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Insurance Verification Rep Jobs in Philadelphia, PA

Shields Shields & Lally

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Insurance Verification Specialist

Cherry Hill, NJ · On-site

$16.75 - $20.75/hr

Contact payers to verify benefits and insurance information prior to a patient's appointment ... Represents clinic in a professional manner. Treats all patients courteously and cooperatively.

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.

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All JobsInsurance Verification Rep JobsInsurance Verification Rep Jobs in Philadelphia, PA

Insurance Verification Rep information

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$13

$19

$26

How much do insurance verification rep jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for insurance verification rep in Philadelphia, PA is $19.71, according to ZipRecruiter salary data. Most workers in this role earn between $16.49 and $21.11 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 Philadelphia, PA are hiring for Insurance Verification Rep jobs?

Cities near Philadelphia, PA with the most Insurance Verification Rep job openings:

Insurance Verification Rep jobs near you
Infographic showing various Insurance Verification Rep job openings in Philadelphia, PA as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $40,994 per year, or $19.7 per hour.

Insurance Verification Representative, Mt. Laurel

Mount Laurel, NJ • On-site

Virtua
10K+ employees
Learn more about Virtuaexternal

$19.54 - $29.20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

Job description

Job Summary:
Responsible for verification and to ensure completion of insurance, and presence of an authorization/referral/notice of admission for various account types. Demographics are audited to assure accuracy. Updating various payer websites and payer communications is necessary. Communication with various departments, including utilization review, patient access and patient is done to expedite the process. May provide assistance to customers on financial counseling. This is all done with the goal of a clean bill and authorized service to support the revenue cycle and payment of a bill.
Position Responsibilities:
Verification and obtaining of authorizations/precertification/notice of admission. Utilization of payer websites, faxes, and phone.
Communicating with office site staff when authorization is needed. Identifying an issue and addressing the issue with the site. Assisting departments in regard to verification/authorization.
Updating and auditing demographics including insurance information on accounts.
Assisting and directing patients for financial assistance.
Position Qualifications Required:
Required Experience:
2-3 year experience with Insurance Verification
Understanding of third party reimbursement and methodologies for all third party payers, especially pre-certification and COB regulations
Outstanding registration skills with strong insurance knowledge
Demonstrated Virtua Values
Required Education:
High School Diploma
Training / Certification / Licensure:
EPIC experience
Hourly Rate: $19.54 - $29.20 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.
Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.
For more benefits information click here .

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