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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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Insurance Eligibility Verification information

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How much do insurance eligibility verification jobs pay per hour?

As of Jul 25, 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 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.

What are the key skills and qualifications needed to thrive in the Insurance Eligibility Verification position, and why are they important?

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 is an Insurance Eligibility Verification job?

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.

More about Insurance Eligibility Verification jobs
What cities are hiring for Insurance Eligibility Verification jobs? Cities with the most Insurance Eligibility Verification job openings:
What are the most commonly searched types of Insurance Eligibility Verification jobs? The most popular types of Insurance Eligibility Verification jobs are:
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Insurance Eligibility Verification jobs near you
Infographic showing various Insurance Eligibility Verification job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $39,247 per year, or $18.9 per hour.
Specialist, Eligibility Verification

Specialist, Eligibility Verification

Pediatric Associates

San Pedro, CA • On-site

Full-time

Posted 13 days ago

Job description

Pediatric Associates was founded in Hollywood, FL in 1955. The same clinician-led, evidence-based, medical home passion is a unifying driver for those who join Pediatric Associates Family of Companies. The Pediatric Associates Family of Companies is a growing team of Pediatricians and Pediatric Care Teammates who are excited to be part of the first nationwide Pediatric Primary Care Medical Home. We further our uniqueness by ensuring the clinician voice is leading our medical home innovations.
PRIMARY FUNCTION: Verify insurance eligibility for future patient appointments, document eligibility notes and perform patient outreach as needed, providing excellent customer service
ESSENTIAL FUNCTIONS OF THE JOB: (This list may not include all of the duties that may be assigned.)
  1. Follow Pediatric Associates Eligibility Verification Quality Checklist to determine insurance eligibility
  2. Review patient insurance for future appointments and identify eligibility requirements based on health plan
  3. Use all available resources to determine insurance eligibility (e.g. system, web portals, phone)
  4. Update patient insurance details accurately
  5. Identify eligibility issues, communicate them to patients/parents and accurately document action taken
  6. Complete all assigned appointments efficiently, within the expected timeframe
  7. Communicate with office location via e-mail, Microsoft Teams and/or phone to coordinate patient callbacks for appointment rescheduling
  8. Communicate effectively with supervisor, escalating issues as needed
  9. Meet productivity standards as determined

PERFORMANCE REQUIREMENTS:
Education: High School Diploma or equivalent.
Experience: 1-2 years experience preferred. Must be detail-oriented and able to efficiently complete a high-volume of tasks using many different sources. Excellent documentation skills required.
Typical Working Conditions:Working in a professional office environment. The position requires ability to sit for long periods of time. Clear and concise communication using e-mail and phone is necessary. May require sitting or standing for long periods, including stooping, bending & stretching. Requires, occasional lifting of files and boxes weighing up to 25 lbs. Requires manual dexterity sufficient to operate a keyboard, type at 35 wpm, operate copier, and other office equipment as necessary.
The Pediatric Associates Family of Companies an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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