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Health Insurance Verification Jobs in California

The Insurance Specialist is primarily responsible for obtaining and tracking insurance verification and authorization/re-authorization for home health care services for new or existing patients in ...

Insurance Specialist

Burbank, CA · Remote

$20 - $35/hr

The Insurance Specialist is primarily responsible for obtaining and tracking insurance verification and authorization/re-authorization for home health care services for new or existing patients in ...

Insurance Specialist

Anaheim, CA · Remote

$20 - $35/hr

The Insurance Specialist is primarily responsible for obtaining and tracking insurance verification and authorization/re-authorization for home health care services for new or existing patients in ...

The Insurance Specialist is primarily responsible for obtaining and tracking insurance verification and authorization/re-authorization for home health care services for new or existing patients in ...

The Insurance Specialist is primarily responsible for obtaining and tracking insurance verification and authorization/re-authorization for home health care services for new or existing patients in ...

Insurance Specialist

Fullerton, CA · Remote

$20 - $35/hr

The Insurance Specialist is primarily responsible for obtaining and tracking insurance verification and authorization/re-authorization for home health care services for new or existing patients in ...

Insurance Specialist

Cerritos, CA · Remote

$20 - $35/hr

The Insurance Specialist is primarily responsible for obtaining and tracking insurance verification and authorization/re-authorization for home health care services for new or existing patients in ...

The Insurance Specialist is primarily responsible for obtaining and tracking insurance verification and authorization/re-authorization for home health care services for new or existing patients in ...

Showing results 21-40

Health Insurance Verification information

What is health insurance verification?

Health insurance verification is the process of confirming a patient's health insurance coverage and benefits before medical services are provided. This step ensures that the patient’s policy is active, determines what services are covered, and identifies any co-pays, deductibles, or pre-authorization requirements. Accurate insurance verification helps prevent billing issues and unexpected costs for both the patient and the healthcare provider. It is typically performed by healthcare administrative staff or billing specialists.

What are the key skills and qualifications needed to thrive in health insurance verification, and why are they important?

Success in Health Insurance Verification requires knowledge of insurance policies, benefits, and medical billing, often supported by experience in healthcare administration or a related field. Familiarity with health information systems, patient management software, and insurance portals is typically necessary. Attention to detail, strong organizational skills, and effective communication set top performers apart in this role. These skills ensure accurate verification, prevent billing errors, and facilitate smooth patient access to care.

What are some common challenges faced in a health insurance verification role, and how can they be managed?

Professionals in Health Insurance Verification often encounter challenges such as navigating complex insurance policies, managing frequent changes in coverage, and communicating effectively with both patients and insurance representatives. Staying organized and keeping up-to-date with policy changes are crucial for success. Building strong relationships with healthcare providers and insurance contacts can help resolve verification issues more efficiently, and leveraging electronic health record (EHR) systems can streamline the verification process.

What is the difference between Health Insurance Verification vs Insurance Claims Specialist?

AspectHealth Insurance VerificationInsurance Claims Specialist
Primary RoleVerify patient insurance coverage and eligibilityProcess and manage insurance claims for reimbursement
Work EnvironmentHealthcare facilities, insurance companies, medical officesInsurance companies, healthcare providers, billing departments
Required CredentialsHigh school diploma, knowledge of insurance policiesHigh school diploma, billing or coding certifications often preferred

Health Insurance Verification focuses on confirming patient coverage before services, while Insurance Claims Specialists handle the processing of claims after services are provided. Both roles are essential in healthcare billing but differ in their specific functions and timing within the revenue cycle.

How do you become a health insurance verification specialist?

To become a health insurance verification specialist, candidates typically need a high school diploma or equivalent and should develop skills in medical billing, coding, and insurance policies. Relevant certifications, such as the Certified Healthcare Access Associate (CHAA), can enhance job prospects, and familiarity with insurance verification software is often required.

Is it hard to learn health insurance verification?

Health Insurance Verification is a clerical role that involves understanding insurance policies, patient information, and verification procedures. It typically requires attention to detail, familiarity with insurance terminology, and the use of verification tools or software, but it is generally considered manageable to learn with proper training and practice.

What skills do you need to be a health insurance verification specialist?

A health insurance verification specialist needs strong attention to detail, excellent communication skills, and knowledge of insurance policies and billing procedures. Proficiency with computer systems and data entry, along with the ability to interpret insurance benefits and eligibility information, is essential for accurate verification. Familiarity with healthcare regulations and certifications such as HIPAA compliance can also be beneficial.

What job categories do people searching Health Insurance Verification jobs in California look for?

The top searched job categories for Health Insurance Verification jobs in California are:

Infographic showing various Health Insurance Verification job openings in California as of August 2026, with employment types broken down into 2% As Needed, 80% Full Time, 13% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Insurance Verifier - Central Sched

Providence Health & Service

Tarzana, CA • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

Description

The Insurance Verifier is responsible for securing appropriate patient account reimbursement by obtaining complex demographic, insurance, and medical information, identifying services requiring authorization for treatment and referral information.

Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Tarzana Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required qualifications:

  • California Fire and Life Safety Card - National Organization within 30 days of hire
  • 1 year of experience in customer service or healthcare registration.
  • Clerical and computer experience.
  • Experience with State, Federal and other regulatory Compliance Regulations, including: Medicare Secondary Payer, EMTALA, and ABN.

Preferred qualifications:

  • Coursework/Training: 2 years of college level coursework.
  • Coursework/Training: Completion of college level medical terminology or Medical Assistant course.
  • CHAA upon hire.
  • Healthcare experience in a hospital or clinical setting, health insurance or medical office or previous registrar, verification or third party payer experience.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 440798

Company: Providence Jobs

Job Category: Administrative Support

Job Function: Administration

Job Schedule: Per-Diem

Job Shift: Day

Career Track: Admin Support

Department: 7004 PCSTMC CENTRAL SCHED

Address: CA Tarzana 18321 Clark St

Work Location: Providence Cedars-Sinai Tarzana Medical Ctr-Tarzana

Workplace Type: On-site

Pay Range: $31.93 - $31.93

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.