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Insurance Eligibility Verification Jobs (NOW HIRING)

TARLANI Healthcare

Insurance Eligibility

Montrose, CA

$21 - $25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

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 Aug 14, 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 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.

Is it hard to learn insurance eligibility verification?

Insurance eligibility verification is a skill that can be learned with training in healthcare billing and familiarity with insurance systems and databases. It typically involves understanding insurance policies, using verification tools, and following established procedures, making it accessible for most individuals willing to learn. The complexity varies depending on the employer's systems and the level of detail required.

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.

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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 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $39,247 per year, or $18.9 per hour.

Insurance Eligibility & Verification (VIE) Specialist

Athena Care

Nashville, TN • On-site

$16.50 - $20.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

We're glad you found us.
Athena Care has been offering high quality, accessible mental health care for over twenty years. If there's one thing we've learned, it's that great care starts with great clinicians who actually feel supported - and every team member plays a role in the care for our patients. We're an insurance-based practice growing across Tennessee, and we're looking for a VIE Specialist to support our insurance verification efforts for our patients.
We offer psychological testing, IOP/PHP, Spravato/IM Ketamine, TMS, psychotherapy, group therapy, and general psychiatry- often all under one roof. It's a lot - and it means our patients receive genuinely comprehensive care, and you get to contribute to our mission of increasing access to quality mental health services.
Who we're looking for
Someone who has extensive experience verifying complex behavioral health benefits, possesses a strong understanding of commercial and government insurance plans, and thrives in a fast-paced, high-volume remote work environment. This position requires exceptional attention to detail, strong communication skills, and the ability to manage multiple priorities while maintaining accuracy and efficiency.
What it's like to work here
We've worked hard to combine rigor and high-quality care with a fun and friendly work culture. At Athena Care we strive to offer the ideal balance of a small group practice feel on the ground with strong business expertise and technology behind the scenes. You contribute to the care of our patients while having an amazing, nurturing work team supporting you!
Your day-to-day role
  • Collect, review, and validate all patient insurance information necessary to complete accurate eligibility and benefits verification.
  • Identify behavioral health carve-outs and determine the appropriate payer responsible for mental health benefits.
  • Review and interpret Coordination of Benefits (COB) information to determine primary and secondary payer responsibility.
  • Document eligibility and benefit information accurately within the electronic health record and other designated systems.
  • Utilize payer websites, provider portals, Availity, and telephone verification to obtain accurate benefit information.
  • Communicate eligibility findings, authorization requirements, and financial responsibility to appropriate internal departments.
  • Identify discrepancies in insurance information and work proactively to resolve issues.
  • Maintain productivity and quality standards while managing a high-volume workload.
  • Stay current on payer policy updates, insurance regulations, and behavioral health reimbursement requirements.
  • Maintain patient confidentiality and comply with HIPAA regulations and organizational policies.

Requirements
What we're looking for on paper
  • Minimum of 4 years of insurance eligibility and benefits verification experience.
  • Minimum of 2 years of behavioral health insurance verification experience.
  • Extensive experience navigating payer portals and Availity.
  • Strong understanding of insurance terminology, benefit structures, and behavioral health coverage.
  • High level of accuracy and attention to detail.
  • Experience using eClinicalWorks (eCW) not required but a bonus

Knowledge, Skills & Abilities
  • Excellent verbal and written communication skills.
  • Strong organizational and time management abilities.
  • Exceptional attention to detail and accuracy.
  • Ability to navigate multiple software applications simultaneously.
  • Strong analytical and problem-solving skills.
  • Adaptability and flexibility in a changing work environment.
  • Strong customer service and patient-centered mindset.
  • Collaborative, professional, and team-oriented approach.
  • Ability to work independently in a remote environment while maintaining productivity and accountability.
  • Ability to maintain confidentiality and exercise sound judgment.

Work Environment & Physical Requirements
  • Fully remote position.
  • Standard full-time schedule of 40 hours per week.
  • Fast-paced, high-volume behavioral health practice.
  • Requires prolonged computer use and frequent interaction with electronic systems and payer portals.
  • Requires dependable attendance and the ability to consistently meet productivity and quality expectations.

Benefits include:
  • Health, dental, vision, and life insurance and 401(k) with employer match and more!

We'd genuinely love to connect. Reach out and let's see if this could be a good fit - for you and for the people you'll serve.

Apply