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Benefits Verification Representative Jobs (NOW HIRING)

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TTF is recruiting for an Authorizations/Insurance Verification Representative for a growing client ... pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health ...

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Benefits Verification Representative information

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$12

$19

$26

How much do benefits verification representative jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for benefits verification representative in the United States is $19.53, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.91 per hour, depending on experience, location, and employer.

What are Benefits Verification Representatives?

Benefits Verification Representatives are professionals who help patients, healthcare providers, or pharmacies determine and confirm patients’ insurance coverage for medical treatments, procedures, or medications. They contact insurance companies to verify what benefits are available, explain coverage details, and identify any out-of-pocket costs or pre-authorization requirements. Their work ensures that patients receive care smoothly and understand their financial responsibilities before services are provided.

What are some common challenges Benefits Verification Representatives face and how can they overcome them?

Benefits Verification Representatives often encounter challenges such as navigating complex insurance policies, managing high call volumes, and dealing with frequent policy updates. To overcome these, it helps to stay organized, maintain up-to-date knowledge of insurance procedures, and communicate clearly with both patients and insurance companies. Building strong relationships with colleagues in billing and clinical teams can also streamline the verification process and help resolve issues quickly.

What are the key skills and qualifications needed to thrive as a Benefits Verification Representative, and why are they important?

To thrive as a Benefits Verification Representative, you need a solid understanding of health insurance processes, medical terminology, and data entry, often supported by a high school diploma or equivalent. Familiarity with benefits verification software, healthcare databases, and CRM systems is typically required. Strong attention to detail, problem-solving abilities, and effective communication help you excel when interacting with patients, providers, and insurance companies. These skills are essential to ensure accurate benefit verification, prevent costly errors, and provide timely support to patients navigating their insurance coverage.

What is the difference between Benefits Verification Representative vs Insurance Claims Specialist?

AspectBenefits Verification RepresentativeInsurance Claims Specialist
CredentialsHigh school diploma or equivalent; some roles may require certification in healthcare or insuranceHigh school diploma; certifications like CPC or CCA may be preferred
Work EnvironmentHealthcare offices, hospitals, insurance companiesInsurance companies, healthcare facilities, claims processing centers
Job FocusVerifying patient benefits, insurance coverage, and eligibilityProcessing, reviewing, and adjudicating insurance claims
Common UsageHealthcare and insurance industriesInsurance industry, healthcare providers

The Benefits Verification Representative primarily focuses on confirming patient insurance coverage and eligibility, ensuring smooth billing processes. In contrast, the Insurance Claims Specialist handles the processing and resolution of insurance claims after services are provided. Both roles require knowledge of insurance policies and strong attention to detail, but they differ in their specific responsibilities within the healthcare and insurance sectors.

More about Benefits Verification Representative jobs
What states have the most Benefits Verification Representative jobs? States with the most job openings for Benefits Verification Representative jobs include:
Infographic showing various Benefits Verification Representative job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, and 4% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $40,625 per year, or $19.5 per hour.
Insurance Verification Representative

Insurance Verification Representative

Medix

Lees Summit, MO

$21 - $23/hr

Contractor

Retirement

Posted 5 days ago


Job description

Insurance Verification & Scheduling Coordinator

Location: Lee's Summit, MO (Primarily onsite at our Lee's Summit clinic, with flexibility for coverage at our Overland Park, KS location 1-2 times per month)

Position Type: Contract-to-Hire

Pay Rate: $21.00 - $23.00/hour (dependent on experience; 4+ years required for the upper end of the range)

Schedule: Monday - Friday, 8:00 AM - 4:30 PM or 8:30 AM - 5:00 PM. (Must have flexibility to occasionally open the center as early as 5:00 AM or 6:00 AM for front desk backup).


About the Role

We are a growing, dynamic Ambulatory Surgery Center (ASC) dedicated to providing exceptional, patient-first care. We are seeking a highly motivated, proactive Insurance Verification & Scheduling Coordinator to join our business office team.

This role is ideal for a sharp, independent multi-tasker who loves the details. You will focus heavily on navigating the insurance landscape-verifying coverage, securing authorizations, and helping patients understand their financial responsibilities-while serving as a vital collaborative backup for our front-desk scheduling operations. If you are a self-starter who thrives in a fast-paced medical environment and doesn't need to be micromanaged, you'll fit right in.


Why You'll Love Working Here
  • Work-Life Balance: No holidays, no weekends, and no night shifts.

  • Growth Potential: We are a young, fast-growing center with plenty of room for professional development and career advancement.

  • Great Benefits: Upon permanent conversion, you will receive a comprehensive benefits package including a robust 401(k) plan with company matching.


Key Responsibilities
  • Insurance Navigation: Perform detailed insurance verifications and secure mandatory prior authorizations/pre-certifications before surgery dates.

  • Financial Communication: Reach out to patients pre-operatively to discuss insurance benefits, out-of-pocket costs, deductibles, and co-payments, or to establish payment plans.

  • Coding & Reimbursement: Utilize your understanding of CPT codes, diagnosis codes, and managed care contracts to ensure accuracy and maximize reimbursement efficiency.

  • Scheduling Backup: Act as a dynamic backup for the front desk scheduling module, managing incoming calls, coordinating patient flow, and adjusting to fluctuating surgeon demands.

  • Team Collaboration: Maintain a professional, welcoming environment in the lobby and work closely with medical staff to communicate cancellations, schedule adjustments, or special requests.


What We're Looking For (Requirements)
  • Experience: Minimum of 2 years of experience in medical insurance verification, managed care, or surgery scheduling.

  • Insurance Expertise: Strong working knowledge of Medicare, Blue Cross, UnitedHealthcare (UHC), and other major commercial/managed care insurance carriers.

  • Technical Savvy: Solid understanding of CPT codes, ICD-10 diagnosis codes, and contract reimbursements.

  • Mindset: A proactive, self-motivated attitude. We value independent workers who can spot a need and address it without waiting for instruction.

  • Core Skills: Exceptional multi-tasking abilities, sharp critical thinking, strong attention to detail, and a warm but professional phone presence.

  • Education: High school diploma or equivalent.


Nice-to-Haves (Preferred, but not required)
  • Prior experience working specifically within an Ambulatory Surgery Center (ASC) or a high-volume physician specialist office.

  • Deep "insurance intelligence" regarding contract reimbursement nuances.


Physical Requirements & Environment
  • Ability to sit for extended periods at a computer workstation, as well as move throughout the clinic (walking, standing, bending) to assist patients.

  • Ability to occasionally lift up to 50 lbs if helping with front office or equipment adjustments.

  • Comfortable working in a climate-controlled clinical environment with moderate noise (phones, pages, equipment alarms).

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.
Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Medix Staffing Solutions logo

About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US