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Insurance Verification Rep Jobs in Houston, TX (NOW HIRING)

US Physical Therapy

EDI Representative

Houston, TX

$38K - $53K/yr

It is an exhilarating time of growth for USPh, and we are hiring a Patient Account Representative ... Communicate with insurance companies to obtain prior authorizations and verify coverage ...

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All JobsInsurance Verification Rep JobsInsurance Verification Rep Jobs in Houston, TX

Insurance Verification Rep information

See Houston, TX salary details

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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 Houston, TX is $17.65, according to ZipRecruiter salary data. Most workers in this role earn between $14.76 and $18.89 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 near Houston, TX are hiring for Insurance Verification Rep jobs?

Cities near Houston, TX with the most Insurance Verification Rep job openings:

Insurance Verification Rep jobs near you
Infographic showing various Insurance Verification Rep job openings in Houston, TX as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 18% Part Time, 2% Temporary, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $38,796 per year, or $18.7 per hour.

Insurance Verification Specialist (Facility)

Houston, TX • On-site

Premier Medical Resources
Health Care and Social Assistance • 201 - 500 employees
Learn more about Premier Medical Resourcesexternal

$16.25 - $20/hr

Full-time

Medical

Re-posted 4 hours ago

Job description

Revenue Cycle Management is looking for a full-timeInsurance Verification Specialist to join our team!
Remote opportunity after 30-90 day in-person training
SUMMARY: The Insurance Verification Specialist is responsible for verifying the patient's insurance coverage, ensuring surgery and procedures are covered by an individual's insurance plan. Creates cost estimates prior to the surgery date and communicates cost to patients. In addition to, entering and verifying accurate data and updating patient benefit information in the Electronic Medical Records (EMR).
ESSENTIAL FUNCTIONS:
  • Assists front office with verification questions or concerns
  • Resolves any coverage issues and update patient EMR
  • Enters insurance coverage (co-payments, deductibles, etc.) accurately into patient EMR
  • Serves as a liaison between the patient, facility, physicians, and other departments to ensure timely and accurate financial clearance of all accounts
  • Verifies patient insurance coverage and benefits through online portals, phone calls, and other resources
  • Verifies insurance eligibility along with benefits and ensures all notifications and authorizations are completed by the surgery date
  • Identifies patient accounts based on self-pay, PPO, HMO, personal injury, workmen's compensation or other managed care organizations
  • Collects relevant data for eligibility and benefit verification including all ICD-10 and billable CPT codes per orders
  • Communicates with internal and external individuals to obtain information, resolve benefit issues, and ensure accurate benefit information is obtained
  • Responds to inquiries regarding patient accounts with appropriate and accurate information in a professional manner
  • Ensures accounts are financially secured by reviewing and documenting benefits, patient responsibilities, authorization requirements, and other relevant information
  • Creates financial arrangements, alongside management, when a patient is unable to complete payment
  • Responds promptly to requests and keeps open channels of communication with physician, patient, and service areas regarding financial clearance status and resolution
  • Collaborates with billing and coding departments to ensure correct processing of claims
  • Calculates co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and plan as applicable
  • Completes high-quality work while adhering to productivity standards
  • Performs miscellaneous job-related duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES:
  • Demonstrates ability to use basic computer functions, technology and Microsoft office (excel, word)
  • Broad knowledge of the content, intent, and application of HIPAA, federal and state regulations
  • Ability to work independently with little or no supervision as well as function within a team
  • Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization
  • Good communication skills (verbal / written) providing a great patient experience
  • Ability to work effectively in a fact paced environment
  • Strong knowledge of managed care, medical terminology, CPT Coding and ICD10
  • Demonstrates use of appropriate modifiers, HIPAA regulations, and insurance verification procedures
  • Knowledge of payor guidelines including reading, understanding and interpreting medical records and payor requirements etc.
  • Ability to think critically, assess problems and provide problem resolutions
  • Demonstrates attention to detail, accountability, people skills, problem solving and decision-making skills

EDUCATION AND EXPERIENCE:
  • High School Diploma or GED
  • One (1) year of revenue cycle experience
  • One (1) year of experience with insurance verification in a hospital/ASC setting

Please visit our website for more information:
www.pmr-healthcare.com
Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
Employment for this position is contingent upon the successful completion of a background check and drug screening.

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