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Insurance Verification Rep Jobs in New York (NOW HIRING)

This role goes beyond basic insurance verification, we're looking for someone who can spot trends, flag issues, and help improve our RCM processes using data. Key Responsibilities: * Accurately ...

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Insurance Verification Rep information

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$14

$21

$28

How much do insurance verification rep jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for insurance verification rep in New York is $21.37, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $22.88 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 in New York are hiring for Insurance Verification Rep jobs?

Cities in New York with the most Insurance Verification Rep job openings:

Infographic showing various Insurance Verification Rep job openings in New York as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution, with an average salary of $44,445 per year, or $21.4 per hour.

Verification/Authorization Specialist

Garden City, NY โ€ข On-site

Metro Physical & Aquatic Therapy
Outpatient Health Careย โ€ขย 201 - 500 employees

$17.50 - $21.50/hr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 3 days ago


Job description

Company Description

Metro Physical & Aquatic Therapy is a comprehensive multidisciplinary company who offers Physical, Occupational, Speech Therapy, Massage and Acupuncture services. We take great pride in inspiring our team to create an everlasting bond with our patients, our doctors, and our community. But it’s not just what we do, it’s who we are. We are driven by our mission to continually invest in our people and offer the best workplace environment possible.

Job Description

The role responsible will be responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion of the required prior authorization in order to proceed with testing. Complete, timely, and accurate identification and submission of prior and retro authorization requests to the payors. Interacts with clients, insurance companies, patients, and sales representatives, as necessary, to request for prior authorizations.

Essential Functions:

1. Ensure all pre-authorizations have been approved with the proper procedure code prior to service being rendered. In addition, have the ability to work with technology necessary to complete a job effectively.

2. Ensure that ICD10 diagnosis codes are entered by all Therapists correctly.

3. Input authorizations and updating miscellaneous screens to ensure authorizations are processed.

4. Provides data entry for proper level of care which has been arranged by the Authorization received from funding sources.

5. Contacts providers and patients with authorization, denial, appeals process information, and provides other therapy options.

6. Maintain robust documentation of authorization processes and procedures.

7. Assist patients, site staff, and management with authorization issues.

8. Collaborates with other departments to receive and process authorization forms.

9. Uses good documentation skills to document process and procedure as well as conversations with clients and insurance carriers.

10. Generate “expected collections” report to notify patients of cost responsibilities. In addition, make corrections on patient accounts when errors are identified.

11. Maintain referred physician National Provider Identifier (NPI).

12. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

13. Performs other duties and assignments as required.

Qualifications

High school diploma or GED is required.

3 years of experience in the field or in a related area.

Strong customer service skills; ability to diffuse client frustrations.

Current or recent experience in a medical practice ensuring compliance with federal, state and local regulations and guidelines.

Must work well within a team environment.

Excellent interpersonal and communication skills

Proficiency in Word, Outlook, and Excel.

Ability to use logic and problem-solving skills to resolve issues, and navigate between dual monitors.

Ability to work independently under tight deadlines in a rapidly changing environment.

Ability to handle stressful situations resulting from high volume of phone calls, technical problems, frustrated customers and changes in departmental priorities or procedures.

Good organizational and multitasking skills.


Additional Information

What We Offer!

  • Competitive compensation package
  • 401(k) plan with company matching options
  • Generous Paid Time Off
  • A rich benefits package, including medical, dental, life and long-term disability insurance
  • Progressive Leadership Development Programs
  • New York's 529 College Savings Program
  • Employee Perks: discounted rates for entertainment, travel, fitness, insurance plans, etc. through our partnership with Plum Benefits
  • FSA Plans- pre tax savings plans to pay for unreimbursed medical and dental expenses, travel to & from work
  • Company Events- Annual Family Field Day, Leadership Retreats, and Holiday Awards Celebration
  • And much more!