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Benefit Verification Jobs in Virginia (NOW HIRING)

$18.20 - $23.68/hr

Overview Responsible for verifying insurance eligibility and benefits, obtaining authorizations and ... Verifies and/or obtains the necessary referral, authorization, or pre-certification prior to ...

$18.20 - $23.68/hr

Overview Responsible for verifying insurance eligibility and benefits, obtaining authorizations and ... Verifies and/or obtains the necessary referral, authorization, or pre-certification prior to ...

Business Analyst - Verification Engineer (QA) Company: BLN24 About Us: We find strength in teamwork ... BLN24 benefits are game changing. We like our team to play hard and that means they need to be ...

Member Data Verification Assistant (Contract) Industry: Insurance / Financial Services Location ... Benefits: This position is eligible for medical, dental, vision, and 401(k). About Our Client ...

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Benefit Verification information

See Virginia salary details

$11

$20

$39

How much do benefit verification jobs pay per hour?

As of Sep 5, 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 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 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 does a benefit verification specialist do?

A benefit verification specialist reviews and confirms patients' insurance coverage and benefits to ensure services are authorized and billed correctly. They communicate with insurance companies, verify eligibility, and maintain accurate records, often using specialized software. Attention to detail and knowledge of insurance policies are essential for this role.

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:

Infographic showing various Benefit Verification job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 20% Part Time, and 2% Contract. Highlights an 71% Physical, 1% Hybrid, and 28% Remote job distribution, with an average salary of $42,681 per year, or $20.5 per hour.

Benefit Programs Specialist

City of Charlottesville

Charlottesville, VA • On-site

$50K - $62K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 19 days ago


Job description

General Summary The Benefit Programs Specialist performs professional and administrative work involving the determination and redetermination of the eligibility of individuals applying for public assistance under federal, state and local government programs. Work is performed under the general supervision of and reports to a Benefits Program Supervisor or Family Services Supervisor. The preferred hiring amount is between $24.12 - $30.27 an hour ($50,169.60 - $62,961.60 annually)

Starting offer is based on applicable education, experience, and internal equity. This full-time, non-exempt position offers a comprehensive benefits package, including 13 paid holidays plus one floating holiday, vacation and sick leave, health insurance with employer contribution, employer-paid life insurance, gym membership reimbursement, tuition assistance, and professional development opportunities. This position is also eligible for the following benefits: Choice of retirement plan: Defined Benefit Pension Plan: Provides a monthly benefit upon retirement, calculated using a defined formula based on earnings history, years of service, and age.

The plan includes a 5-year vesting period and requires an employee contribution of 5% of salary. Defined Contribution 401a Plan: Employer makes fixed contributions to an individual account, which are invested, and returns are credited to the account. The account balance is used to provide retirement benefits.

Vesting occurs at 33% after one year, 67% after two years, and 100% after three years of service. No salary contribution is required. Voluntary 457 Deferred Compensation Plan Eligibility to purchase prior service credit under the Defined Benefit Plan The City of Charlottesville manages its own retirement system and does not participate in VRS; however, a Portability Agreement is available for eligible employees.

For additional details, please refer to the "Benefits" tab within this posting or visit the City's Employee Benefits webpage. Essential Responsibilities and Duties To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations will be considered to enable individuals with disabilities to perform the essential functions.

The essential functions of the job are not limited to those listed in the job description. The City retains the discretion to add to or change the duties of the position at any time. Conducts interviews with clients to secure and verify data on financial, medical and social.

vocational and employment needs and determines eligibility for all applicable financial and/or medical assistance programs (such as SNAP, TANF, Medicaid). Interprets, applies, and ensures compliance with federal, state and local policies and procedures; accurately and timely evaluates client eligibility for assistance (including emergency situations). Determines eligibility or ineligibility for assistance; re-determines eligibility for continuing assistance; determines benefit level; generates payments and notices to applicants.

Maintains contact with assigned clients to collect and verify information. Reviews information for accuracy, follows up on inconsistencies from client and/or other resources, and detects possible fraud making referrals to the Benefit Programs Investigator. Interacts with clients, co-workers, citizens, employers, financial institutions and community and state agencies to gather relevant data, answer questions and provide education on services and programs.

Completes applications to the Social Security Administration for children in foster care or receiving adoption services and updates documentation as needed. Completes case notes, changes in client/case information, and other data entry within departmental software accurately and timely; creates and maintains accurate documentation, reports, and logs following departmental guidelines. May visit clients' residence to collect and verify information; evaluates emergency situations.

Performs work with other agencies such but not limited to the Virginia Employment Commission, State Department of Social Services, Community Actions Agencies. Provides and explains other resources available and refers individuals to employment services and/or other community resources. May represent the Department at administrative or appeal hearings.

Required to respond upon activation from the City Manager of the Continuity of Operations Plan and/or Emergency Operations Plan. Must have the ability to be contacted and respond based on Department guidelines. Responsible for appropriate use and maintenance of City equipment, tools and other resources, including work time.

Regular and reliable attendance. Other Duties Performs additional duties to support operational requirements as apparent or assigned. Education, Experience and Skills Education and Experience: Candidates may qualify by demonstrating the required knowledge and skills outlined for the job through experience(s) other than formal education such as college.

High School diploma or GED AND 1 year of experience working with computer databases or case management databases, including customer service experience. OR An equivalent combination of education and experience may be considered in lieu of the specific requirements listed above. Preferred: Associate degree or higher in related field.

Experience working in human service/social services, determining eligibility for client services, particularly with benefit programs such as Medicaid, SNAP and/or other public assistance programs in the state of Virginia. Proficiency in speaking and writing in a second language. Certifications/Licenses/Other: Depending on assignment, may require a valid Virginia driver's license and acceptable driving record.

Required to successfully pass a pre-employment background check and pre-employment drug screen. Knowledge, Skills, Abilities and Other Characteristics Job Knowledge Knowledge of laws and programs to determine eligibility or ineligibility for assistance, re-determine eligibility for continuing assistance and determine benefit level. Knowledge of social and human services guidance, policies and best practices to respond to standard situations.

Knowledge of interviewing/counseling techniques, casework strategies, and the handling of diverse cases. Reading Intermediate: Ability to read, investigate, research, analyze, interpret, and follow complex written materials such as regulations, policies, data, and other information pertaining to benefit programs. Writing Intermediate: Ability to organize data, maintain accurate records, and write clear and concise reports, appeals, business letters, explanations, and summaries with proper format, punctuation, spelling, and grammar, using all parts of speech.

Math Intermediate: Ability to gather, work with, and understand number systems, simple formulas, practical application of fractions, percentages, ratios, analytical methods, and measurements. Communication Skills Intermediate: Establish and maintain effective working relationships with clients, families, co-workers, city staff, other agencies, and the public. Provide and receive standard information to others.

May include interactions that involve stressful, negative situations requiring significant tact and the ability to diffuse aggressive behavior and reach consensus. Requires recognizing different points of view to ensure understanding and appropriate response. Elements of persuasion may be necessary to gain cooperation and understanding.

Independence and Decision-Making Requires General Direction: Normally performs the job by following general instructions or established standard operating procedures and/or policies. There is some discretion when making decisions among a few easily identifiable choices of the appropriate procedure or policy to apply to duties. Provides information to supervisors to use in decision making.

Technical Skills Skilled: Comprehensive, practical knowledge of public assistance and other Social Services Programs and approaches, systems and tools to support clients; including federal, state and local financial and/or medical assistance programs (such as SNAP, TANF, Medicaid). Skill in the use of Microsoft Office applications and departmental software. Fiscal Responsibilities No budgetary or fiscal responsibilities.

Supervisory Responsibilities No responsibility for direction or supervision of others. Other Characteristics Organization and time management skills, sometimes under strict time constraints. Constant interruptions and requests for service.

Performs multiple tasks simultaneously. Works effectively with sensitive and confidential issues and information. Ability to establish relationships with a wide variety of people.

May require dealing with angry, frustrated and/or upset individuals. Physical Conditions & Additional Information Physical Demands: Sedentary: Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Must occasionally move about inside the office to access file cabinets, office machinery, etc.

Must constantly position self to maintain files in file cabinet. Must be able to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.

Ability to observe details at close range (within a few feet of the observer). Machines, Tools, Equipment, Software and Hardware: Typically requires use of standard office equipment and telephone, and related software and hardware; and any other equipment as appropriate or as assigned. Work Environment: Work is performed in an office environment where there may be exposure to computer screen for extended periods of time, monitor glare and dust.

Work may involve threatening and potentially dangerous settings and disturbing circumstances. The noise level is typically moderate. A pre-hire background check will be conducted on all candidates who are selected for employment with the Department of Social Services.

It will include a criminal record check and a child abuse/neglect registry search. Additionally, a driving record check and education verification may be conducted if applicable. Please note: The Charlottesville Department of Social Services is unable to hire any applicant, intern, or volunteer if the criminal record check reveals a conviction for, or arrest awaiting final disposition of a barrier crime as set forth in 63.2-1719 of the Code of Virginia

Please click here for the list of barrier crimes: http://law.lis.virginia.gov/vacode/63.2-1719/ The City of Charlottesville is an Equal Opportunity Employer and supports workforce diversity at all levels of the organization. The City prohibits discrimination on the basis of race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and pregnancy-related conditions), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by federal, state or local laws. The City is dedicated to this with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities, access to facilities and programs, and general treatment during employment

Requests for reasonable accommodation by individuals with disabilities may be requested by contacting Human Resources at (434) 970-3490 or hr@charlottesville.gov. The City of Charlottesville conducts job related background checks, reference checks, and pre-employment drug tests, in accordance with federal, state, and local law, of applicants who reach the final stages of the employment selection process. The City's policy has not changed because of the decriminalization of marijuana in the Commonwealth of Virginia

Marijuana remains an illegal drug under federal law, and it continues to be a violation of the US Department of Transportation regulations and the City's policy prohibiting employees from testing positive for marijuana.