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Insurance Verification Coordinator Jobs in Tennessee

Elite Dental Care

Patient Care Coordinator

Germantown, TN · On-site

$15.75 - $20.75/hr

Patient Care Coordinator ? Germantown, TN An exceptional patient experience requires both ... Insurance Verification & Billing Mastery: Deep familiarity with PPO plans, fee schedules ...

Innovate 32

Patient Care Coordinator (PCC)

Antioch, TN · On-site

$16 - $24/hr

Master essential administrative competencies including insurance verification, ledger management ... Team Coordination: Collaborate with clinical staff to monitor schedule status, patient readiness ...

Innovate 32

Patient Care Coordinator (PCC)

Nashville, TN · On-site

$16 - $24/hr

Description: Dentistry of Nashville Position Summary The Patient Care Coordinator is the first ... Verify and update patient demographic, insurance, and contact information at each visit. * Support ...

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Insurance Verification Coordinator information

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$12

$22

$36

How much do insurance verification coordinator jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for insurance verification coordinator in Tennessee is $22.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.02 and $27.50 per hour, depending on experience, location, and employer.

What skills and qualifications are needed to be an insurance verification coordinator?

To thrive as an Insurance Verification Coordinator, you need a solid understanding of insurance policies, medical terminology, and prior authorization processes, typically supported by a high school diploma or associate degree. Familiarity with healthcare billing software, electronic health records (EHRs), and payer portals is essential. Strong attention to detail, excellent communication, and organizational skills set top performers apart in this role. These abilities ensure accurate and timely verification, minimize claim denials, and support seamless patient care and revenue cycle management.

What is the difference between Insurance Verification Coordinator vs Insurance Billing Specialist?

AspectInsurance Verification CoordinatorInsurance Billing Specialist
Primary RoleVerify patient insurance coverage and benefits before servicesProcess and submit insurance claims for payment
CredentialsTypically requires high school diploma or equivalent; certifications like Certified Healthcare Access Associate (CHAA) are commonHigh school diploma or equivalent; certifications like Certified Professional Biller (CPB) are common
Work EnvironmentHealthcare facilities, hospitals, clinicsMedical offices, billing companies, healthcare providers
Employer & Industry UsageUsed in healthcare to ensure coverage before treatmentUsed in healthcare to manage claims and reimbursements

The Insurance Verification Coordinator focuses on confirming patient insurance details prior to services, while the Insurance Billing Specialist handles the claims process afterward. Both roles are essential in healthcare revenue cycle management and often work closely together to ensure smooth patient billing and reimbursement processes.

Is it hard to learn insurance verification coordinator?

Learning to be an insurance verification coordinator involves understanding insurance policies, billing procedures, and using healthcare software systems. While some prior knowledge of healthcare or insurance helps, training is typically provided, making the role accessible to those with strong attention to detail and organizational skills.

How do you become an insurance verification coordinator?

To become an insurance verification coordinator, candidates typically need a high school diploma or equivalent, along with experience in healthcare or insurance billing. Relevant skills include attention to detail, knowledge of insurance policies, and proficiency with electronic health record systems or billing software. Some employers may prefer or require certification in medical billing or coding.

What does an insurance verification coordinator do?

An Insurance Verification Coordinator is responsible for verifying patients’ insurance coverage prior to medical appointments or procedures. They contact insurance companies to confirm benefits, coverage details, and pre-authorization requirements. Their work ensures that the healthcare provider receives accurate reimbursement and that patients are aware of their financial responsibilities. This role is critical for reducing claim denials and streamlining the billing process.

What are common challenges faced by insurance verification coordinators and how can they be managed?

Insurance Verification Coordinators often encounter challenges such as navigating complex insurance policies, managing high volumes of verification requests, and dealing with frequent changes in coverage or payer requirements. Staying organized, maintaining up-to-date knowledge of insurance guidelines, and utilizing verification software can help manage these challenges efficiently. Strong communication skills are also essential, as coordinators regularly interact with patients, providers, and insurance representatives to clarify information and resolve discrepancies.

What are the most commonly searched types of Insurance Verification jobs in Tennessee?

The most popular types of Insurance Verification jobs in Tennessee are:

What cities in Tennessee are hiring for Insurance Verification Coordinator jobs?

Cities in Tennessee with the most Insurance Verification Coordinator job openings:

Insurance Verification Coordinator jobs near you

Insurance Verification Specialist (10574)

SOUTHERN SPORTS MEDICINE PARTNERS LLC

Jackson, TN • On-site

$16 - $20/hr

Full-time

Re-posted 28 days ago

Job description

SUMMARY:

The Insurance Verification Specialist is responsible for reviewing and processing incoming referrals from external providers to ensure timely access to care, primarily for new patients as well as occasionally for existing patients. This role is critical in initiating the patient care journey, working closely with referring offices, clinical teams, and patients to verify information, obtain past medical records and imaging, and schedule new patient appointments.

KEY RESPONSIBILITIES:

REFERRAL INTAKE & DOCUMENTATION

  • Receive and process inbound referrals from external providers via eFax, EMR, phone, email, or third-party platforms.
  • Review referral documents for completeness and accuracy, including diagnosis, insurance, and provider information.
  • Input referral data into the EMR (e.g., eClinicalWorks), create patient’s chart, and promptly reach out to schedule.
  • Monitor open referrals, making repeated contact attempts to patient over several days via call and text until scheduled.
  • Track reasons referrals are not scheduled within the EMR and provide updates back to referring provider partners.
  • Field incoming calls from referral sources, referred new patients, and self-referrals to coordinate scheduling process.
  • Screen self-referrals (patients who found us online or through word-of-mouth) to understand their condition and past treatment history based on our patient criteria and defined screening scripts prior to scheduling.

PATIENT SUPPORT

  • Contact patients to inform them of appointment details, pre-visit instructions, and next steps.
  • Provide guidance on navigating referred services (e.g., imaging centers, specialists).
  • Address patient questions and coordinate logistics to minimize delays.

COMMUNICATION & COLLABORATION

  • Liaise with external offices and provider groups to ensure seamless referral handoffs.
  • Partner with clinical teams to confirm the accuracy of referral orders and urgency.
  • Escalate any issues or delays to appropriate clinical or administrative staff.

PROFESSIONAL QUALIFICATIONS:

  • High school diploma or equivalent required; associate degree or healthcare training a plus.
  • 1-2 years of experience in a healthcare referral, scheduling, or front office coordination role.
  • Working knowledge of insurance requirements and prior authorization protocols.
  • Strong communication, customer service, and organizational skills.
  • Experience with electronic medical records (eCW preferred).
  • Ability to multitask while maintaining accuracy and attention to detail.

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