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Insurance Verification Manager Jobs in Needham, MA

Emerson Hospital

PRACTICE MANAGER

Concord, MA

This role ensures efficient workflows and positive patient experience while managing staffing, compliance, patient access, scheduling, insurance verification, billing, and support team supervision.

New

Emerson Hospital

PRACTICE MANAGER

Concord, MA · On-site

This role ensures efficient workflows and positive patient experience while managing staffing, compliance, patient access, scheduling, insurance verification, billing, and support team supervision.

New

Emerson Health

Practice Manager

Concord, MA

$25 - $35/hr

This role ensures efficient workflows and positive patient experience while managing staffing, compliance, patient access, scheduling, insurance verification, billing, and support team supervision.

New

inno

Authorization Commercial Team Lead

Medford, MA · On-site

Obtain and manage prior authorizations, pre-certifications, and insurance approvals in accordance with payer requirements. * Conduct insurance verification and re-verification to confirm eligibility ...

Emerson Hospital

Patient Access Associate I

Concord, MA · On-site

$19 - $27.68/hr

... insurance verification, and bed assignment--ensuring both excellent service and accurate financial processing. Reporting to the Supervisor and Manager of Patient Access, you'll help support efficient ...

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Insurance Verification Manager information

See Needham, MA salary details

$40.9K

$90.2K

$133.4K

How much do insurance verification manager jobs pay per year?

As of Jul 17, 2026, the average yearly pay for insurance verification manager in Needham, MA is $90,197.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,400.00 and $107,800.00 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, and why are they important?

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 Needham, MA look for? The top searched job categories for Insurance Verification Manager jobs in Needham, MA are:
What cities near Needham, MA are hiring for Insurance Verification Manager jobs? Cities near Needham, MA with the most Insurance Verification Manager job openings:
Insurance Verification Manager jobs near you
Insurance Verification Representative

Insurance Verification Representative

Signature HealthCARE

West Bridgewater, MA • On-site

$17.50 - $22.50/hr

Other

Posted 28 days ago

Signature Healthcare rating

5.3

Company rating: 5.3 out of 10

Based on 169 frontline employees who took The Breakroom Quiz

185th of 236 rated social care providers

Job description

Insurance Verification Specialist

Under the general direction of the Insurance Verification Manager, ensures that patient's insurance information is accurate before the scheduled visit for billing and quality purposes. To ensure insurance claim reimbursement is verified for timely filing.

Checks eligibility of patients' insurance thru the batch system using the Clearance Change application.

Corresponds with all SMG offices with any insurance related issues.

Calls patients to obtain any new or existing insurance information that could result in claim denial.

Contacts self-pay patients if no insurance is captured thru other insurance modules and resources. If determined the patient is self-pay- refer patient to Financial Counselor, and notify office of deposit due at time of service.

Communicates with the patient's Primary Care Physician or Referral Department if a referral is required and not obtained.

Corresponds with the Referral department on any insurance changes or issues that may require a new referral or authorization that may cause a delay or denial of payment.

Communicates with 3rd party insurance carriers that are not automated thru Clearance Change, regarding eligibility and patient benefits; notifies office of all insurance limitation that will affect the billing process.

Provides insurance knowledge and direction to Patients, Call Center, SMG Practice sites, Patient Services and all modalities in ambulatory care regarding Insurance Eligibility and Meditech related issues.

Supports Patients and SMG Primary Care offices in Mass Health/ACO products and works with Mass Health Gateway to ensure PCP changes are correct in our ACO.

Informs billing department of incorrect insurance information for past billing deficiencies that may result in claim denial.

Notifies Customer Service on high balance accounts and accounts with minimal coverage to establish a payment plan.

Completes any special projects assigned by management.

Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.

Education & Experience:

Education: High School Diploma or Equivalent.

Experience: Previous experience in a healthcare setting preferred. Strong communication skills that ensure the ability to deal effectively and tactfully with patients, insurance carriers, and other employees. Software/Hardware: Microsoft Office and ability to navigate multiple internet-based applications.

This position is located onsite in West Bridgewater, MA.

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