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Insurance Verification Specialist

Stuart, FL · On-site

$17 - $19/hr

Verify patient insurance eligibility, benefits, and coverage prior to services * Confirm ... Proficiency with electronic health record (EHR) or practice management systems What We Offer

Sentara Healthcare

Insurance Verification Rep

Norfolk, VA · On-site

$16.50 - $21.25/hr

Two of the following four skill levels required: * 1. One year experience in healthcare environment ... Insurance Verification Full Time Hospital Physician office Benefits: Caring For Your Family and ...

CommonSpirit Health

Insurance Verification Rep

Omaha, NE · Remote

$16.25 - $20.75/hr

Job Summary and Responsibilities As our Insurance Verification Rep, you will be a cornerstone of ... To be successful in this healthcare financial clearance role, you will need strong knowledge of ...

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How much do health insurance verification jobs pay per hour?

As of Jun 4, 2026, the average hourly pay for health insurance verification 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 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 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 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.

More about Health Insurance Verification jobs
What cities are hiring for Health Insurance Verification jobs? Cities with the most Health Insurance Verification job openings:
What are the most commonly searched types of Health Insurance Verification jobs? The most popular types of Health Insurance Verification jobs are:
What states have the most Health Insurance Verification jobs? States with the most job openings for Health Insurance Verification jobs include:
What job categories do people searching Health Insurance Verification jobs look for? The top searched job categories for Health Insurance Verification jobs are:
Health Insurance Verification jobs near you
Infographic showing various Health Insurance Verification job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 72% Full Time, 20% Part Time, and 7% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $39,247 per year, or $18.9 per hour.
Insurance Verification Specialist

Insurance Verification Specialist

Legacy Health

Portland, OR • On-site, Remote

$21.25 - $30.39/hr

Full-time

Posted 8 days ago

Job description

At Legacy, everything we do is driven by a shared mission: making life better for others. How can you contribute to that mission? By being the go-to expert who verifies insurance and clarifies liability questions. Your keen attention to detail and accuracy will help strengthen the patient-physician relationship, ensuring patients have the insurance information they need for expert care.

If this sounds like you, we invite you to apply for this Insurance Verification Specialist role.


Insurance Verification Specialist:

  • Provides professional, accurate and timely insurance verification, initiates and secures authorization, notification of in-scope hospital services based on requirements for medical and other liability plans.

  • Obtains plan benefit information and creates hospital cost estimates for expected patient liability in preparation of financial communication with patients. 

  • Specializes in payor type such as Commercial, Workers Compensation, Medicare, Medicaid, or Other Liability. 

  • Acts as a resource to patients, family members, physicians and other departments regarding medical and/or other liability policy benefits, authorization guidelines and plan limitations.


Education:

  • Associate degree in business or healthcare, or equivalent experience, required.

Experience:

  • Two years of directly applicable healthcare business office experience (billing/credit/collection) or applicable insurance customer service experience required.
  • Demonstrated knowledge of insurance guidelines, including benefits and authorization protocols. 
  • Hospital insurance verification experience preferred.

Skills:

  • Strong written and verbal communication and demonstrated effective interpersonal skills which promote cooperation and teamwork.
  • Ability to problem solve in a timely, professional manner.
  • Demonstrated knowledge of Payor/Plan structures, Medical policies, Payor contracts and Payor laws.
  • Knowledge of CPT and Diagnosis coding and medical terminology.
  • Net Typing of 40 wpm and PC based computer skills.
  • 10 key proficiency.
  • Knowledge of online eligibility systems and status review of claims.
  • Works efficiently with minimal supervision, exercising independent judgment within stated guidelines.
  • Ability to withstand varying job pressures, organize/prioritize related job tasks, and excellent attention to detail.
  • Excellent public relations skills and demonstrated ability to communicate in calm, businesslike manner.
  • Ability to multitask, learn new skills and adapt to change.
  • Ability to work in a fast-paced environment independently or as part of a team.

USD $21.25 - USD $30.39 /Hr.

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.


If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.


Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you

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