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Contract Insurance Verification Specialist Jobs (NOW HIRING)

Insurance Verification Specialist

Bend, OR ยท On-site

$22.30 - $30.11/hr

Insurance Verification Specialist REPORTS TO POSITION: Supervisor DEPARTMENT: Pre-Arrival Services DATE LAST REVIEWED: February 28, 2023 OUR VISION: Creating America's healthiest community, together ...

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Contract Insurance Verification Specialist information

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$12

$18

$26

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

As of Aug 7, 2026, the average hourly pay for contract insurance verification specialist 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 are some common challenges faced by contract insurance verification specialists, and how can they be addressed?

Contract Insurance Verification Specialists often encounter challenges such as navigating complex insurance policies, dealing with frequent updates to payer requirements, and managing high volumes of verifications under tight deadlines. Staying organized, maintaining up-to-date knowledge of insurance guidelines, and leveraging electronic verification tools can help address these obstacles. Strong communication skills are also essential, as the role involves frequent coordination with healthcare providers, insurance companies, and patients to resolve discrepancies efficiently.

What does a contract insurance verification specialist do?

A Contract Insurance Verification Specialist is responsible for verifying patients' insurance coverage and benefits before medical services are provided. They contact insurance companies, review policy details, and ensure that treatments are authorized and covered by the patient's plan. This role helps prevent billing issues and ensures that healthcare providers receive proper reimbursement. Specialists work closely with medical staff, billing departments, and insurance representatives to resolve discrepancies and provide accurate information about coverage.

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

To thrive as a Contract Insurance Verification Specialist, you need a strong understanding of health insurance policies, medical terminology, and verification procedures, often supported by experience in medical billing or healthcare administration. Familiarity with insurance verification software, electronic health records (EHR) systems, and payer portals is typically required. Attention to detail, effective communication, and problem-solving abilities are crucial soft skills for interacting with patients and payers. These skills ensure accurate coverage verification, reduce claim denials, and support efficient revenue cycle management in healthcare organizations.

What is the difference between Contract Insurance Verification Specialist vs Insurance Claims Processor?

AspectContract Insurance Verification SpecialistInsurance Claims Processor
CredentialsHigh school diploma or equivalent; certification in insurance verification (optional)High school diploma or equivalent; claims processing certification (optional)
Work EnvironmentHealthcare or insurance offices, remote optionsInsurance companies, healthcare facilities, remote options
Primary ResponsibilitiesVerify patient insurance coverage, confirm benefits, ensure eligibilityReview and process insurance claims, ensure accuracy, follow up on denials

The Contract Insurance Verification Specialist focuses on verifying insurance coverage and benefits before services are rendered, ensuring patient eligibility. In contrast, the Insurance Claims Processor handles the processing and follow-up of insurance claims after services are provided. Both roles require knowledge of insurance policies and work in similar environments, but their focus points differ in the patient verification versus claims management stages.

More about Contract Insurance Verification Specialist jobs
What cities are hiring for Contract Insurance Verification Specialist jobs? Cities with the most Contract Insurance Verification Specialist job openings:
What are the most commonly searched types of Insurance Verification Specialist jobs? The most popular types of Insurance Verification Specialist jobs are:
What states have the most Contract Insurance Verification Specialist jobs? States with the most job openings for Contract Insurance Verification Specialist jobs include:
Infographic showing various Contract Insurance Verification Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $39,247 per year, or $18.9 per hour.

Insurance Verification Specialist

Altru Health

Grand Forks, ND โ€ข On-site

$17.92 - $26.88/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


Job description

Insurance Verification Specialist

Everything we do is underscored by a why โ€” and that why is one another.

Location: Altru Health System PO Box 6002 Grand Forks, ND 58201 Pay Range: $17.92 - $26.88

Summary:

The Insurance Verification Specialist supports financial clearance through the accurate and timely verification of insurance and benefit information for patients at Altru Health System. The role is also responsible for obtaining and verifying current subscriber information and ensuring referral requirements are secure prior to service resulting in accurate claims and a smooth experience for patients. This position serves as a point of contact for peers in resolving questions or issues related to insurance to improve patient satisfaction and reduce registration and COB denials stemming from front-end activities.

Essential Job Functions:

  • Ensures and adheres to strict confidentiality when handling patient charts, records, and registration information.
  • Utilizes online systems, phone communication, and other resources to determine eligibility and benefits prior to the date of service.
  • Accurately identifies and assigns payer plans in the electronic medical record and notifies appropriate leaders of potential payer or RTE discrepancies in the system.
  • Reviews Medicare accounts for completed and accurate Medicare Secondary Payer Questionnaire (MSPQ) to ensure correct filing order for the visit.
  • Communicates with patients, clinicians, front-end staff, and translators to obtain any necessary additional or missing insurance or referral information.
  • Coordinates benefits by effectively determining primary and secondary liability when needed.
  • Alerts physician offices and patients to issues with verifying insurance or meeting referral requirements.
  • Holds proficient understanding of insurance terminology.
  • Assists in training new insurance verification staff and front-end staff on insurance verification processes.
  • Performs other duties as assigned or needed to meet the needs of the department/organization.

Education:

โ€ข Preferred: Associates - Healthcare

Work Experience:

โ€ข Required: A minimum of 1 year Related Experience

Language Requirements:

This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Physical Demands :

โ€ข Sit: Frequently (34-66%)โ€ข Stand: Occasionally (5-33%)โ€ข Walk: Occasionally (5-33%)โ€ข Stoop/Bend: Occasionally (5-33%)โ€ข Reach: Frequently (34-66%)โ€ข Crawl: Not Applicableโ€ข Squat/Crouch/Kneel: Occasionally (5-33%)โ€ข Twist: Occasionally (5-33%)โ€ข Handle/Finger/Feel: Continuously (67-100%)โ€ข See: Continuously (67-100%)โ€ข Hear: Continuously (67-100%)

Weight Demands:

โ€ข Lift -Floor to Waist Level: Sedentary (<10 pounds)โ€ข Carry: Sedentary (<10 pounds)โ€ข Push/Pull: Sedentary (<10 pounds)โ€ข Slide/Transfer: Sedentary (<10 pounds)

Working Conditions:

โ€ข Indoor: Continuously (67-100%)โ€ข Outdoor: Not Applicableโ€ข Extreme Temperature: Not Applicable

Driving Requirement Definitions:

  • Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
  • Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
  • Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
  • Infrequent Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position:

Infrequent Driver

Making a real difference. For one another.

To take the best care of our patients and community โ€” including friends, family, and neighbors โ€” we need people who are committed to growth, excellence, and one another.

At Altru, you'll find a culture where support and teamwork are at the heart of what we do. You'll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.

Join our team and be a part of a small community with a big heart.

Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)