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Insurance Verification Rep Jobs in Pennsylvania (NOW HIRING)

Jefferson

Authorization Representative

Abington, PA · On-site

$16.50 - $21/hr

Insurance Benefits Coordinator Coordinates insurance benefits verification and secures prior authorizations for surgical procedures, diagnostic testing, medications, referrals, and related services.

Temple Health

Lead Patient Access Rep

Philadelphia, PA · On-site

$17.50 - $22.25/hr

Verifies patient insurance coverage and benefits. Obtains necessary insurance authorizations for hospital and physician services. The lead representative handles escalations or calls from physicians ...

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Insurance Verification Rep information

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$13

$19

$26

How much do insurance verification rep jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for insurance verification rep in Pennsylvania is $19.58, according to ZipRecruiter salary data. Most workers in this role earn between $16.39 and $20.96 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 Pennsylvania are hiring for Insurance Verification Rep jobs?

Cities in Pennsylvania with the most Insurance Verification Rep job openings:

Insurance Verification Rep jobs near you
Infographic showing various Insurance Verification Rep job openings in Pennsylvania as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $40,723 per year, or $19.6 per hour.

WFH Insurance Follow-Up Representative

Allentown, PA • Remote

Hollis Cobb Associates
201 - 500 employees
Learn more about Hollis Cobb Associatesexternal

$39K - $54K/yr

Full-time

Re-posted 10 days ago

Job description

The Insurance Verification Representative is responsible for researching and updating the insurance information, commercial and government, within various databases with the current benefit status for each patient. Information can be obtained electronically or by direct communication with the insurance companies

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Responsible for verifying patient insurance coverage
  • Responsible for taking data provided and submitting claims to various private and government sponsored insurance companies
  • Follow up with pending claims and work denials for all payers
  • Query information on remote Medicare software
  • Learn new systems and process solutions as they present themselves to ensure proper assignment and workflow
  • Contacts insurance companies/payers or patients to gather information necessary to complete appeal processing
  • Remain compliant with our policies, process and legal guidelines
  • Will need to be open to ongoing feedback and coaching aimed at improving performance
  • Remain compliant with HIPPA and other State and Federal regulations
  • Entering and/or updating the benefit information in an accurate manner into the various databases
  • Adhere to the production standards set for the department and client
  • Accuracy and confidentiality in handling medical records in compliance with HIPPA, Federal, State and Company requirements
  • Other duties as assigned by manager

 QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION & EXPERIENCE 

  • A high school diploma or equivalent is required
  • 2 or more years of experience within the medical industry is preferred
  • 2 or more years of experience in medical billing required
  • Experience working with both government and commercial payers required

KNOWLEDGE, SKILLS, & ABILITIES

  • Knowledge of insurance terminology and processes
  • Intermediate to advanced proficiency in computer skills using Microsoft Word and Excel software
  • Knowledge and skill navigating insurance portals for online benefit review Medical system platform experience with STAR, EPIC, etc.
  • Ability to multi-task in a fast-paced environment
  • Excellent verbal, written and communication skills
  • Strong analytical/problem solving skills
  • High attention to detail
  • Ability to read and understand a variety of information presented in different formats from a variety of sources
  • Must be able to type a minimum of 25 wpm

PHYSICAL REQUIREMENTS

While performing the duties of this job, the employee is occasionally required to stand or walk and lift and/or move up to 25 pounds. Also may be required to use hands to finger, handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel or crouch or crawl; see, talk and hear. 

WORK ENVIRONMENT

Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Incumbent/employee works in a temperature-controlled office environment or a Work from Home office environment.  Incumbent/employee must be able to work on a computer for the scheduled shift; answers and makes telephone calls using a standard or computer soft telephone; types on a standard keyboard; reads and comprehends information from a computer terminal and/or written resources and utilizes multiple screens and systems simultaneously.  All incumbents/employees are provided a Webcam and are required to be on camera 100% of the time during the scheduled shift.

Illinois, Maryland, Massachusetts, and New Jersey residents click below for compensation and benefits 

https://www.holliscobb.com/state-specific-benefits/

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