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Insurance Verification Rep Jobs in Philadelphia, PA

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 ...

Temple Health

Lead Patient Access Rep

Philadelphia, PA

$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 ...

Trinityhealth

Patient Access Rep - Day Shift

Langhorne, PA · On-site

$16.25 - $20.75/hr

The patient access representative performs all outpatient, emergency room and inpatient ... Verifies insurance benefits and checks for the necessity of pre- certification , authorization and ...

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

Insurance Verification Rep information

See Philadelphia, PA salary details

$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 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.

Epidural Pre-Certification Representative

Philadelphia, PA • Remote

Rothman Orthopaedics
1 - 5K employees
Learn more about Rothman Orthopaedicsexternal

$19 - $23/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 5 days ago

Rothman Orthopaedics rating

5.9

Company rating: 5.9 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Job Summary:

The Pre-Certification Representative ensures accurate, efficient processing and interaction with all insurance companies and staff with regard to pre-certification.

Key Accountabilities: 

Daily report of completed vs pending pre-certs, monthly total of pre-certs by FTE, number of cancellations by physician/FTE.

Job Duties:

  • Processes all incoming requests for pre-certification and authorization for upcoming procedures being performed by a physician or department at Rothman Institute. Reviews all requests for appropriate information required to get approval and accurate benefit information.
  • Reviews physician schedules prior to scheduled procedures to ensure all have been pre-certified or authorized.
  • Reviews benefits to ensure patient has adequate coverage and communicates high out-of-pocket expenses to the Financial Counseling team.
  • Notates patient's account with all information relevant to the authoirzation and pre-certification process, including filling out Structured Data fields in eCW referral.
  • Faxes/uploads required pre-certification paperwork to insurance company, adjuster or medical review department to ensure authorization is obtained.
  • Responsible for pre-certification process in its entirety, including communicating denials and initiating appeals.
  • Manages all workers’ compensation and auto pre-certifications due to additional time required by these payers to obtain approval.

Job Qualifications:

  • High School diploma or GED minimum education requirement 
  • Medical office operations and medical terminology knowledge required 
  • One year of pre-certification experience highly preferred  
  • Computer skills including, but not limited to, MS Office Suite

Location: 

  • remote after training
  • training in office at 833 Chestnut St, Philadelphia, PA

Hours: 

Monday - Friday: 8:00am - 4:30pm 

Pay Range:

$19.00/hr - $23.00/hr

Our Commitment to Employees:

Come work at Rothman Orthopaedics! Our employees are our single greatest asset, as such, we strive to provide a professional, nurturing environment where every member of our team can make a meaningful difference in the lives of others. This commitment to our employees has earned us the distinction as a Top Workplace in Philadelphia by the Philadelphia Inquirer year after year. Our employees enjoy competitive pay, comprehensive health and dental benefits, tuition reimbursement, paid time off, and retirement savings plans.

Rothman Orthopaedics is an Equal Opportunity employer committed to providing opportunities to all qualified applicants without regards to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. We value developing an inclusive and equitable environment that strengthens our organization and allows us to better attract and retain a diverse workforce that is representative of our patients and our community. We model our values by creating and enacting practices that encourage participation from all backgrounds, perspectives, and experiences.

Remote Employment Policy:

If you are being hired into a remote eligible position, please be aware that Rothman Orthopaedics is only registered to support remote employment in a limited number of states. If you relocate to a new state and Rothman Orthopaedics is not registered in that state, you may no longer be eligible for a remote position and continued employment with Rothman Orthopaedics. Please contact HR for any questions or a list of states where remote employment may be authorized.

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