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Insurance Verification Coordinator Jobs (NOW HIRING)

Altru Health

Insurance Verification Specialist

$17.92 - $26.88/hr

The Insurance Verification Specialist supports financial clearance through the accurate and timely ... Coordinates benefits by effectively determining primary and secondary liability when needed.

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Insurance Verification Coordinator information

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$13

$24

$40

How much do insurance verification coordinator jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for insurance verification coordinator in the United States is $24.79, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $30.29 per hour, depending on experience, location, and employer.

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

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.

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 some 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 cities are hiring for Insurance Verification Coordinator jobs? Cities with the most Insurance Verification Coordinator job openings:
What are the most commonly searched types of Insurance Verification jobs? The most popular types of Insurance Verification jobs are:
What states have the most Insurance Verification Coordinator jobs? States with the most job openings for Insurance Verification Coordinator jobs include:
Insurance Verification Coordinator jobs near you
Infographic showing various Insurance Verification Coordinator job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution, with an average salary of $51,569 per year, or $24.8 per hour.
Insurance Verification Representative

Insurance Verification Representative

Healthcare Support Staffing

Pittsburgh, PA

$100K/yr

Full-time

Medical, Dental, Vision

Posted 7 days ago

Job description

Company Description

i

s an American company which operates as the second-largest pharmacy store chain in the United States. 


  • Treatment of complex, chronic, and/or rare conditions
  • High cost, often exceeding $10,000, with some costing more than $100,000 annually
  • Availability through exclusive, restricted, or limited distribution
  • Special storage, handling, and/or administration requirements
  • Ongoing monitoring for safety and/or efficacy
  • Risk Evaluation Mitigation Strategy


 
Job Description

Responsible for verifying patient eligibility, coordinating benefits, claims and determining patient coverage/responsibility for services including, but not limited to primarily major medical insurance benefits verification, complex insurance plan verification and high volume PBM plans. Also  responsible 
for the coordination of benefits investigation and partnering with patient assistance programs.

Essential Functions:

  • Utilizes all available resources to obtain and enter insurance coverage information for ordered services into patient's file. 
  • Verifies patient insurance coverage of medications, administration supplies and related pharmacy services. 
  • Facilitates and completes the Prior Authorization process with insurance companies and practitioner offices. 
  • Completes a full Medical Verification for all medications, administration supplies and related pharmacy services. 
  • Notifies patients, physicians, practitioners and/or clinics of any financial responsibility of services provided and requested services that are not provided by the facility. 
  • Facilitates pharmacy and/or major medical claims with insurance companies and practitioner offices and investigates and facilitates prior authorization any other insurance rejections. 
  • Provides notification of urgent orders to the Senior level or Group Supervisor and communicates with other departments when an urgent need for filling a prescription or delivery is necessary; Places outbound calls to patients or physicians offices to obtain additional information needed to process the script or to notify of delay in processing script. 
  • Manages inbound calls on the Insurance line from patients, clients, physicians, practitioners and clinics regarding inquiries about services provided, financial responsibility and insurance coverage. 
Qualifications
  • High School Diploma/GED
  • 1 year insurance verification and/or pharmacy technician experience OR at least 6 months specialty pharmacy experience.
  • Understanding of claims processes
  • Understanding the authorization process is a must. 
  • At least 1 year experience in obtaining prior authorizations from a pharmacy benefit or medical billing experience
  • Needs to have an understanding of Commercial Insurance, Medicare and Medicaid - Please make sure this is on the resume
  • Strong Data Entry Skills
  • Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets) 
  • Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions) 
Additional Information

Advantages of this Opportunity:

Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm


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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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