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Backend Insurance Verification Jobs in Exton, PA

Health insurance * Dental benefits * Vision benefits * Unlimited paid time off About Zero21 As ... verification signals in application materials based on available information. These tools assist ...

Health insurance * Dental benefits * Vision benefits * Unlimited paid time off About Zero21 As ... verification signals in application materials based on available information. These tools assist ...

Xactus (pronounced 'Zac-tus') is the leading verification innovator for the mortgage industry. We ... Backend API Development: Build production FastAPI services for GenAI features. Implement async ...

Establish consistent front-end and back-end revenue workflows * Identify, quantify, and remediate ... Support evaluation and potential transition of cash-pay services to insurance-based models (e.g ...

Backend Insurance Verification information

See Exton, PA salary details

$11

$55

$81

How much do backend insurance verification jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for backend insurance verification in Exton, PA is $55.72, according to ZipRecruiter salary data. Most workers in this role earn between $45.72 and $65.91 per hour, depending on experience, location, and employer.

What is the difference between Backend Insurance Verification vs Front Desk Insurance Verification?

AspectBackend Insurance VerificationFront Desk Insurance Verification
Primary ResponsibilitiesProcessing insurance claims, verifying coverage electronically, and handling billing issuesChecking insurance information at patient check-in, collecting documents, and initial verification
Work EnvironmentOffice-based, often in billing or administrative departmentsFront desk, reception area, patient check-in stations
Required CredentialsKnowledge of insurance policies, billing software, and healthcare regulationsBasic insurance knowledge, customer service skills, and administrative training
Common UsageUsed in billing departments for detailed claim processingUsed at the point of patient intake for initial verification

Backend Insurance Verification involves processing insurance claims and verifying coverage electronically within billing departments, while Front Desk Insurance Verification focuses on initial patient insurance checks at the front desk. Both roles require insurance knowledge but differ in responsibilities and work environment.

What job categories do people searching Backend Insurance Verification jobs in Exton, PA look for?

The top searched job categories for Backend Insurance Verification jobs in Exton, PA are:

Infographic showing various Backend Insurance Verification job openings in Exton, PA as of July 2026, with employment types broken down into 1% As Needed, 69% Full Time, 25% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $115,901 per year, or $55.7 per hour.

Patient Account Representative

Lawall Prosthetic and Orthotic Services

Wilmington, DE • On-site

$17.50 - $23/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago


Job description

Patient Account Representative (Back-End Processing) – Prosthetics amp; Orthotics Medical Office
Job Type: Full-Time
Location: Wilmington, Delaware
Position Summary
We are seeking a detail-oriented and organized Patient Account Representative to join our Prosthetics and Orthotics (P amp;O) team. This position is responsible for the back-end processing of patient accounts, ensuring all documentation, insurance requirements, and billing paperwork are complete and accurate before patients can receive their devices and claims are submitted. The ideal candidate is highly organized, enjoys working behind the scenes, and has experience navigating insurance and medical documentation in a fast-paced healthcare environment.
Key Responsibilities
  • Review patient files for completeness and accuracy before claim submission.
  • Verify and obtain required documentation, including physician orders, clinical notes, and Letters of Medical Necessity (LMNs).
  • Process insurance authorizations and ensure all payer-specific requirements are met.
  • Prepare and organize documentation for billing and reimbursement.
  • Follow up with physicians' offices, patients, and insurance companies to obtain missing information.
  • Monitor outstanding documentation and resolve deficiencies promptly.
  • Maintain accurate electronic patient records in compliance with HIPAA regulations.
  • Work closely with clinicians, front office staff, and billing personnel to ensure timely processing of patient accounts.
  • Assist with claim corrections, denials, and appeals by gathering supporting documentation.
  • Perform other administrative duties as assigned.
Qualifications
  • High school diploma required
  • Minimum of 1–2 years of experience in medical office administration, medical billing, insurance verification, or patient accounts preferred.
  • Experience with prosthetics and orthotics, durable medical equipment (DME), or healthcare reimbursement is highly desirable and a Plus, but not necessary.
  • Knowledge of Medicare, Medicaid, and commercial insurance guidelines is a plus.
  • Strong attention to detail and organizational skills.
  • Excellent written and verbal communication skills.
  • Proficient with electronic medical records (EMR) systems and Microsoft Office applications.
  • Ability to prioritize multiple tasks while meeting deadlines.
  • Commitment to maintaining patient confidentiality and HIPAA compliance.
Preferred Skills
  • Familiarity with medical terminology.
  • Experience working with insurance authorizations and documentation requirements.
  • Strong problem-solving and analytical skills.
  • Ability to work independently and collaboratively within a team.
Benefits
  • Competitive salary
  • Health, dental, and vision insurance
  • Paid time off and holidays
  • Retirement plan with employer contribution
  • Supportive team environment
Why Join Our Team?
Our company is dedicated to improving the lives of patients through high-quality prosthetic and orthotic care. As a Patient Account Representative, you'll play a vital role in ensuring patients receive the coverage and services they need by keeping documentation and insurance processes running smoothly. Your attention to detail directly contributes to excellent patient care and the financial health of our practice.