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Contract Insurance Verification Specialist Jobs (NOW HIRING)

Insurance Verification Specialist

Albuquerque, NM ยท On-site

$16.50 - $20.25/hr

ER&OP Admitting Registration Insurance Verification Specialist Join our team as a day shift, full-time ER&OP Admitting Registration Insurance Verification Specialist in Albuquerque, NM. Thrive in a ...

Insurance Verification Specialist Location: Brooklyn, NY Employment Type: Full-Time Schedule: Monday through Friday, Standard Business Hours Salary: Based on Experience Description A healthcare ...

Insurance Verification Specialist Quad City Gastroenterology has an immediate need for a full time Insurance Verification Specialist! At Quad City Gastroenterology, we believe health and care are ...

We are seeking a part time Insurance Verification Specialist with strong customer service and communication skills to verify patient insurance coverage and benefits for services provided in our ...

Insurance Verification Specialist

Dallas, TX ยท On-site

$16.75 - $20.75/hr

The Insurance Verification Specialist will be the first impression of the center to all patients, family members, and visitors. The Greeter will provide exceptional customer service and ensure all ...

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Contract Insurance Verification Specialist information

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

As of Sep 8, 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 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 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 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.

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Infographic showing various Contract Insurance Verification Specialist job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $39,247 per year, or $18.9 per hour.

Insurance Verification Specialist

Gastroenterology Consultants of Savannah

Savannah, GA โ€ข On-site

$15.75 - $19.50/hr

Full-time

Posted 13 days ago


Job description

Job Description
Insurance Verification Specialist
Job Title: Insurance Verification Specialist
Department: Billing
Immediate Supervisor Title: Billing Supervisor
General Summary: Review each day's schedule and verify insurance, updating patient and insurance demographics, and ensuring any necessary referrals are in place while following healthcare regulations.
Essential Job Responsibilities:
  1. Review current day's schedule to ensure there are no add ons or any unresolved eligibility issues.
  2. The eligibility goal is to stay five days ahead of the current business day
  3. Update or correct any insurances that run inactive or unverifiable in the system.
  4. Update or correct patient demographics when needed.
  5. Verify all Tricare Prime and UHC Medicare Dual Complete HMO plans have active referral on file.
  6. Complete any internal tasks, emails, and voicemails in a timely manner.
  7. Contact insurance companies, via phone or portal, for network participation and/or patient specific benefits
  8. Utilize our patient communication texting service, Klara, as needed
  9. Maintain HIPAA compliance and confidentiality standards
  10. Ensure office policies and procedures are followed
  11. Maintain good communication with patients, coworkers, and supervisors

Education: High School Diploma
Experience: Experience in multi-provider or specialty practice is preferred
Performance Requirements:
Knowledge:
  1. Knowledge of medical terminology and insurance processes
  2. Experience with Electronic Health Records (EHR) systems

Skills:
  1. Written and verbal communication skills.
  2. Customer service excellence
  3. Basic computer skills.
  4. Organizational skills

Abilities:
  1. Ability to maintain confidentiality
  2. Problem solving abilities

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.
Work Environment: Position is in a well-lit office environment.
Mental/Physical Requirements: Involves sitting approximately 90 percent of the day, walking or standing the remainder.