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At Home Insurance Verification Jobs (NOW HIRING)

Insurance Verification

San Antonio, TX · On-site

$14.75 - $18.75/hr

The Insurance Verification teammate will be responsible for verifying insurance coverage, eligibility, and benefits, obtaining authorizations and pre-certs as required by the individual insurance ...

Insurance Verification

San Antonio, TX

$14.75 - $18.75/hr

The Insurance Verification teammate will be responsible for verifying insurance coverage, eligibility, and benefits, obtaining authorizations and pre-certs as required by the individual insurance ...

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Position Summary We are seeking a detail-oriented and reliable Insurance Verification Specialist to join our team. This role is responsible for verifying insurance coverage, eligibility, and benefits ...

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At Home Insurance Verification information

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How much do at home insurance verification jobs pay per hour?

As of Jun 1, 2026, the average hourly pay for at home insurance verification in the United States is $18.87, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.19 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an At Home Insurance Verification Specialist, and why are they important?

To thrive as an At Home Insurance Verification Specialist, you need strong attention to detail, knowledge of insurance processes, and experience with healthcare or insurance documentation, often supported by a high school diploma or equivalent. Familiarity with insurance portals, electronic health records (EHR) systems, and verification software is typically required. Excellent communication, problem-solving skills, and the ability to work independently are essential soft skills for this role. These competencies ensure accurate verification, reduce claim denials, and help maintain efficient workflow in a remote setting.

What are some common challenges faced by At Home Insurance Verification specialists, and how can they be overcome?

At Home Insurance Verification specialists often encounter challenges such as managing high call volumes, handling discrepancies in policy details, and navigating multiple insurance portals. Strong organizational skills and attention to detail are crucial for efficiently tracking verifications and following up with providers. Staying updated on insurance guidelines and utilizing digital tools can help streamline the process and reduce errors. Regular communication with team members and supervisors also ensures any complex issues are resolved quickly, maintaining workflow efficiency.

What is an At Home Insurance Verification job?

An At Home Insurance Verification job involves working remotely to confirm patients’ insurance coverage and benefits. Professionals in this role contact insurance companies, review policy details, and ensure that patient information is accurate and up-to-date. They play a crucial role in healthcare settings by verifying eligibility, authorizations, and coverage limits, which helps prevent claim denials and billing issues. This job typically requires attention to detail, good communication skills, and familiarity with healthcare or insurance systems.

What is the difference between At Home Insurance Verification vs Insurance Claims Adjuster?

AspectAt Home Insurance VerificationInsurance Claims Adjuster
CredentialsTypically requires insurance or verification certificationsRequires licensing and claims adjustment certifications
Work EnvironmentPrimarily remote, working from homeFieldwork and office-based tasks
Employer & Industry UsageInsurance companies, verification servicesInsurance companies, claims departments
Search & Comparison IntentVerifying insurance info remotelyAssessing damage and settling claims

At Home Insurance Verification focuses on remotely confirming insurance details, often via phone or online, while Insurance Claims Adjusters evaluate damages and process claims, usually involving on-site inspections. Both roles are essential in the insurance industry but differ in work environment and responsibilities.

More about At Home Insurance Verification jobs
What cities are hiring for At Home Insurance Verification jobs? Cities with the most At Home Insurance Verification job openings:
What are the most commonly searched types of Insurance Verification jobs? The most popular types of Insurance Verification jobs are:
What states have the most At Home Insurance Verification jobs? States with the most job openings for At Home Insurance Verification jobs include:
Infographic showing various At Home Insurance Verification job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 69% Full Time, 23% Part Time, 1% Temporary, and 6% Contract. Highlights an 100% Physical job distribution, with an average salary of $39,247 per year, or $18.9 per hour.
Insurance Verification

Insurance Verification

Urology San Antonio

San Antonio, TX • On-site

$14.75 - $18.75/hr

Full-time

Medical

Posted 5 days ago


Job description

The Insurance Verification teammate is responsible for ensuring scheduled procedures are on the patient's insurance-covered list and/or the patient meets self-pay criteria. The Insurance Verification teammate will be responsible for verifying insurance coverage, eligibility, and benefits, obtaining authorizations and pre-certs as required by the individual insurance company. The teammate will verify that all scheduled procedures are on the ASC procedure listing. The Insurance Verifier will be familiar with and understand Medicare, Medicaid, other government payers, and Commercial and HMO/PPO Payers' guidelines and principles.
The Insurance Verification teammate will be responsible for calculating co-insurance estimates per the payer contract as applicable and amounts due from self-pay patients are according to the center's self-pay guidelines, Policies, and Procedures. The teammate will enter the verification, eligibility, and benefits information in the patient accounting system including the date, time, and method used to obtain the verification/eligibility information for each patient. The documentation will include the amount expected from the patient on or before the date of service.
The Insurance Verification Clerk is responsible for communicating insurance benefit information and financial responsibility to each patient during a Pre-Registration Financial Orientation call prior to the date of service. The verifier is responsible for verifying the patient demographic and insurance information along with subscriber information and secondary insurance as applicable during the Pre-Registration Financial Orientation call.
PASTEUR PLAZA SURGERY CENTER strives to provide excellent customer service to all patients and physicians by promptly, accurately, and efficiently verifying insurance, self-pay accounts, and notification to patients prior to the date of service.
Position Reports to Business Office Manager
Position Supervises: None
Degree of Supervision Provided to Position:
  • Minimal and according to management guidance, must be self-directed and able to work independently.

Education, Experience, and Licensure:
  • Associate degree or equivalent from a two-year college or technical school; or six months to one year experience in a medical office, hospital, outpatient surgery center, or related field; Computer experience, Excel, Word, Medical Applications; Self-starter, Good Phone etiquette.

Internal Relationship (Works closely with):
  • As a representative of Pasteur Plaza Surgery Center, all comments, attitudes, actions, and behaviors have a direct effect on the Facility's image and perceptions of quality service. Interaction with patients, families, physicians, referral sources, affiliating schools, visitors, volunteers, co-workers, supervisors, vendors, etc. must be in a manner that is friendly, supportive, courteous, respectful, cooperative, and professional. This behavior should promote an atmosphere of teamwork, which is congruent with Facility standards and guidelines to promote positive relations.

Job Requirements:
Skills and Abilities
Insurance Verification:
  1. Verify that sufficient information is available for accurate verification and eligibility. This step may require direct contact with the physician's office and/or the patient.
  2. Determine if secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance.
  3. Utilize the center's selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits, and/or pre-certs and authorization information.
  4. Enter the patient's Insurance information into the patient accounting system ensuring the selection is the appropriate payer and associated financial class. Ensure that the appropriate Electronic Billing number, Managed care network, and address are on the insurance profile.
  5. When the patient's insurance Js is Out of Network notify the manager Immediately. Follow the Policies and Procedures when accepting Network payers.
  6. PASTEUR PLAZA SURGERY CENTER's goal for each patient's insurance verification is complete and accurate. The insurance verifier will document the findings in the patient account and will contact the patient with either estimated co-insurance, co-pay, and or deductible amounts due on or before the date of service as applicable.
  7. The Insurance Verifier will call each patient as part of center compliance with CMS Conditions for Coverage guidelines in contacting patients prior to the date of service to review, Physician Ownership, Advance Directives, and Patient Rights.

Authorization:
  1. Obtain authorizations from insurance companies/physician offices. Ensure complete and accurate information is entered into the patient accounting system and the procedure scheduled, date of service, and facility name are on the authorization. Ensure the authorization has not expired.
  2. Enter authorization into the patient accounting system. Include the name/CPT codes effective date of the authorized procedures.
  3. Ensure high-cost Implant/supply or equipment rental Is included in the authorization.
  4. Check Insurance company-approved procedure lists/medical policies. If a procedure is not payable, notify the patient If a patient wants to proceed, obtain a signature on Medicare ABN or another non-covered notification form.

FinancialOrientation:
  1. Calculate co-pay and estimated co-insurance due from patients per the individual payer contract and plan as applicable.
  2. Acceptance of in-network benefits for out-of-network payers must be pre-approved by PASTEUR PLAZA SURGERY CENTER Compliance Dept.
  3. Be familiar with individual payer guidelines and the process of collecting over-the-counter payments/deductibles/co-pay/co-insurance. Knowledge of payer contracts including Medicare.
  4. Medicaid and other government contracts and guidelines and workmen's compensation fee schedule.
  5. Contact the patient and communicate the center's financial policy.

Clinical Quality:
  1. Communicates patient information to assure confidentiality and continuity of care.
    1. Documents all patient information according to established standards of care, policies, and procedures.
    2. Discusses patient information with other health team members in an appropriate environment.
  2. Interacts with all patients, families, visitors, and fellow employees in a mature, responsible manner to ensure apositive and professional facility environment.
    1. Displays a caring and responsive attitude and conducts all activities respecting patient, family, and employee rights and expectations.
    2. Maintains confidentiality of all facility and patient Information as required by facility policy.
  3. Considers age-specific needs in communication.

Teamwork/Accountability/Integrity:
  1. Utilizes time effectively.
  2. Follows estabf1Shed facility policies and procedures regarding attendance.
    1. Maintains attendance according to guidelines and policy established by the facility.
    2. Provides notification for unscheduled absences or tardiness in accordance with established departmental procedures as noted by supervisor.
    3. Requests scheduled time off according to the procedure as noted by the supervisor.
  3. Completes all documentation to ensure the availability of accurate and up-to-date information in accordance with established standards.
  4. Adheres to established facility safety requirements and procedures to ensure a safe working environment.
    1. Demonstrates competent usage of proper body mechanics in all activities.
    2. Identifies potentially unsafe situations and notifies supervisor.
    3. Completes all Teammate/patient event and Variance documentation in a thorough and timely manner, as required by policy.
    4. Demonstrates a complete understanding of established emergency procedures for the facility.
    5. Practices infection control, standard precautions, and universal precautions as instructed or trained.
    6. Maintains work area and equipment in a neat, organized manner.
  5. Completes appropriate financial management responsibilities.
    1. Provides input re: equipment needs/supply needs.
    2. Completes patient charges in accordance with facility procedure and per facility policy.
    3. Demonstrates sound cost containment techniques.
  6. Assists with housekeeping tasks as necessary to provide a safe environment for patients, teammates, physicians, and guests.
  7. Upholds and practices the principles and policies of the PASTEUR PLAZA SURGERY CENTER Compliance program.
  8. Performs all other duties as assigned by management.

Continuous Improvement:
  1. Attends staff meetings and demonstrates review of minutes for any meetings missed.
  2. Participates in scheduled performance appraisals and demonstrates dedication to ongoing performance improvement.
  3. Fosters a positive and professional facility environment by interacting with all persons IN A considerate, helpful, and courteous manner and by participating as a team member.
    1. Diffuses/resolves the conflict by appropriately communicating with those involved.
    2. Acceptsconstructive criticism and gives suggestions in a professional manner.
    3. Considers age-specific needs in communication.
  4. Maintains dress and appearance according to standards as observed by management.
  5. Demonstrates the safe operation of equipment and machinery and follows procedures for reporting and correcting an unsafe situation.
  6. Strives to be professional, courteous, helpful, and cooperative.
  7. Proficiency or Productivity Standards

ENVIRONMENTAL CONDITIONS:
Indoors in a climate-controlled environment. Patient care environment with potential exposure to unpleasant odors, to blood, and body fluids that may carry infection, infectious disease, and to chemical and electrical hazards.
PHYSICAL REQUIREMENTS:
Ability to answer the telephone; Ability to sit for long periods of time; Ability to lift 15 lbs.; Hand/finger agility necessary to typing and computer use; Good hearing, clear/articulate speech, and visual acuity.
MACHINES/EQUIPMENT USED:
All office machines including PCs, Copier, Fax, Phones, 10 Key, and Postage Meter