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Insurance Verification Rep Jobs in West Virginia

Lifepoint Health

Front Desk Representative

Beckley, WV · On-site

$14.50 - $17.75/hr

As the Front Desk Representative joining our team, you're embracing a vital mission dedicated to ... Verify and obtain insurance authorizations and pre-certifications, accurately documenting approval ...

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All JobsInsurance Verification Rep JobsInsurance Verification Rep Jobs in West Virginia

Insurance Verification Rep information

See West Virginia salary details

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How much do insurance verification rep jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for insurance verification rep in West Virginia is $15.12, according to ZipRecruiter salary data. Most workers in this role earn between $12.64 and $16.20 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.
Insurance Verification Rep jobs near you
Infographic showing various Insurance Verification Rep job openings in West Virginia as of September 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $31,451 per year, or $15.1 per hour.

Eligibility Verification & Benefit Specialist

Charleston, WV

Oneoncology
Health Care and Social Assistance • 1 - 5K employees
Learn more about Oneoncologyexternal

$15.75 - $19.50/hr

Full-time

Posted 17 days ago

OneOncology rating

7.9

Company rating: 7.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description:

Role Summary:

Eligibility Verification and Benefit Specialist are responsible for verifying all new patients entering the Practice Management system including hospital patients. Identify any possible benefits issues or trends based on responses from the electronic verification system.

Responsibilities:

  • Work and complete new patient task and performs initial verification on all new patients for assigned locations prior to appointment.

  • Check daily the electronic verification system to identify any possible benefit issues for patients with same day or future appointments and communicates any concerns to the appropriate staff.

  • Properly flags accounts on possible benefit issues by documenting accounts and notifying appropriate parties as necessary.

  • Requests initial referral for appropriate patient appointments, enters documentation into Patient Management system, and notifies the Sr. Eligibility Verification and Benefit Specialist.

  • Maintains working knowledge of Coordination of Benefits as it relates to identifying possible claim issues prior to patient visit.

  • Stays current on insurance changes utilizing all resources available (web sites, bulletins, emails, etc).

  • Communicate any insurance changes to appropriate staff.

  • Communicate when a patient becomes Self Pay, or obtains insurance after being Self Pay to the appropriate staff.

  • Documents coverage comments in Electronic Medical Record (EMR) system when reimbursement should be evaluated.

  • Communicates with the team supervisors regarding issues with payer responses or trends in the electronic eligibility system.

  • Follows policies and procedures as outlined by management to ensure standardization of processes.

  • Notifies Eligibility Verification and Benefit Team Management of any issues that have potential for a negative outcome for the company

Required Qualifications:

EDUCATION & EXPERIENCE:

  • High School diploma or equivalent.

  • One year experience in a directly related role preferred, but not required.

Essential Competencies:

  • Attendance is an essential job function.

  • Ability to work effectively with all levels of management and other colleagues

  • Ability to demonstrate initiative and mature judgment.

  • Ability to demonstrate high degree of professionalism and adaptability.

  • Ability to demonstrate proficiency in the use of end-user computer applications (MS work, Excel, Outlook), database and patient scheduling and other medical information systems.

  • Ability to demonstrate strong customer service delivery skills.

  • Ability to utilize websites, portal and electronic options when available to increase efficiency

  • Ability to follow oral and written instructions.

  • Ability to recognize and solve problems using creative thinking skills, hands on problem solving skills and the ability to analyze and respond to data.

  • Skilled at effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations.

  • Skilled at Multi-tasking, organizational skills and superb attention to detail.

  • Working knowledge of Hospice and other payer requirements.

  • Knowledge of clinic office procedures, medical practice and medical terminology.

The above job description is a general overview of the responsibilities and competencies for this role at OneOncology. Specific details may vary based on the needs of the organization.

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