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Freelance Insurance Eligibility Verification Jobs

Verify insurance eligibility; contact patients and departments with any negative outcomes * Assist billing with claims issues due to insurance authorization denials * Work closely with the clinical ...

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Freelance Insurance Eligibility Verification information

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$12

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$26

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

As of Jul 26, 2026, the average hourly pay for freelance insurance eligibility verification 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 the key skills and qualifications needed to thrive as a Freelance Insurance Eligibility Verification Specialist, and why are they important?

To excel as a Freelance Insurance Eligibility Verification Specialist, you need a strong understanding of healthcare insurance policies, medical billing procedures, and insurance terminology, often supported by experience in healthcare administration or billing. Familiarity with insurance portals, electronic health record (EHR) systems, and billing software is typically required. Attention to detail, strong communication, and problem-solving skills are critical soft skills for resolving discrepancies and interacting with providers or patients. Mastering these skills ensures accurate verification, reduces claim denials, and supports efficient revenue cycle management for healthcare organizations.

What does a Freelance Insurance Eligibility Verification specialist do?

A Freelance Insurance Eligibility Verification specialist is responsible for confirming a patient's insurance coverage and benefits before medical services are rendered. They work independently with healthcare providers, verifying patient information with insurance companies to ensure services will be covered and to determine any out-of-pocket costs. Their work helps prevent claim denials and billing issues, and they often communicate with both patients and medical staff to resolve eligibility questions. This role may involve using various insurance portals, phone calls, and maintaining accurate records for billing and compliance purposes.

What are some typical challenges faced by freelance insurance eligibility verification specialists and how can they be managed?

Freelance insurance eligibility verification specialists often encounter challenges such as navigating different insurance portals, staying updated on policy changes, and communicating effectively with both clients and insurance representatives. Managing these challenges requires strong organizational skills, the ability to quickly adapt to new systems, and proactive communication to clarify coverage details. Building a network of contacts within insurance companies and staying current on industry updates can also help streamline the verification process and reduce errors.
More about Freelance Insurance Eligibility Verification jobs
What cities are hiring for Freelance Insurance Eligibility Verification jobs? Cities with the most Freelance Insurance Eligibility Verification job openings:
What are the most commonly searched types of Insurance Eligibility Verification jobs? The most popular types of Insurance Eligibility Verification jobs are:
What states have the most Freelance Insurance Eligibility Verification jobs? States with the most job openings for Freelance Insurance Eligibility Verification jobs include:
Infographic showing various Freelance Insurance Eligibility Verification job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $40,625 per year, or $19.5 per hour.
Specialist, Eligibility Verification

Specialist, Eligibility Verification

Pediatric Associates

San Pedro, CA โ€ข On-site

Full-time

Posted 14 days ago


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.