ZipRecruiter

Log In

1

Health Insurance Verification Jobs in Pennsylvania

clh

Insurance Verification Coordinator

Valencia, PA · On-site

Enjoy a healthy work-life balance with our generous PTO policy. What are we looking for in an Insurance Verification Coordinator? The ideal candidate will be detail-oriented, a critical thinker, and ...

clh

Insurance Verification Coordinator

Valencia, PA · On-site

Enjoy a healthy work-life balance with our generous PTO policy. What are we looking for in an Insurance Verification Coordinator? The ideal candidate will be detail-oriented, a critical thinker, and ...

Amsurg

Verification Specialist

Allentown, PA

You must possess a HS school diploma/GES, previous experience in health insurance verification/billing (preferred), and knowledge of Microsoft Word/Excel. If you are interested in working in an ...

AMSURG

Verification Specialist

Allentown, PA · On-site

You must possess a HS school diploma/GES, previous experience in health insurance verification/billing (preferred), and knowledge of Microsoft Word/Excel. If you are interested in working in an ...

AMSURG

Verification Specialist

Allentown, PA · On-site

You must possess a HS school diploma/GES, previous experience in health insurance verification/billing (preferred), and knowledge of Microsoft Word/Excel. If you are interested in working in an ...

Community Health Net

Insurance Liaison

Erie, PA · On-site

$13.84 - $16.50/hr

... Health Center (FQHC) and various insurance providers. This position is responsible for managing ... Essential Duties and Responsibilities Insurance Verification: -Verify patients' insurance coverage ...

Community Health Net

Insurance Liaison

Erie, PA · On-site

$13.84 - $16.50/hr

... Health Center (FQHC) and various insurance providers. This position is responsible for managing ... Essential Duties and Responsibilities Insurance Verification: -Verify patients' insurance coverage ...

Community Health Net

Insurance Liaison

Erie, PA · On-site

$13.84 - $16.50/hr

... Health Center (FQHC) and various insurance providers. This position is responsible for managing ... Essential Duties and Responsibilities • Insurance Verification: -Verify patients' insurance ...

next page

Showing results 1-20

All JobsHealth Insurance Verification JobsHealth Insurance Verification Jobs in Pennsylvania

Health Insurance Verification information

See Pennsylvania salary details

$12

$18

$26

How much do health insurance verification jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for health insurance verification in Pennsylvania is $18.91, according to ZipRecruiter salary data. Most workers in this role earn between $16.39 and $20.24 per hour, depending on experience, location, and employer.

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 are popular job titles related to Health Insurance Verification jobs in Pennsylvania?

For Health Insurance Verification jobs in Pennsylvania, the most frequently searched job titles are:

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

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

Health Insurance Verification jobs near you
Infographic showing various Health Insurance Verification job openings in Pennsylvania as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 12% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $39,341 per year, or $18.9 per hour.

Insurance Verification Representative

Healthcare Support Staffing

Pittsburgh, PA • On-site

$100K/yr

Full-time

Medical, Dental, Vision

Re-posted 19 days ago

Job description

Company Description

i

s an American company which operates as the second-largest pharmacy store chain in the United States. 


  • Treatment of complex, chronic, and/or rare conditions
  • High cost, often exceeding $10,000, with some costing more than $100,000 annually
  • Availability through exclusive, restricted, or limited distribution
  • Special storage, handling, and/or administration requirements
  • Ongoing monitoring for safety and/or efficacy
  • Risk Evaluation Mitigation Strategy


 
Job Description

Responsible for verifying patient eligibility, coordinating benefits, claims and determining patient coverage/responsibility for services including, but not limited to primarily major medical insurance benefits verification, complex insurance plan verification and high volume PBM plans. Also  responsible 
for the coordination of benefits investigation and partnering with patient assistance programs.

Essential Functions:

  • Utilizes all available resources to obtain and enter insurance coverage information for ordered services into patient's file. 
  • Verifies patient insurance coverage of medications, administration supplies and related pharmacy services. 
  • Facilitates and completes the Prior Authorization process with insurance companies and practitioner offices. 
  • Completes a full Medical Verification for all medications, administration supplies and related pharmacy services. 
  • Notifies patients, physicians, practitioners and/or clinics of any financial responsibility of services provided and requested services that are not provided by the facility. 
  • Facilitates pharmacy and/or major medical claims with insurance companies and practitioner offices and investigates and facilitates prior authorization any other insurance rejections. 
  • Provides notification of urgent orders to the Senior level or Group Supervisor and communicates with other departments when an urgent need for filling a prescription or delivery is necessary; Places outbound calls to patients or physicians offices to obtain additional information needed to process the script or to notify of delay in processing script. 
  • Manages inbound calls on the Insurance line from patients, clients, physicians, practitioners and clinics regarding inquiries about services provided, financial responsibility and insurance coverage. 
Qualifications
  • High School Diploma/GED
  • 1 year insurance verification and/or pharmacy technician experience OR at least 6 months specialty pharmacy experience.
  • Understanding of claims processes
  • Understanding the authorization process is a must. 
  • At least 1 year experience in obtaining prior authorizations from a pharmacy benefit or medical billing experience
  • Needs to have an understanding of Commercial Insurance, Medicare and Medicaid - Please make sure this is on the resume
  • Strong Data Entry Skills
  • Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets) 
  • Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions) 
Additional Information

Advantages of this Opportunity:

Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm


Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

FacebookTwitter

View All Healthcare Support Jobs

Apply