Health Claims Specialist Career Description | Career Training | Seacoast Career School
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Career Description: Health Claims Specialist

Types of Jobs for Health Claims Specialists

As a health claims specialist, your job might be in a:

  • Hospital (general or surgical)
  • Medical office
  • Nursing home
  • Outpatient center or surgical center
  • Insurance agency
  • HMO (Health Maintenance Organization)
  • Company that specializes in medical billing
  • Governmental agency

The Workplace

Most health claims specialists work in an office environment. You can expect to spend a lot of time on the telephone and on the computer communicating with patients, insurance companies, and medical providers. Working on the computer will be an important part of your job, because most of the medical billing and coding processes are done using specialized computer software. With so much of the work being computerized, some health claims specialists can even work from their home computers.

Outlook on Jobs

To get a better understanding on the job outlook for health claims specialists, visit the U.S. Department of Labor’s Occupational Outlook Handbook.  According to this handbook, employment of medical records and health information technicians is expected to increase by 15 percent between the years 2014 to 2024, which is much faster than the average for all occupations.

The handbook explains that the demand for medical records technicians will increase with the aging of the population. In the words of the handbook, “An aging population will need more medical tests, treatments, and procedures. This will also mean more claims for reimbursement from private and public insurance. Additional records, coupled with widespread use of electronic health records by all types of healthcare providers, should lead to an increased need for technicians to organize and manage the associated information in all areas of the healthcare industry.”

The handbook also suggests that while the job outlook is strong throughout the field of medical billing, the employees who are skilled in technology will have the best career opportunities, since the industry relies heavily on electronic health records.

Salary Trends for Health Claims Specialists

There are a number of factors that affect salaries among health claims specialists, such as experience level, skill level, and geographic location. In general, health claims specialists who are just beginning their careers will earn less than those with more experience. But as you spend more time on the job, develop your skills, and perform your duties well, your earnings are likely to increase. The U.S. Department of Labor’s Occupational Outlook Handbook  provides more details on salary trends of health claims specialists.

Health Claims Specialist Certification

Health claims specialists are not required to be certified, but earning your certification is a powerful way to show potential employers that you have proven skills in your career field. At Seacoast, we suggest that graduates take the Certified Professional Coder exam offered by the American Academy of Professional Coders as well as the Certified Electronic Health Records Specialist exam, offered by the National Healthcareers Association. Stepping out into the job market with a certification on your resume will give you increased marketability and confidence as you start to build your career.

Still Not Sure?

If you aren’t sure if the Health Claims Specialist program is right for you, take a moment to consider another program at Seacoast. Our selection of career-focused programs offers something for everyone.

Return to our programs page, and find your next career.