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Insurance Verification Rep Jobs (NOW HIRING)

CCS

Insurance Verification Representative

Houston, TX · On-site +1

$16.25 - $20.75/hr

The verification representative will verify coverage for governmental, commercial insurance companies and patient accounts. You'll be the one of our subject matter experts that will help us solve our ...

RadNet

Insurance Verification Rep

Ontario, OR · On-site

$24 - $28/hr

When you join us as an Insurance Verification Representative you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all ...

RadNet

Insurance Verification Rep

Ontario, OR

$24 - $28/hr

When you join us as an Insurance Verification Representative you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all ...

Novir

Insurance Verification Representative

Milwaukee, WI · On-site

$16.75 - $21.50/hr

The Insurance Verification Representative (Registration Representative) supports the patient intake and billing processes by ensuring accurate and complete registration, referral management ...

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How much do insurance verification rep jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for insurance verification rep 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 is the difference between Insurance Verification Rep vs Medical Billing Specialist?

AspectInsurance Verification RepMedical Billing Specialist
CredentialsHigh school diploma, certification preferredHigh school diploma, certification often preferred
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesVerify insurance coverage, patient eligibilityProcess claims, handle billing and payments
Common UsageInsurance verification, patient intakeClaims processing, accounts receivable

While both roles support healthcare revenue cycle management, the Insurance Verification Rep focuses on confirming patient insurance details and eligibility, whereas the Medical Billing Specialist handles submitting claims and managing payments. They often work together but have distinct responsibilities within the healthcare billing process.

How to become an insurance verification representative?

To become an insurance verification representative, candidates typically need a high school diploma or equivalent and should develop skills in customer service, data entry, and knowledge of insurance policies. Some employers prefer candidates with experience in healthcare or insurance billing, and familiarity with electronic health record (EHR) systems is beneficial. Certification is not usually required but can enhance job prospects.

Is it hard to learn insurance verification representative?

Learning to be an insurance verification representative involves understanding insurance policies, billing procedures, and using specific software systems. The role typically requires attention to detail and good communication skills, but training is usually provided, making it accessible for most candidates with basic computer proficiency.

What does an insurance verification representative do?

An insurance verification representative reviews and confirms patients' insurance coverage to ensure services are authorized and billed correctly. They verify policy details, obtain necessary approvals, and update records using healthcare management systems to facilitate smooth billing processes.

What cities are hiring for Insurance Verification Rep jobs?

Cities with the most Insurance Verification Rep job openings:

What states have the most Insurance Verification Rep jobs?

States with the most job openings for Insurance Verification Rep jobs include:

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

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

Insurance Verification Rep jobs near you
Infographic showing various Insurance Verification Rep job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $40,625 per year, or $19.5 per hour.

Insurance Verification Representative

Community Health Systems

Farragut, TN • On-site

$15 - $19/hr

Other

This job post has expired 1 day ago. Applications are no longer accepted.

Community Health Systems rating

6.9

Company rating: 6.9 out of 10

Based on 276 frontline employees who took The Breakroom Quiz

452nd of 898 rated healthcare providers

Job description

Insurance Verification Representative

The Insurance Verification Representative is responsible for accurately verifying patient insurance coverage, benefits, and eligibility to ensure proper reimbursement and prevent service delays. This role coordinates with physician offices, case management teams, and financial counseling to facilitate pre-certifications, authorizations, and patient financial obligations. The Insurance Verification Representative plays a key role in maintaining accurate patient account liability, minimizing denials, and improving revenue cycle efficiency.

Essential Functions

  • Verifies insurance benefits, eligibility, and pre-determination requirements for all scheduled patients, ensuring accuracy and completeness before services are rendered.
  • Coordinates with physician offices to obtain required pre-authorizations and pre-certifications, preventing reschedules or cancellations due to missing approvals.
  • Confirms patient coverage for procedures and treatments, documenting insurance details, policy limitations, and reimbursement expectations.
  • Initiates financial counseling for uninsured or underinsured patients, referring them to financial assistance programs or payment plan options.
  • Accurately documents and updates patient records, including pre-certification numbers, eligibility details, and authorization statuses.
  • Communicates effectively with patients and physician offices, providing clear information regarding insurance coverage, financial responsibilities, and payment expectations.
  • Ensures timely entry of pre-registration documents into the electronic health record (EHR) and forwards them to the appropriate department.
  • Maintains accurate department records, reports, and documentation, ensuring compliance with billing, regulatory, and facility policies.
  • Identifies and resolves insurance discrepancies, proactively addressing issues that could result in billing errors or claim denials.
  • Works collaboratively with case management, patient registration, and billing teams, ensuring seamless revenue cycle operations and optimized reimbursement.
  • Performs other duties as assigned.
  • Maintains regular and reliable attendance.
  • Complies with all policies and standards.

Qualifications

  • 0-2 years of experience in insurance verification, medical billing, or patient access in a healthcare setting required
  • 2-4 years of insurance verification experience in an acute care hospital or physician practice group preferred
  • Experience with electronic health records (EHR), insurance portals, and revenue cycle workflows preferred

Knowledge, Skills and Abilities

  • Strong knowledge of insurance verification, pre-authorizations, and patient financial services.
  • Proficiency in healthcare insurance terminology, including co-pays, deductibles, out-of-pocket costs, and covered services.
  • Ability to interpret and apply insurance policies and payer guidelines to verify eligibility and benefits accurately.
  • Effective communication and customer service skills, ensuring professional interactions with patients, physician offices, and insurance providers.
  • Strong organizational and time-management skills, handling multiple verification requests efficiently.
  • Proficiency in electronic health record (EHR) systems, payer websites, and insurance portals for eligibility verification.
  • Understanding of HIPAA regulations and patient privacy requirements when handling sensitive financial and insurance information.

Licenses and Certifications

  • CHAA - Certified Healthcare Access Associate preferred

Job Identification 162909

Job Category Finance and Accounting

Locations 10820 Parkside Dr, Knoxville, TN, 37934, US

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