This role is ideal for someone with experience working with medical insurance, healthcare claims, or medical billing who enjoys problem-solving, investigating claim issues, and helping patients receive the coverage they deserve.

This position offers comprehensive training from a highly experienced team member and provides an excellent opportunity for someone looking to build a long-term career through Contract-to-Hire in medical claims and insurance administration that is outside of a hospital or provider environment.

What You'll Do

As a Claims Specialist, you will play a key role in processing insurance claims and ensuring patients receive accurate billing and reimbursement information.

Responsibilities include:

• Verify insurance coverage, deductibles, and eligibility through payer websites and direct communication with insurance carriers
• Review patient insurance information, prescriptions, and supporting documentation
• Process insurance claims accurately within the claims management system
• Monitor claim status and investigate denied or rejected claims
• Work with insurance companies, physician offices, and patients to obtain missing information and required documentation
• Research authorization requirements, coding issues, and claim discrepancies
• Correct and resubmit claims when necessary
• Review Explanation of Benefits (EOBs) to determine patient balances, refunds, or additional amounts due
• Maintain accurate records and documentation throughout the claim lifecycle

Qualifications:

What We're Looking For

Required Qualifications:

• Experience working with medical insurance, healthcare claims, medical billing, or a related healthcare administrative role
• Strong attention to detail and accuracy
• Ability to investigate issues and follow through to resolution
• Confidence communicating with insurance representatives, physician offices, and patients

Preferred Qualifications:

• Experience processing and appealing insurance claims
• Familiarity with EOBs, prior authorizations, and healthcare reimbursement processes

The Successful Candidate Is:

• Curious and resourceful when faced with claim challenges
• Comfortable picking up the phone and working directly with insurance carriers to find answers
• Organized and able to manage multiple claims at various stages of processing
• Patient, persistent, and solutions-oriented
• Eager to learn and develop expertise in medical claims administration

Why Consider This Opportunity?

• Extensive training and knowledge transfer provided
• Opportunity to develop specialized expertise in medical insurance claims
• Collaborative, team-focused environment
• Meaningful work that helps patients obtain insurance coverage for healthcare-related products and services

If you enjoy problem-solving, working with insurance carriers, and helping people navigate complex healthcare processes, we encourage you to apply.

Compensation

About Us

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use and Privacy Notice.