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Insurance Claim Verification Jobs (NOW HIRING)

Surgery Partners

Insurance Verification Specialist

Midland, TX · On-site

$16.50 - $20.50/hr

Insurance Verification Specialist GENERAL SUMMARY OF DUTIES : Ensures all records are maintained in ... Ability to identify, analyze and solve claim problems. * Skilled in gathering and reporting claim ...

Gadjab

Insurance Verification Specialist

Lehi, UT · Hybrid

$22/hr

The Insurance Verification Specialist will accurately document all verification details and ensure insurance information is complete and up to date to help prevent claim denials and reimbursement ...

New

Surgery Partners

Insurance Verification Specialist

Midland, TX · On-site

$16.50 - $20.50/hr

Insurance Verification Specialist GENERAL SUMMARY OF DUTIES : Ensures all records are maintained in ... Skilled in gathering and reporting claim information. * Skilled in solving utilization problems.

NorthShore

Insurance Representative II

Warrenville, IL · On-site

$20.69 - $30/hr

Verify patient insurance coverage, including policy details, eligibility, and benefit information, to ensure accurate claim submissions. * Investigate and resolve claim denials and disputes ...

Endeavor Health

Insurance Representative II

Skokie, IL · On-site

$20.69 - $30/hr

Verify patient insurance coverage, including policy details, eligibility, and benefit information, to ensure accurate claim submissions. * Investigate and resolve claim denials and disputes ...

USPI, INC.

Insurance Verification Specialist

Moline, IL · On-site

$20/hr

Utilize the current system to conduct insurance verification and validate authorizations for scheduled patients, ensuring eligibility and benefits are in order for accurate claim submission and ...

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Insurance Claim Verification information

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How much do insurance claim verification jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for insurance claim verification in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What does an insurance claim verification specialist do?

An Insurance Claim Verification specialist is responsible for reviewing and validating insurance claims to ensure they are accurate, complete, and adhere to policy guidelines. They investigate submitted claims, verify the authenticity of supporting documentation, and may contact policyholders, claimants, or third parties for additional information. Their work helps prevent fraudulent claims and ensures that legitimate claims are processed and paid promptly. This role is critical in maintaining the integrity of the insurance process and protecting the financial interests of both the insurer and the insured.

What are the key skills and qualifications needed to thrive as an insurance claim verification specialist, and why are they important?

To thrive as an Insurance Claim Verification Specialist, you need a solid understanding of insurance policies, claims procedures, and attention to detail, often supported by a background in finance, business, or insurance. Familiarity with claims management software, databases, and sometimes certifications like AIC (Associate in Claims) are typically required. Strong analytical thinking, effective communication, and time management are important soft skills for reviewing documentation and interacting with clients or adjusters. These skills ensure accurate claim assessments, reduce errors or fraud, and support efficient processing to maintain trust and compliance within the insurance industry.

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

Insurance claim verification professionals often encounter challenges such as incomplete or ambiguous documentation, tight deadlines, and the need to detect potential fraud. Managing these challenges requires strong attention to detail, effective communication with clients and colleagues to clarify missing information, and proficiency in using verification tools and databases. Continuous training on fraud detection techniques and regulatory updates also helps professionals stay effective and ensure claims are processed accurately and efficiently.

What is the difference between Insurance Claim Verification vs Insurance Claims Adjuster?

AspectInsurance Claim VerificationInsurance Claims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires licensing and adjuster certifications
Work EnvironmentOffice-based, reviewing documents and claimsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party claims servicesInsurance companies, independent adjusting firms
Primary FocusVerifying the accuracy and completeness of claimsAssessing damages and determining claim payouts

Insurance Claim Verification specialists focus on reviewing and validating claims for accuracy, while Insurance Claims Adjusters evaluate damages and determine appropriate compensation. Both roles are essential in the claims process but differ in responsibilities and work scope.

More about Insurance Claim Verification jobs

What are the most commonly searched types of Insurance Claim Verification jobs?

The most popular types of Insurance Claim Verification jobs are:

What job categories do people searching Insurance Claim Verification jobs look for?

The top searched job categories for Insurance Claim Verification jobs are:

Insurance Claim Verification jobs near you
Infographic showing various Insurance Claim Verification job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Billing/Insurance Verification Lead

Mindful Behavioral Healthcare

Kissimmee, FL

$15 - $18.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

Job description

Job Title: Billing / Insurance Verification Lead

Department: Administration

Job Duties:

  • Investigate and resolve issues escalated from team members and assigned clients.

  • Work directly with clients to help resolve open issues and address concerns.

  • Work with reimbursement/collections staff to understand and maintain client expectations.

  • Learn each assigned client's policies, procedures and practice and apply appropriately to day-to-day patient activities.

  • Educate Patients on new or existing process(s) according to medical documentation and billing guidelines.

  • Begin and maintain positive, professional, and effective working communications, interactions, and relationships with Patient leads.

  • Supervise the patient registration process for accuracy including verification of insurance, waivers, assigned providers, etc.

  • Manage patient flow along with the back office staff.

  • Oversee and maintain employee timecards, PTO requests, expense reports, etc.

  • Ensure compliance with all licensing including local, State, and Federal regulatory agencies related to clinical services.

  • Follow and enforce company policies and procedures. Lead by setting an example for all team members.

  • Protect the organization's values and principles by keeping information confidential and current.

  • Lead by example and champion the company's vision, mission, and values.

  • Additional duties as assigned by management.


Skills/Qualifications:

  • Minimum 5 years of professional billing management experience.

  • Bachelors degree in business administration or healthcare management.

  • Must be self-directed, highly motivated, and organized, with strong interpersonal, written and oral communication skills.

  • Solid computer and database maintenance skills are necessary

  • Communicate professionally and thoroughly with both internal and external contacts.

  • Maintain and respect confidentiality regarding proprietary information and in accordance with all patient confidentiality/HIPAA-related regulations.

  • Knowledge of medical professional fee billing and collections CPT,ICD9/10 and HCPC coding and medical terminology as well as understanding of managed care products and processes.

  • Knowledge of insurance claim adjudication practices.

  • Knowledge of reporting requirements to support revenue cycle activities.

  • Knowledge of regulatory and legal requirements associated with billing activities.

  • Knowledge of provider enrollment procedure.

  • Excellent analytic, problem solving and organizational skills.

Benefits:

  • 401K match

  • Medical

  • Dental

  • Vision

  • Life Insurance


Apply