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Insurance Eligibility Verification Jobs (NOW HIRING)

USPI, INC.

Insurance Verification Specialist

Dallas, TX · On-site

$17 - $20.75/hr

Maintains current knowledge of patient scheduling, registration/intake processes and systems, medical necessity review, insurance eligibility verification and authorization, and billing models.

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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 & Registration Specialist

Living Water Clinic

Lindsay, CA

$16.75 - $20.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Job description

Job Title: Insurance Eligibility amp; Registration Specialist
Company: Living Water Clinic – Clinica Agua Viva

Location: Lindsay, California

Position Overview:

We are seeking a detail-oriented Insurance Eligibility amp; Registration Specialist to join our administrative support team. This position plays a vital role in ensuring all patient demographic and insurance information is accurate and verified prior to the date of service. The role helps reduce registration errors, prevent claim denials, and improve the overall patient financial experience.

Unlike front desk receptionists, this is a non–patient-facing position focused on back-office accuracy, verification, and communication with staff rather than direct in-person patient interaction.

Summary of Responsibilities:

  • Verify patient insurance eligibility and benefits for all scheduled appointments using payer portals, clearinghouse tools, or direct contact with insurance carriers.
  • Confirm and update patient demographic and insurance information in the electronic health record (EHR).
  • Identify and resolve missing or inaccurate information before the date of service to prevent billing delays or claim denials.
  • Communicate eligibility findings, insurance terminations, and coordination of benefits issues promptly to front office and registration staff.
  • Maintain accurate documentation of verification activities, benefit details, and communication in patient accounts.
  • Provide back-office registration support by preloading or correcting insurance and demographic data for upcoming visits.
  • Coordinate with the billing department to resolve eligibility-related claim rejections.
  • Respond to internal messages and phone calls related to insurance verification and registration inquiries.
  • Maintain up-to-date knowledge of payer requirements, Medi-Cal, Medicare, commercial insurance, and managed care plans.
  • Uphold patient confidentiality and ensure compliance with HIPAA regulations.
  • Participate in staff training, process improvement projects, and audit reviews as assigned, and perform other duties as needed or requested by management.

Education:

  • High School Diploma or equivalent required.

Prior Experience:

  • Minimum of one (1) year of experience in a medical office, billing, or insurance verification role preferred.
  • Experience with EHR systems and insurance verification tools strongly preferred.
  • Working knowledge of Medi-Cal, Medicare, commercial insurance, and managed care plans.

Skills:

  • Strong attention to detail and accuracy.
  • Excellent written and verbal communication skills.
  • Ability to work independently and manage multiple priorities in a fast-paced environment.
  • Team-oriented mindset with strong problem-solving abilities.
  • Proficiency in Microsoft Office and EHR software.
  • Bilingual proficiency in English and Spanish preferred.

We Offer:

  • Competitive Salary
  • Health, Dental, and Vision Insurance
  • 401(k) Matching
  • Paid Time Off
  • Monday – Friday, 8 AM – 5 PM Schedule

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