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Insurance Verification Nurse Jobs (NOW HIRING)

Gadjab

Insurance Verification Specialist

Lehi, UT · Hybrid

$22/hr

Verify patient insurance eligibility and benefits for services provided in skilled nursing ... facilities across multiple states * Conduct frequent outbound and inbound calls with insurance ...

TMH

Insurance Verification Specialist

Tallahassee, FL · On-site

$14.75 - $18.25/hr

Communicates financial and insurance information to Case Management, Utilization Management, and ... Reports To: * RN/Nurse Manager (JC: 031001) Supervises: * None WHAT YOU'LL NEED TO APPLY Required ...

clh

Insurance Verification Coordinator

Valencia, PA · On-site

At Concordia Visiting Nurses , we are committed to delivering exceptional care and support to our ... Why Join Us as an Insurance Verification Coordinator? * Career Growth: Enjoy excellent ...

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How much do insurance verification nurse jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for insurance verification nurse in the United States is $19.53, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.91 per hour, depending on experience, location, and employer.

What does an insurance verification nurse do?

An Insurance Verification Nurse is a registered nurse who specializes in verifying patients' insurance coverage and benefits before medical procedures or treatments. They review medical documentation, communicate with insurance companies, and ensure that necessary authorizations are obtained. Their role helps to minimize claim denials and ensures that patients receive the care they need while understanding their financial responsibilities. They act as a liaison between healthcare providers, patients, and insurance companies to streamline the billing and approval process.

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

To thrive as an Insurance Verification Nurse, you need a current nursing license, strong knowledge of insurance protocols, and experience in medical billing and coding. Familiarity with insurance verification software, electronic health records (EHRs), and payer portals is typically required. Attention to detail, critical thinking, and effective communication are standout soft skills for this role. These qualifications ensure accurate insurance processing, reduced claim denials, and timely patient care coordination.

What are the most common challenges faced by insurance verification nurses in their daily work?

Insurance Verification Nurses often encounter challenges such as navigating complex insurance policies, resolving discrepancies in patient coverage, and communicating effectively with both patients and insurers. Staying up-to-date with frequently changing insurance guidelines requires strong attention to detail and adaptability. Additionally, balancing administrative tasks with clinical responsibilities while maintaining accuracy under tight deadlines can be demanding, but strong organizational skills and teamwork can help overcome these obstacles.

What is the difference between Insurance Verification Nurse vs Insurance Claims Specialist?

AspectInsurance Verification NurseInsurance Claims Specialist
CredentialsRN license, certification in insurance or healthcare billingCertification in claims processing or billing, no RN license required
Work EnvironmentHospitals, clinics, insurance companies, healthcare officesInsurance companies, healthcare billing departments, claims processing centers
Job FocusVerifying patient insurance coverage before servicesProcessing and managing insurance claims after services are rendered

While both roles involve insurance in healthcare, the Insurance Verification Nurse primarily verifies patient coverage prior to treatment, requiring nursing credentials. In contrast, the Insurance Claims Specialist handles post-service claims processing, focusing on billing and reimbursement. Understanding these differences helps job seekers find the role that best matches their skills and career goals.

What are popular job titles related to Insurance Verification Nurse jobs?

For Insurance Verification Nurse jobs, the most frequently searched job titles are:

Insurance Verification Specialist

Gadjab

Lehi, UT • Hybrid

$22/hr

Part-time

Posted 25 days ago

Job description

Gadzoom Health is a growing Medical Directorship Group dedicated to providing exceptional care to patients in skilled nursing facilities. We are committed to delivering high quality services and improving patient health outcomes. Our team consists of skilled professionals who are passionate about making a difference in the lives of others.
We are seeking a part time Insurance Verification Specialist with strong customer service and communication skills to verify patient insurance coverage and benefits for services provided in our partnered communities across multiple states. 
This is a phone intensive position requiring frequent communication with a variety of insurance payers to confirm eligibility, benefits, coverage limitations, and authorization or referral requirements. The Insurance Verification Specialist will accurately document all verification details and ensure insurance information is complete and up to date to help prevent claim denials and reimbursement delays. This position will report to the Director of Revenue Cycle Management and collaborate with insurance payers, SNF partners, practitioners, and internal teams to support clean claims and timely reimbursement. 
This position is a part-time, in office role requiring about 20-25 hours per week, with the potential to transition to a hybrid schedule at the manager’s discretion. Following the initial training period, specific workdays and hours may be discussed with the manager based on department needs and the selected candidate’s availability. 
Key Responsibilities:
  • Verify patient insurance eligibility and benefits for services provided in skilled nursing facilities across multiple states
  • Conduct frequent outbound and inbound calls with insurance payers to confirm coverage, benefit limitations, effective dates, copayments, and coordination of benefits
  • Determine whether prior authorization, referral, or additional documentation is required before services are provided
  • Access and navigate multiple payer portals and verification systems to obtain accurate coverage information
  • Document verification details, reference numbers, payer representatives, and any other relevant information accurately and thoroughly
  • Maintain complete and current patient insurance information
  • Communicate coverage issues, missing information, and authorization requirements to the appropriate team members
  • Assist with resolving insurance discrepancies that could lead to claim denials or reimbursement delays
This is a general overview of the position and not intended to be a comprehensive list. Duties may be added, removed, or modified based on departmental and organizational needs. 
Preferred Qualifications:
  • Previous experience with medical insurance verification, eligibility, or revenue cycle processes
  • Knowledge of Medicare and Medicaid requirements
  • Experience working with insurance plans across multiple states. Familiarity with plans in Utah, Nevada, Texas, and Washington a plus
  • Ability to learn new systems and processes quickly. Advanced MD, Gehrimed, Availity, Noridian, Prism, UHC a plus
  • Independent and able to maintain accuracy while meeting deadlines
  • Ability to navigate multiple payer portals and computer systems efficiently

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