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Health Insurance Verification Jobs (NOW HIRING)

USPI, INC.

Insurance Verification Specialist

Moline, IL · On-site

$20/hr

Insurance Verification Specialist Quad City Gastroenterology has an immediate need for a full time ... At Quad City Gastroenterology, we believe health and care are inseparable. We focus on offering a ...

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Health Insurance Verification information

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$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 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 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.
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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:

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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 August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $39,247 per year, or $18.9 per hour.

Insurance Verification Representative

Turkey Creek Medical Center

Knoxville, TN • On-site

$16.25 - $20.75/hr

Full-time

Posted 6 days ago

Job description

Job Description Job Summary
The Insurance Verification Representative is responsible for accurately verifying patient insurance coverage, benefits, and eligibility to ensure proper reimbursement and prevent service delays. This role coordinates with physician offices, case management teams, and financial counseling to facilitate pre-certifications, authorizations, and patient financial obligations. The Insurance Verification Representative plays a key role in maintaining accurate patient account liability, minimizing denials, and improving revenue cycle efficiency.
Essential Functions
  • Verifies insurance benefits, eligibility, and pre-determination requirements for all scheduled patients, ensuring accuracy and completeness before services are rendered.
  • Coordinates with physician offices to obtain required pre-authorizations and pre-certifications, preventing reschedules or cancellations due to missing approvals.
  • Confirms patient coverage for procedures and treatments, documenting insurance details, policy limitations, and reimbursement expectations.
  • Initiates financial counseling for uninsured or underinsured patients, referring them to financial assistance programs or payment plan options.
  • Accurately documents and updates patient records, including pre-certification numbers, eligibility details, and authorization statuses.
  • Communicates effectively with patients and physician offices, providing clear information regarding insurance coverage, financial responsibilities, and payment expectations.
  • Ensures timely entry of pre-registration documents into the electronic health record (EHR) and forwards them to the appropriate department.
  • Maintains accurate department records, reports, and documentation, ensuring compliance with billing, regulatory, and facility policies.
  • Identifies and resolves insurance discrepancies, proactively addressing issues that could result in billing errors or claim denials.
  • Works collaboratively with case management, patient registration, and billing teams, ensuring seamless revenue cycle operations and optimized reimbursement.
  • Performs other duties as assigned.
  • Maintains regular and reliable attendance.
  • Complies with all policies and standards.
Qualifications
  • 0-2 years of experience in insurance verification, medical billing, or patient access in a healthcare setting required
  • 2-4 years of insurance verification experience in an acute care hospital or physician practice group preferred
  • Experience with electronic health records (EHR), insurance portals, and revenue cycle workflows preferred
Knowledge, Skills and Abilities
  • Strong knowledge of insurance verification, pre-authorizations, and patient financial services.
  • Proficiency in healthcare insurance terminology, including co-pays, deductibles, out-of-pocket costs, and covered services.
  • Ability to interpret and apply insurance policies and payer guidelines to verify eligibility and benefits accurately.
  • Effective communication and customer service skills, ensuring professional interactions with patients, physician offices, and insurance providers.
  • Strong organizational and time-management skills, handling multiple verification requests efficiently.
  • Proficiency in electronic health record (EHR) systems, payer websites, and insurance portals for eligibility verification.
  • Understanding of HIPAA regulations and patient privacy requirements when handling sensitive financial and insurance information.
Licenses and Certifications
  • CHAA - Certified Healthcare Access Associate preferred
Turkey Creek Medical Center logo

About Turkey Creek Medical Center

Sourced by ZipRecruiter

Conveniently located on Parkside Drive in Turkey Creek, Turkey Creek Medical Center offers a range of services in the heart of Knoxville, Tennessee. Our Knoxville hospital features a 24/7 emergency room, ICU, advanced surgical suites, a dedicated heart hospital, cancer care services, cardiac and pulmonary rehabilitation, sleep center, Center for Surgical Weight Loss, digital mammography and much more. The hospital offers private patient rooms, dining on request and free parking. The Tennova Physicians Plaza connects Turkey Creek Medical Center to the new Tennova Surgery Center West. The surgery center offers four, fully equipped operating rooms, two advanced endoscopic suites, and the same quality, professional care you expect from Turkey Creek Medical Center. The enclosed courtyard between the two facilities provides a comfortable, quiet respite for patients and visitors.

Industry

Hospitals

Company size

11 - 50 Employees

Headquarters location

Knoxville, TN, US

Social media

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