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Insurance Verification Manager Jobs in Maineville, OH

Dental Front Desk Receptionist

Franklin, OH · On-site

$13.75 - $17.75/hr

Your responsibilities will include greeting patients, answering phone calls, scheduling appointments, managing patient records, and assisting with insurance verification and billing inquiries. The ...

Dental Front Desk Receptionist

Franklin, OH

$13.75 - $17.75/hr

Your responsibilities will include greeting patients, answering phone calls, scheduling appointments, managing patient records, and assisting with insurance verification and billing inquiries. The ...

Dental Front Desk Receptionist

Franklin, OH · On-site

$13.75 - $17.75/hr

Your responsibilities will include greeting patients, answering phone calls, scheduling appointments, managing patient records, and assisting with insurance verification and billing inquiries. The ...

Dental Front Desk Receptionist

Franklin, OH · On-site

$13.75 - $17.75/hr

Your responsibilities will include greeting patients, answering phone calls, scheduling appointments, managing patient records, and assisting with insurance verification and billing inquiries. The ...

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Showing results 1-20

Insurance Verification Manager information

See Maineville, OH salary details

$35.1K

$77.5K

$114.7K

How much do insurance verification manager jobs pay per year?

As of Aug 12, 2026, the average yearly pay for insurance verification manager in Maineville, OH is $77,497.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,200.00 and $92,700.00 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 job categories do people searching Insurance Verification Manager jobs in Maineville, OH look for? The top searched job categories for Insurance Verification Manager jobs in Maineville, OH are:
What cities near Maineville, OH are hiring for Insurance Verification Manager jobs? Cities near Maineville, OH with the most Insurance Verification Manager job openings:

Insurance Verification Supervisor

Cincinnati Children's Hospital

Cincinnati, OH • On-site

$24.68 - $35.90/hr

Full-time

Re-posted 11 days ago


Cincinnati Children's Hospital Medical Center rating

7.3

Company rating: 7.3 out of 10

Based on 150 frontline employees who took The Breakroom Quiz

387th of 1,058 rated hospitals


Job description

Description:

INSURANCE VERIFICATION SUPERVISOR

Location: Burnet Campus, 3430 Burnet Avenue, Cincinnati OH 45224

At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s.

Cincinnati Children's Hospital Has Been Named:

· #1 Children’s Hospital in the Nation by US News and World Report 2023

· Ranked #1 in the Nation and Top 10 in All Specialties

· One of nation’s Best Employers for Women by Forbes, July 2024

· #2 recipient of pediatric research grants from the National Institutes of Health

· Ranked among nation’s Best Employers for Diversity by Forbes 

SUBFUNCTION DEFINITION: Prepares and forwards patient claims to appropriate third-party payers. Analyzes and reviews claims to ensure that payer-specific billing requirements are met. Follows up on billing, determines and applies appropriate adjustments, answers inquiries and updates accounts as necessary.

REPRESENTATIVE RESPONSIBILITIES

·Pre-Authorization
Utilize systems including medical records to obtain needed clinical support to efficiently confirm receipt of or to obtain pre-authorization for scheduled services and medications that require a higher level of clinical knowledge. Collaborate with internal and external resources regarding specific authorizations scenarios and manages escalated issues and provides feedback to team members. Work with team to make contact with families prior to patient scheduled visits and/or services to confirm insurance eligibility, referrals/authorizations with minimal stress to the family/patient.
·Problem Resolution
Serve as second level problem resolution for both internal and external customers, involving Manager, if necessary. Responsible for research, analysis and resolution of complex issues and questions. Identify patterns in questions and problem issues with staff and participate in determining and addressing root causes.
·Collaboration
Serve as a liaison between Hospital/Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patient Financial Services, Utilization Review and other Cincinnati Children's departments. Multiple division support; cross trained in order to work insurance pre-authorization for multiple divisions. Participate in Department Meetings to share payer trends related to Pre-Authorizations.
·Productivity
Work independently and/or collaboratively with team to efficiently handle work volume and queues to meet or exceed productivity standards. Accurately collect/verify insurance information and demographics, obtaining insurance authorization and entering the information into the required systems. Assign tasks to the appropriate shill level as needed to ensure efficiency and productivity.
·Coordination
Serve as an internal and external resource/expert for health insurance questions from customers/clients. Act as a preceptor for new employees and provide instruction for performing non-routine functions for staff. Work collaboratively with team to establish and maintain payer specific coverage libraries and communicate/update payer information health system requirements utilizing departmental SharePoint or other resources. Working knowledge and functions of multiple divisions. Complete retrospective authorizations when necessary.

Expected Starting Salary Range: 24.68 - 30.29

Qualifications:

EDUCATION/EXPERIENCE


Required:
· High school diploma or equivalent
·7+ years of work experience in a related job discipline.

Preferred:
Certified Professional Coder


Cincinnati Children's is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion. We are committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/AA/M/F/Veteran/Disability

What Cincinnati Children's Hospital Medical Center employees say

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About Cincinnati Children's Hospital Medical Center

Sourced by ZipRecruiter

Cincinnati Children's Hospital Medical Center, located in Cincinnati, OH, US, is a premier pediatric hospital renowned for its exceptional clinical services, research programs, and medical education. The healthcare institution, founded in 1883, holds a sterling reputation in the industry, with a mission to improve child health and transform delivery of care through fully integrated, globally recognized research, education and innovation. As one of the oldest and most distinguished pediatric hospitals in the United States, Cincinnati Children's continues to offer a broad range of high-quality, compassionate care to children in the community and around the globe. As a testament to its dedication, it has consistently been ranked among the top three US pediatric hospitals by U.S. News & World Report.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Cincinnati, OH, US

Year founded

1883