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How much do contract insurance eligibility verification jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for contract insurance eligibility verification in the United States is $18.87, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.19 per hour, depending on experience, location, and employer.

What is the difference between Contract Insurance Eligibility Verification vs Insurance Verification Specialist?

AspectContract Insurance Eligibility VerificationInsurance Verification Specialist
CredentialsTypically requires insurance or healthcare-related certificationsOften requires similar certifications, such as medical billing or coding
Work EnvironmentHealthcare facilities, insurance companies, or third-party billing servicesHospitals, clinics, or insurance providers
Employer & IndustryHealthcare industry, insurance companies, third-party administratorsHealthcare providers, insurance companies
Search & Comparison IntentUnderstanding specific contract verification processes vs general insurance verification

Contract Insurance Eligibility Verification focuses on verifying patient coverage based on contractual agreements, often involving detailed contract terms. Insurance Verification Specialist handles broader insurance coverage checks, including eligibility, benefits, and pre-authorizations. Both roles require similar certifications and work in healthcare settings, but Contract Insurance Eligibility Verification emphasizes contractual details, while Insurance Verification Specialists focus on general insurance coverage.

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Contract Insurance Eligibility Verification jobs near you
Infographic showing various Contract Insurance Eligibility Verification job openings in the United States as of June 2026, with employment types broken down into 8% As Needed, 47% Full Time, 40% Part Time, 1% Temporary, 2% Contract, and 2% Nights. Highlights an 80% Physical, 2% Hybrid, and 18% Remote job distribution, with an average salary of $39,247 per year, or $18.9 per hour.

Specialist, Eligibility Verification

Pediatric Associates

San Pedro, CA • On-site

Full-time

Posted yesterday

Job description

Pediatric Associates was founded in Hollywood, FL in 1955. The same clinician-led, evidence-based, medical home passion is a unifying driver for those who join Pediatric Associates Family of Companies. The Pediatric Associates Family of Companies is a growing team of Pediatricians and Pediatric Care Teammates who are excited to be part of the first nationwide Pediatric Primary Care Medical Home. We further our uniqueness by ensuring the clinician voice is leading our medical home innovations.
PRIMARY FUNCTION: Verify insurance eligibility for future patient appointments, document eligibility notes and perform patient outreach as needed, providing excellent customer service
ESSENTIAL FUNCTIONS OF THE JOB: (This list may not include all of the duties that may be assigned.)
  1. Follow Pediatric Associates Eligibility Verification Quality Checklist to determine insurance eligibility
  2. Review patient insurance for future appointments and identify eligibility requirements based on health plan
  3. Use all available resources to determine insurance eligibility (e.g. system, web portals, phone)
  4. Update patient insurance details accurately
  5. Identify eligibility issues, communicate them to patients/parents and accurately document action taken
  6. Complete all assigned appointments efficiently, within the expected timeframe
  7. Communicate with office location via e-mail, Microsoft Teams and/or phone to coordinate patient callbacks for appointment rescheduling
  8. Communicate effectively with supervisor, escalating issues as needed
  9. Meet productivity standards as determined

PERFORMANCE REQUIREMENTS:
Education: High School Diploma or equivalent.
Experience: 1-2 years experience preferred. Must be detail-oriented and able to efficiently complete a high-volume of tasks using many different sources. Excellent documentation skills required.
Typical Working Conditions:Working in a professional office environment. The position requires ability to sit for long periods of time. Clear and concise communication using e-mail and phone is necessary. May require sitting or standing for long periods, including stooping, bending & stretching. Requires, occasional lifting of files and boxes weighing up to 25 lbs. Requires manual dexterity sufficient to operate a keyboard, type at 35 wpm, operate copier, and other office equipment as necessary.
The Pediatric Associates Family of Companies an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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