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Insurance Verification Manager Jobs in Worcester, MA

Simply Dental Management

Office Manager

Worcester, MA · On-site

$65K - $72K/yr

Oversee insurance verification, billing processes, and patient financial communication to ensure ... Prior management experience is required * Hands-on experience with dental insurance processes ...

Axelon

Patient Services Coordinator

Worcester, MA · On-site

... insurance verification, medical front office, or healthcare customer service experience required ... Manage bed control, transfers, admissions, and discharge activities Provide patients with ...

Simply Dental

Office Manager

Worcester, MA · On-site

Oversee insurance verification, billing processes, and patient financial communication to ensure ... Prior management experience is required * Hands-on experience with dental insurance processes ...

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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

$37.4K

$82.5K

$122.1K

How much do insurance verification manager jobs pay per year?

As of Sep 15, 2026, the average yearly pay for insurance verification manager in Worcester, MA is $82,500.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,300.00 and $98,600.00 per year, depending on experience, location, and employer.

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 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 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 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 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 job categories do people searching Insurance Verification Manager jobs in Worcester, MA look for?

The top searched job categories for Insurance Verification Manager jobs in Worcester, MA 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 September 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $82,500 per year, or $39.7 per hour.

Central Admissions / Intake Specialist

Southborough, MA • On-site

Alliance Health & Human Services, Inc.
Individual, Family and Community Social Assistance • 51 - 200 employees
Learn more about Alliance Health & Human Services, Inc.external

$90K - $100K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 21 days ago

Job description

Alliance Health and Human Services in need of a:
Central Admissions / Intake Specialist
Central Admissions Director / Intake Specialist
Alliance Health Management Services
Southborough, MA (Corporate Office)
Salary Range: $90,000-$100,000
Position Summary
Alliance Health is expanding its Central Admissions team due to continued growth across our skilled nursing portfolio. We are seeking an experienced Central Admissions Director to join our established team in partnership to oversee the admissions process for our skilled nursing facilities.
This is a high-responsibility role that manages clinical screening, insurance verification, prior authorization, regulatory compliance, and final placement decisions from referral through admission. The position works closely with hospital partners, insurance providers, and internal facility leadership to ensure timely, accurate, and compliant admissions.
Primary Responsibilities Include:
Referral Screening and Clinical Decision-Making
  • Manage and review incoming referrals across all hospital referral platforms. Communicate decisions to hospitals, case managers, and internal leadership.
  • Conduct full clinical screenings, including medical history, diagnoses, treatment needs, rehabilitation potential, and level of care appropriateness.
  • Maintain ongoing communication with hospital case managers.
Insurance Verification and Benefit Determination
  • Run full insurance eligibility for all payers, including Medicare, Medicaid, Managed Care, commercial, and supplemental plans.
  • Review benefits, co-pays, SNF coverage days, exclusions, and financial risk factors.
  • Identify primary and secondary insurance, out-of-network implications, and authorization requirements.
  • Verify all demographic and financial information prior to admission.

Coordination with Hospitals and Facilities
  • Communicate regularly with hospital case managers, social workers, and discharge teams.
  • Coordinate with internal facility teams regarding bed availability, isolation needs, dialysis coordination, transportation arrangements, and specialty equipment requirements.
  • Provide consistent updates to administrators and nursing leadership on pending admissions.
End-of-Day Reporting and Data Management
  • Provide daily recaps of admissions activity to each facility.
  • Track admissions, denials, payer mix, authorization statuses, and referral trends.
  • Maintain accurate records for operational, financial, and regulatory reporting.
Benefits offered:
  • Paid time off
  • Paid holidays
  • Medical, Dental and Vision Insurance
  • Matching 401K
  • Employee Assistance Program
  • Education assistance or tuition reimbursement
  • Flexible Schedule

Compensation is based on experience!
Job Type: Full-time
Schedule: 40 hours per week
License/Certification: N/A
Work Location: 144 Turnpike Rd, Southborough, MA 01772

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