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Insurance Verification Associate Jobs in Philadelphia, PA

At least two (2) years Previous experience with insurance verification, billing and/or provider ... Associate's Degree * Minimum Degree Required: Completed High School (Diploma or GED) #LI-Hybrid

New

OR -At least two (2) years medical insurance verification/provider relations. -Working knowledge of ... Preferred Education: -Associate's Degree Required Certifications & Licensure: -N/A Preferred ...

New

Admissions Coordinator

Ewing, NJ

$19 - $26/hr

Associate's or Bachelor's degree in a related field preferred. * Prior experience in behavioral health, medical, or social service setting strongly preferred. * Knowledge of insurance verification ...

Admissions Coordinator

Ewing, NJ ยท On-site

$19 - $26/hr

Associate's or Bachelor's degree in a related field preferred. * Prior experience in behavioral health, medical, or social service setting strongly preferred. * Knowledge of insurance verification ...

Admissions Coordinator

Trenton, NJ ยท On-site

$19 - $26/hr

Associates or Bachelors degree in a related field preferred. * Prior experience in behavioral health, medical, or social service setting strongly preferred. * Knowledge of insurance verification and ...

Showing results 41-60

Insurance Verification Associate information

See Philadelphia, PA salary details

$26.2K

$67.7K

$145.8K

How much do insurance verification associate jobs pay per year?

As of Aug 7, 2026, the average yearly pay for insurance verification associate in Philadelphia, PA is $67,723.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,300.00 and $78,700.00 per year, depending on experience, location, and employer.

Is it hard to learn insurance verification associate?

Learning to be an insurance verification associate involves understanding insurance policies, patient information, and verification procedures, which can be learned through training and practice. Strong attention to detail, communication skills, and familiarity with healthcare systems or billing software can facilitate the learning process. Most employers provide on-the-job training to help new associates become proficient.

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.

How to become an insurance verification associate?

To become an insurance verification associate, candidates typically need a high school diploma or equivalent, along with strong attention to detail and communication skills. Relevant experience in healthcare or insurance billing, proficiency with electronic health records (EHR) systems, and knowledge of insurance policies can be beneficial. Some employers may require certification in medical billing or coding.

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 are the most commonly searched types of Insurance Verification jobs in Philadelphia, PA? The most popular types of Insurance Verification jobs in Philadelphia, PA are:
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What cities near Philadelphia, PA are hiring for Insurance Verification Associate jobs? Cities near Philadelphia, PA with the most Insurance Verification Associate job openings:

Enrollment Coordinator

Talent Groups

Philadelphia, PA โ€ข On-site

Other

Posted yesterday

New


Job description

Hybrid Details: Onsite Mondays
Duration: 3 months to start
Job Description
  • This role is responsible for gathering and verifying healthcare practitioner information and tracking all compliance information related to the enrollment and re-credentialing process.
  • This includes processing all incoming applications to ensure accuracy at completion and that all required licensing and certification documentation is present, as well as all additional required documentation.
  • All necessary file maintenance functions, including updating service locations, rendering provider information; licensure and ownership information is also a function of this position.
Job Responsibilities
  • Provides reviews and prepares new hire enrollment packets for accuracy, completeness and timely submission to the payers and maintains current provider information in order to ensure timely reimbursement of payment for services.
  • Performs follow-up with the physicians to request necessary documentation for the application/re-credentialing process (Renewal reminders must be sent 30 days prior to the expiration date).
  • Maintains a working knowledge of payers' processes and updates and ensures that the physician database and NPPES system is kept accurate and current. CAQH re-attestation to occur every 120 days for all providers.
  • Maintains files, scans credentials and monitors expiration dates and notifies administrators and Enrollment Manager of deadlines.
  • Initiates phone calls, generates letters and other correspondence as required for follow up with payers to ensure timely receipt of provider participation effective dates and numbers (goal is within 60 days of payer receipt date of the application).
  • Assures that all contacts and discussion with payers are documented and maintained, as well as copies of emails and/or written correspondence sent to third party payers, for future reference.
  • Reviews and provides research results to the Billing Department to assist with claims issue resolution.
Required Skills & Experience:
  • At least two (2) years Previous experience with insurance verification, billing and/or provider relations.
OR
  • At least two (2) years medical insurance verification/provider relations.
  • Working knowledge of insurance billing/provider operations within a large healthcare organization.
  • Knowledge of Medicare and Medicaid policies and procedures.
  • Basic proficiency with MS Word, Power Point, Excel computer programs.
  • Knowledge of the ECHO, NAVINET and CAQH systems.
  • Solid critical thinking / problem-solving skills.
  • Solid analytical and organizational skills.
  • Ability to collaborate with stakeholders at all levels.
Education:
  • Required Education: High School Diploma/GED
  • Preferred Education: Associate's Degree
  • Minimum Degree Required: Completed High School (Diploma or GED)

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