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Insurance Verification Manager Jobs in Pennsylvania

Jefferson

Authorization Representative

Abington, PA · On-site

$16.50 - $21/hr

... manager). * Interfaces with insurance companies, both directly and indirectly, to verify coverage, benefits and obtain precertification. * Reviews and verifies additional clinical information ...

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Insurance Verification Manager information

See Pennsylvania salary details

$37.6K

$83K

$122.8K

How much do insurance verification manager jobs pay per year?

As of Aug 7, 2026, the average yearly pay for insurance verification manager in Pennsylvania is $82,997.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,700.00 and $99,200.00 per year, depending on experience, location, and employer.

What is the difference between Insurance Verification Manager vs Insurance Verification Specialist?

AspectInsurance Verification ManagerInsurance Verification Specialist
CredentialsHigh school diploma; often some healthcare or insurance certificationsHigh school diploma; certifications may enhance prospects
Work EnvironmentSupervisory role overseeing verification teams in healthcare settingsPerforming verification tasks within healthcare or insurance offices
Employer & Industry UsageHospitals, clinics, insurance companiesHospitals, clinics, insurance providers
Primary ResponsibilitiesManaging verification processes, team oversight, ensuring accuracyVerifying insurance coverage, data entry, contacting insurers

The main difference is that the Insurance Verification Manager oversees verification teams and processes, while the Insurance Verification Specialist focuses on executing verification tasks. The manager has more supervisory responsibilities, whereas the specialist handles day-to-day verification activities.

What are some common challenges an insurance verification manager faces, and how can they effectively address them?

Insurance Verification Managers often encounter challenges such as navigating frequently changing insurance policies, managing high volumes of verification requests, and ensuring accurate communication between patients, providers, and insurance companies. Staying updated on policy changes and developing standardized procedures can help streamline the verification process. Additionally, fostering strong relationships with both internal teams and external contacts is essential for quickly resolving discrepancies and ensuring timely patient care.

What are the key skills and qualifications needed to thrive as an insurance verification manager?

To thrive as an Insurance Verification Manager, you need expertise in insurance policies, benefits verification, and healthcare billing, often supported by a bachelor's degree in a related field and experience in medical administration. Familiarity with insurance verification software, EHR systems, and claims management platforms is typically required. Strong leadership, attention to detail, and effective communication skills help you manage teams and resolve complex verification issues. These competencies ensure accurate patient billing, reduce claim denials, and support efficient revenue cycle operations in healthcare organizations.

What does an insurance verification manager do?

An Insurance Verification Manager oversees the process of verifying patients' insurance coverage and benefits prior to medical services being rendered. They manage a team responsible for confirming insurance eligibility, obtaining pre-authorizations, and ensuring accurate billing information. Their work helps prevent claim denials, reduces financial risk for healthcare providers, and ensures a smooth experience for patients. This role requires strong attention to detail, knowledge of insurance policies, and leadership skills.
What are the most commonly searched types of Insurance Verification jobs in Pennsylvania? The most popular types of Insurance Verification jobs in Pennsylvania are:
What are popular job titles related to Insurance Verification Manager jobs in Pennsylvania? For Insurance Verification Manager jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Insurance Verification Manager jobs in Pennsylvania look for? The top searched job categories for Insurance Verification Manager jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Insurance Verification Manager jobs? Cities in Pennsylvania with the most Insurance Verification Manager job openings:
Insurance Verification Manager jobs near you
Infographic showing various Insurance Verification Manager job openings in Pennsylvania 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 $82,997 per year, or $39.9 per hour.

Insurance Verification Representative

Healthcare Support Staffing

Pittsburgh, PA

$100K/yr

Full-time

Medical, Dental, Vision

Re-posted 22 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


Healthcare Support logo

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

Social media

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