ZipRecruiter

Log In

1

Benefit Verification Jobs (NOW HIRING)

previous page

Showing results 41-60

All JobsBenefit Verification Jobs

Benefit Verification information

See salary details

$12

$20

$39

How much do benefit verification jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for benefit verification in the United States is $20.70, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $21.88 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.
More about Benefit Verification jobs
What cities are hiring for Benefit Verification jobs? Cities with the most Benefit Verification job openings:
What states have the most Benefit Verification jobs? States with the most job openings for Benefit Verification jobs include:
What job categories do people searching Benefit Verification jobs look for? The top searched job categories for Benefit Verification jobs are:
Benefit Verification jobs near you
Infographic showing various Benefit Verification job openings in the United States as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 77% Physical, 1% Hybrid, and 22% Remote job distribution, with an average salary of $43,051 per year, or $20.7 per hour.

Pharmacy Benefits Verification Specialist

Onco360

Houston, TX • On-site

$24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

21st of 112 rated pharmacies

Job description

Are you someone looking for professional career growth? Onco360 Pharmacy is looking for Pharmacy Benefit Verification Specialists for our Pharmacy located in Houston, TX.
Shift times between 8am and 8pm.
Starting salary at $24HR and up
Sign-On Bonus: $5,000 for employees starting before September 30th, 2026.
We also offer quarterly incentive bonuses.
We offer a variety of benefits including:
  • Medical, Dental & Vision insurance
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Paid Volunteer Day
  • Floating Holiday
  • Referral Incentive
  • Paid Life, and short & long-term disability insurance

Pharmacy Benefit Verification Summary
The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders.
Pharmacy Benefit Verification Specialist Major Responsibilities:
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile.
  • Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.
  • Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.

Pharmacy Benefit Verification Specialist Qualifications:
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
  • Work Experience
    • Required: 1+ years pharmacy or benefit verification experience
    • Desired: 3+ years pharmacy or benefit verification experience
  • Skills/Knowledge:
    • Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.
  • Behavior Competencies
    • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skill

Onco360 is a Closed door specialty pharmacy that focuses on patients who are currently undergoing cancer treatment. Our patients are important to us, so we always strive to meet and exceed their needs. We are seeking Pharmacy Benefit Verification Specialists who go above and beyond for our patients, and also passionate about helping others.

What Onco360 employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply