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Health Claims Specialist as a Career

A health claims specialist career could have you working in a variety of healthcare settings. They may include:

    • General hospitals
    • Surgical hospitals
    • Doctors’ offices
    • Nursing care facilities
    • Outpatient care facilities
    • Insurance companies
    • Health Maintenance Organizations (HMOs)
    • Medical billing companies
    • Government agencies

Professional Settings

Most times a health claims specialist career will find you in an office setting. You will spend much of your time on the telephone, talking with patients, health care providers, and insurance representatives. You will also use computers to conduct much of your work, using software that is specialized for health claims purposes. Some health claims specialists can even work from home.

Employment Outlook

Each year the U.S. Department of Labor releases data on the estimated change in demand for a variety of careers. Details on the job outlook for health claims specialists can be found in the U.S. Department of Labor’s Occupational Outlook Handbook.

According to the Occupational Outlook Handbook, employment in health claims is expected to grow much faster than the average. Employment of medical records and health information technicians is expected to increase by 11 percent from 2018 to 2028, much faster than the average for all occupations. The handbook states, “The demand for health services is expected to increase as the population ages.” An aging population means more medical tests, treatments, procedures, and claims. All of this translates into job growth in this field.

While job prospects for all health claims specialists should be good, those with expertise in technology and computer software will have the best opportunities. The handbook indicates that the widespread use of Electronic Health Records should lead to an increased need for technicians to manage the information.

Earnings/Salary for a Health Claims Specialist Career

The earnings of health claims specialists vary, depending on their experience, skill level, and location. Health claims specialists with certification and experience often have better job opportunities and job security than those without certification. Entry-level health claims specialists typically earn less than more experienced ones. But as you gain more on-the-job experience and perform satisfactorily in your job, you can expect your salary to increase over time. More details on salary trends among health claims specialists can be found in the U.S. Department of Labor’s Occupational Outlook Handbook.

Health Claims Specialist Career Resource Sites

Here are additional resources you can investigate to learn more:

American Health Information Management Association
233 N. Michigan Ave.
21st Floor
Chicago, IL 60601-5809
ahima.org

American Academy of Professional Coders
2480 South 3850 West
Suite B
Salt Lake City, UT 84120
aapc.com

Practice Management Institute
9501 Console Dr.
Suite 100
San Antonio, TX 78229
pmimd.com

Professional Association of Healthcare Coding Specialists
218 E. Bearss Ave.
#354
Tampa, FL 33613
pahcs.org

National Cancer Registrars Association
1340 Braddock Place
Suite 203
Alexandria, VA 22314
ncra-usa.org

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