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Insurance Eligibility Verification Jobs (NOW HIRING)

TARLANI Healthcare

Insurance Eligibility

Montrose, CA

$21 - $25/hr

Verify insurance eligibility; contact patients and departments with any negative outcomes * Assist billing with claims issues due to insurance authorization denials * Work closely with the clinical ...

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How much do insurance eligibility verification jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for insurance eligibility 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 an insurance eligibility verification?

An Insurance Eligibility Verification job involves reviewing and confirming a patient's insurance coverage and benefits before medical services are provided. Responsibilities include contacting insurance companies, verifying policy details, checking co-pays, deductibles, and coverage limits, and updating patient records accordingly. This role helps prevent billing issues and ensures healthcare providers receive proper reimbursement. Strong attention to detail, communication skills, and knowledge of insurance policies are essential for success in this position.

What are the key skills and qualifications needed for insurance eligibility verification?

Strong attention to detail, knowledge of insurance policies and terminology, and experience in healthcare or insurance administration are core requirements for an Insurance Eligibility Verification role. Familiarity with insurance verification software, electronic health records (EHR) systems, and payor portals is often needed, while certifications such as Certified Revenue Cycle Representative (CRCR) can be beneficial. Exceptional communication, organizational skills, and the ability to problem-solve under time constraints will help someone excel in this position. Mastery of these skills ensures accurate benefit verification, timely patient care, and efficient interaction with both patients and insurance providers.

What are some typical challenges faced in an insurance eligibility verification role?

One common challenge in Insurance Eligibility Verification is navigating the complexities of various insurance plans and keeping up with frequent policy changes. The role often requires resolving discrepancies between patient information and insurance records, which can involve significant research and communication with both patients and insurers. Additionally, working under tight deadlines to confirm eligibility before scheduled procedures is a frequent aspect of the job. However, mastering these challenges can build valuable expertise and open up further advancement opportunities in healthcare administration or revenue cycle management.

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Insurance Eligibility Verification jobs near you
Infographic showing various Insurance Eligibility Verification job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $39,247 per year, or $18.9 per hour.

Eligibility Verification Specialist

White River Health System Inc

Batesville, AR • On-site

$16.75 - $20.50/hr

Full-time

Posted 9 days ago

Job description

Eligibility Verification Specialist


Title: Eligibility Verification Specialist 


Department: Revenue Cycle

 


Job Summary: The EV Specialist will be responsible for processing insurance eligibility verification for assigned provider clinics. Working through EHR systems, insurance portals, and by phone, employee will complete insurance verification and provide those details back to the clinics. Employee will also be responsible for managing the Quality Assurance for those accounts throughout the billing process. 

Job Duties: 

  1. Work within the EHR to receive and manage insurance coverage and insurance required approvals.
  2. Verify referral information is accurately entered into the EMR and notify specialty practice staff of any discrepancies. 
  3. Works together with other team members to achieve department goals.
  4. Fulfills all compliance responsibilities related to the position.
  5. Performs other duties as assigned by supervision.

 

Qualifications:

  1. Education: High School Diploma or GED. 
  2. Training and Experience: Minimum of one-year job-related experience. Customer service experience. MS Office (Excel, Word). Experience with medical billing processes or healthcare practice preferred. 
  3. Job Knowledge: Must organize and manage multiple priorities; excellent interpersonal, communication and presentation skills. Strong team player and commitment to organizational values. 

Essentials:

  1. Must be able to report to work fit for duty and free of any adverse effects of illegal drugs, medical marijuana, prescription medication, and/or alcohol. 
  2. Must be able to effectively communicate both orally and in writing with other individuals. 
  3. Ability to solve problems with assigned tasks. 

 

Physical Demands: 

  • Physical Effort: Duties involve sedentary to light physical effort. Physical demands range from sitting, walking, standing, or pushing or pulling materials. Work may involve exerting up to 10 pounds of force to lift, carry, push, pull or move objects.

Monday - Friday 8-5