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Benefit Verification Jobs in Virginia (NOW HIRING)

Sentara Healthcare

Insurance Verification Rep

Norfolk, VA · On-site

$16.50 - $21.25/hr

Insurance Verification Representative Performs insurance verification for all scheduled patient ... Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption ...

Sentara

Insurance Verification Rep

Norfolk, VA

$10K/mo

Insurance Verification Representative Performs insurance verification for all scheduled patient ... Benefits: Caring For Your Family and Your Career Medical, Dental, Vision plans Adoption, Fertility ...

Sentara

Insurance Verification Rep

Norfolk, VA

$16.50 - $21.25/hr

Insurance Verification Representative Performs insurance verification for all scheduled patient ... Benefits: Caring For Your Family and Your Career Medical, Dental, Vision plans Adoption, Fertility ...

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All JobsBenefit Verification JobsBenefit Verification Jobs in Virginia

Benefit Verification information

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How much do benefit verification jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for benefit verification in Virginia is $20.52, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $21.68 per hour, depending on experience, location, and employer.

What is a benefit verification specialist?

Benefit verification specialists are professionals who confirm and validate a patient's insurance coverage and benefits before services are provided. They work with insurance companies, healthcare providers, and patients to ensure that medical procedures, medications, or treatments are covered under the patient’s health plan. Their role helps prevent unexpected costs, clarifies coverage details, and ensures smooth billing processes for both patients and providers.

What is the difference between Benefit Verification vs Benefit Specialist?

AspectBenefit VerificationBenefit Specialist
CredentialsTypically requires basic healthcare or insurance knowledge, sometimes certification in healthcare administrationRequires similar credentials, often with additional experience in benefits management
Work EnvironmentHealthcare offices, insurance companies, hospitalsInsurance companies, healthcare organizations, benefits departments
Job FocusVerifying patient or client benefits, eligibility, and coverage detailsManaging, analyzing, and processing employee or client benefits

Benefit Verification specialists primarily focus on confirming coverage details for patients or clients, ensuring accurate and timely information. Benefit Specialists handle broader benefits management, including enrollment, claims, and policy interpretation. While both roles require healthcare or insurance knowledge, Benefit Verification is more about data validation, whereas Benefit Specialists manage overall benefits programs.

What are the key skills and qualifications needed to thrive as a benefit verification specialist?

To thrive as a Benefit Verification Specialist, you generally need knowledge of insurance processes, familiarity with medical terminology, and experience in healthcare administration or a related field. Proficiency in benefit verification platforms, electronic health records (EHR) systems, and insurance portals is typically required. Strong attention to detail, effective communication, and problem-solving abilities are crucial soft skills for this role. These skills ensure accurate insurance verification, minimize claim denials, and support smooth patient access to care.

What are some common challenges faced in a benefit verification specialist role, and how can they be addressed?

Benefit Verification specialists often encounter challenges such as navigating complex insurance policies, managing tight deadlines for patient authorizations, and staying updated on frequently changing payer requirements. Effective communication with insurance companies and healthcare providers, attention to detail, and strong organizational skills are essential for overcoming these hurdles. Many specialists find that building relationships with payers and utilizing robust tracking systems help streamline the process and minimize errors.
What are popular job titles related to Benefit Verification jobs in Virginia? For Benefit Verification jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Benefit Verification jobs in Virginia look for? The top searched job categories for Benefit Verification jobs in Virginia are:
Benefit Verification jobs near you
Infographic showing various Benefit Verification job openings in Virginia as of August 2026, with employment types broken down into 84% Full Time, 13% Part Time, and 3% Contract. Highlights an 77% Physical, 1% Hybrid, and 22% Remote job distribution, with an average salary of $42,681 per year, or $20.5 per hour.

Specialty - Verification & Authorization Specialist

ContinuumRx

Chantilly, VA • On-site

$17.50 - $21.50/hr

Other

Medical

Re-posted 20 days ago

Job description

Job Summary:
The Verification Specialist - Specialty role is responsible for processing benefit verification and authorization responsibilities of specialty patient
accounts.
Roles and Responsibilities:
  • Verifies benefit coverage and as appropriate, financial responsibility.
  • Creates Insurance Benefit Summary (IBS) documents, as needed
  • Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in accordance with the insurance eligibility/coverage information provided by payor at time of insurance verification
  • Obtains prior authorization for specialty therapies
  • Review, process, and follow to completion the requirement of obtaining prior authorization for services. This excludes PBM authorizations.
  • Coordinates with the Intake Specialists and the Clinical Review Team to identify and process requests for services requiring Prior Authorization and/or Pre-Determination for services rendered.
  • Documents all patient interaction in EMR as a billing note
  • Serves as a resource and problem resolution expert for patients, Intake and Sales
  • As needed, verifies insurance coverage and eligibility through payor websites, E1 check, or by calling the payor directly. Documents information in EMR and communicates as appropriate to team members
  • Assists with Ready To Bill (RTB) as appropriate
  • Performs other duties and special projects, as assigned
Qualifications and Experience:
Required:
  • 2 or more years of experience in healthcare. reimbursement with focus on insurance verification and authorizations
  • Experience with coordination of benefits, including but not limited to HMO, PPO, TPA, state and federal payors; preferred but not required
  • Prior work in specialty or home infusion, homecare or related field; preferred but not required.
  • Strong computer skills (Microsoft Word, Excel, PowerPoint)
  • Exceptional communication - verbal and written
  • Exceptional interpersonal skills
  • Exceptional organizational and process skills
  • Ability to work well under pressure, meet timelines, and completes assigned projects
  • Exceptional critical thinking and problem solving skills
  • Proven performance, history in related field
  • Exceptional attention to detail and demonstrated results
  • Exceptional track record of customer satisfaction

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