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Insurance Verification Associate Jobs in Melissa, TX

Children's Health

Patient Access Specialist

Dallas, TX · On-site

$17 - $22.75/hr

Performs routine patient access transactions including coverage eligibility, insurance verification ... Two-year Associate's degree or equivalent experience preferred LICENSES AND CERTIFICATIONS

RAYUS Radiology

Front Office Associate

Plano, TX · On-site

$15.50 - $18.75/hr

As a Front Office Associate, you will be responsible for providing services to patients and ... Verify patient's insurance coverage * Pre-certify all patient exams with the patient's insurance ...

RAYUS Radiology

Front Office Associate

Plano, TX · On-site

$15.50 - $18.75/hr

As a Front Office Associate, you will be responsible for providing services to patients and ... Verify patient's insurance coverage * Pre-certify all patient exams with the patient's insurance ...

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All JobsInsurance Verification Associate JobsInsurance Verification Associate Jobs in Melissa, TX

Insurance Verification Associate information

See Melissa, TX salary details

$25.3K

$65.4K

$140.9K

How much do insurance verification associate jobs pay per year?

As of Aug 2, 2026, the average yearly pay for insurance verification associate in Melissa, TX is $65,425.00, according to ZipRecruiter salary data. Most workers in this role earn between $35,100.00 and $76,000.00 per year, depending on experience, location, and employer.

How do you become an insurance verification specialist?

To become an insurance verification specialist, candidates typically need a high school diploma or equivalent and should develop skills in insurance billing, coding, and customer service. Relevant certifications, such as the Certified Insurance Verifier credential, can enhance job prospects, and familiarity with electronic health record systems is often required.

What are the key skills and qualifications needed to thrive as an Insurance Verification Associate, and why are they important?

To thrive as an Insurance Verification Associate, you need strong attention to detail, knowledge of insurance policies and procedures, and typically a high school diploma or equivalent. Familiarity with insurance verification software, electronic health records (EHR) systems, and claims management tools is highly valuable. Excellent communication, problem-solving skills, and the ability to handle confidential information with discretion set top performers apart. These skills ensure accurate processing of patient insurance information, minimize billing errors, and support timely reimbursement for healthcare services.

What is the difference between Insurance Verification Associate vs Medical Billing Specialist?

AspectInsurance Verification AssociateMedical Billing Specialist
Primary RoleVerify patient insurance coverage and benefits before servicesProcess and submit medical claims for reimbursement
CredentialsHigh school diploma or equivalent; certifications like Certified Medical Administrative Assistant (CMAA) are commonHigh school diploma; certifications like Certified Professional Biller (CPB) are common
Work EnvironmentHealthcare offices, hospitals, clinicsMedical offices, billing companies, healthcare facilities
Industry UsageUsed across healthcare providers to ensure insurance coverageUsed to handle claims processing and reimbursement

The Insurance Verification Associate focuses on confirming patient insurance details to ensure coverage before treatment, while the Medical Billing Specialist handles the claims process for reimbursement. Both roles require similar certifications and work in healthcare settings, but their core responsibilities differ in the patient verification versus billing process.

What is the highest paid position in insurance?

In the insurance industry, executive roles such as Chief Executive Officer (CEO), Chief Underwriting Officer, and Chief Financial Officer (CFO) tend to be the highest paid. These positions require extensive experience, leadership skills, and often advanced certifications, and they oversee company strategy, underwriting, and financial management.

What does a verification associate do?

An Insurance Verification Associate reviews and confirms patients' insurance coverage and benefits to ensure accurate billing and claims processing. They typically communicate with insurance companies, verify policy details using specialized software, and maintain accurate records to support the healthcare or insurance team. Attention to detail and knowledge of insurance policies are essential for this role.

Is it hard to learn insurance verification?

Insurance Verification Associates typically learn the job through on-the-job training, and the process involves understanding insurance policies, billing procedures, and using verification tools or software. While some familiarity with healthcare or insurance terminology helps, the role generally does not require extensive prior experience and can be learned with practice and training.

What does an Insurance Verification Associate do?

An Insurance Verification Associate is responsible for confirming a patient's insurance coverage and benefits before medical services are provided. Their tasks include contacting insurance companies, verifying policy details, determining coverage limits, and ensuring that procedures are authorized. This role helps prevent billing issues and ensures that patients and providers understand what costs will be covered. Insurance Verification Associates play a crucial part in the healthcare revenue cycle by reducing claim denials and improving the patient experience.

What are some common challenges faced by Insurance Verification Associates, and how can they be overcome?

Insurance Verification Associates often encounter challenges such as navigating complex insurance policies, handling discrepancies in patient information, and managing high call volumes with insurance companies. To overcome these, associates should develop strong attention to detail, effective communication skills, and proficiency with insurance databases and electronic health record systems. Staying organized and keeping up-to-date with insurance policy changes also helps ensure accurate and timely verification, which ultimately supports smooth patient billing and care processes.
What job categories do people searching Insurance Verification Associate jobs in Melissa, TX look for? The top searched job categories for Insurance Verification Associate jobs in Melissa, TX are:
What cities near Melissa, TX are hiring for Insurance Verification Associate jobs? Cities near Melissa, TX with the most Insurance Verification Associate job openings:
Insurance Verification Associate jobs near you
Infographic showing various Insurance Verification Associate job openings in Melissa, TX as of June 2026, with employment types broken down into 83% Full Time, 16% Part Time, and 1% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $65,425 per year, or $31.5 per hour.

RCM Insurance (Benefits) Verification Advisor (23655)

Cantex Continuing Care Network

Carrollton, TX • On-site

$16.50 - $20.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Cantex Continuing Care Network rating

6.7

Company rating: 6.7 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

Job description

Location: 2537 Golden Bear Dr, Carrollton, TX 75006
Schedule: Full time
Reports to: Director of Accounts Receivable
What We Offer You
• Competitive pay
• Performance-based bonus opportunities
• Comprehensive health, dental, and vision insurance
• Additional supplemental benefits (life insurance, disability, accident, etc.)
• 401(k) with company match
• Generous paid time off (PTO/Sick)
• Clear career growth and advancement opportunities
• A supportive and vibrant company culture
• Many more employee perks and benefits
Job Summary
The Benefits Verification Advisor supports the Revenue Cycle Management (RCM) department by ensuring accurate, timely, and compliant insurance verification before admission and throughout the patient stay. This high-volume role partners closely with Admissions, Business Office, Clinical Operations, Case Management, and Managed Care teams to reduce authorization delays, minimize denials, improve reimbursement accuracy, and accelerate revenue cycle performance. The Advisor must demonstrate exceptional knowledge of Medicare, Medicaid, Managed Medicare, Commercial Insurance, Managed Care Organizations, Workers' Compensation, Veterans benefits, and complex payer guidelines.
Qualifications
• Associate degree or equivalent experience
• Minimum 3 years of healthcare insurance verification or patient access experience
• Experience supporting Skilled Nursing Facilities (SNF), Long-Term Care, Home Health, Hospice, or Therapy services
• Strong understanding of:
- Medicare Parts A, B, C & D
- Medicaid
- Managed Medicare
- Commercial insurance
- Managed Care Organizations
• Knowledge of prior authorization processes and coordination of benefits
• Experience working in high-volume environments
• Excellent analytical, problem-solving, and communication skills
• Ability to manage multiple priorities while maintaining accuracy
Essential Functions
• Serve as the centralized subject matter expert (SME) for insurance eligibility, benefits verification, prior authorizations, and complex payer requirements across SNFs and ancillary service lines
• Verify insurance eligibility, benefits, Medicare/Medicaid coverage, managed care plans, coordination of benefits, deductibles, copays, coinsurance, spend-downs, and patient financial responsibility prior to admission and throughout the patient stay
• Obtain, monitor, and manage prior authorizations while ensuring compliance with payer guidelines, timelines, and documentation requirements
• Collaborate with Admissions, Business Office, Clinical Operations, Case Management, Managed Care, and RCM teams to resolve insurance issues, support timely admissions, and improve reimbursement outcomes
• Interpret complex payer contracts, coverage limitations, and medical necessity requirements to ensure accurate financial clearance
• Identify and proactively resolve insurance discrepancies, coverage gaps, authorization issues, and payer denials by working directly with insurance carriers and internal stakeholders
• Maintain accurate documentation of verification activities, payer communications, authorizations, and eligibility determinations within EMR and revenue cycle systems
• Monitor payer trends, regulatory updates, and reimbursement changes; educate internal teams on evolving Medicare, Medicaid, managed care, and commercial insurance requirements
• Support revenue cycle performance by reducing preventable denials, improving first-pass claim acceptance, accelerating authorization turnaround times, and ensuring accurate insurance verification prior to billing
• Participate in continuous process improvement initiatives by developing standardized workflows, identifying operational efficiencies, and recommending best practices
• Ensure compliance with CMS regulations, payer policies, HIPAA requirements, and organizational standards while maintaining exceptional customer service and confidentiality
• Perform other duties as assigned
We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.

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