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Insurance Verification Manager Jobs in Worcester, MA

Quantix

Rail Car Verifier

Worcester, MA · On-site

Summary of Essential Job Functions Railcar Verification & Driver Support * Verify that each driver ... Maintain open communication with drivers, co-workers, and management regarding rail operations and ...

Quantix SCS LLC

Rail Car Verifier

Worcester, MA

$21 - $23/hr

Summary of Essential Job Functions Railcar Verification & Driver Support * Verify that each driver ... Maintain open communication with drivers, co-workers, and management regarding rail operations and ...

Emerson Hospital

Patient Access Associate I

Concord, MA

$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 ...

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 ...

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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All JobsInsurance Verification JobsInsurance Verification Manager JobsInsurance Verification Manager Jobs in Worcester, MA

Insurance Verification Manager information

See Worcester, MA salary details

$37.5K

$82.8K

$122.5K

How much do insurance verification manager jobs pay per year?

As of Aug 4, 2026, the average yearly pay for insurance verification manager in Worcester, MA is $82,798.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,500.00 and $99,000.00 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 Worcester, MA? The most popular types of Insurance Verification jobs in Worcester, MA are:
What are popular job titles related to Insurance Verification Manager jobs in Worcester, MA? For Insurance Verification Manager jobs in Worcester, MA, the most frequently searched job titles are:
What cities near Worcester, MA are hiring for Insurance Verification Manager jobs? Cities near Worcester, MA with the most Insurance Verification Manager job openings:
Insurance Verification Manager jobs near you
Infographic showing various Insurance Verification Manager job openings in Worcester, MA as of July 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $82,798 per year, or $39.8 per hour.

Pharmacy Benefits Verification Specialist

Onco360

Waltham, MA

$25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

21st of 110 rated pharmacies

Job description

Are you someone looking for professional career growth? Onco360 Pharmacy is looking for Pharmacy Benefit Verification Specialists for our Pharmacy located in Waltham, MA.
Shift time: Monday through Friday 10am-6:30 pm EST.
**Starting salary at $25/HR and up**
Sign-On Bonus: $5,000 for employees starting before August 31, 2026.
We also offer quarterly incentive bonuses.
We offer a variety of benefits including:
  • Medical, Dental amp; Vision insurance
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Paid Volunteer Day
  • Floating Holiday
  • Referral Incentive
  • Paid Life, and short amp; long-term disability insurance
Pharmacy Benefit Verification Summary
The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders.
Pharmacy Benefit Verification Specialist Major Responsibilities:
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile.
  • Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.
  • Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Pharmacy Benefit Verification Specialist Qualifications:
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
  • Work Experience
    • Required: 1+ years pharmacy or benefit verification experience
    • Desired: 3+ years pharmacy or benefit verification experience
  • Skills/Knowledge:
    • Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.
  • Behavior Competencies
    • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skill
Onco360 is a Closed door specialty pharmacy that focuses on patients who are currently undergoing cancer treatment. Our patients are important to us, so we always strive to meet and exceed their needs. We are seeking Pharmacy Benefit Verification Specialists who go above and beyond for our patients, and also passionate about helping others.

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