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Insurance Verification Rep Jobs in Pittsburgh, PA

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Insurance Verification Rep information

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$12

$18

$24

How much do insurance verification rep jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for insurance verification rep in Pittsburgh, PA is $18.25, according to ZipRecruiter salary data. Most workers in this role earn between $15.29 and $19.52 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 Pittsburgh, PA are hiring for Insurance Verification Rep jobs?

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

Insurance Verification Rep jobs near you
Infographic showing various Insurance Verification Rep job openings in Pittsburgh, PA as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $37,961 per year, or $18.3 per hour.

Insurance Verification Representative

Pittsburgh, PA

Healthcare Support Staffing
Recruiting and Staffing Services • 201 - 500 employees
Learn more about Healthcare Support Staffingexternal

$100K/yr

Full-time

Medical, Dental, Vision

Re-posted 25 days ago

Key responsibilities

  • Verify patient insurance coverage and eligibility for medications, supplies, and pharmacy services.

  • Facilitate and complete the prior authorization process with insurance companies and practitioner offices.

  • Manage inbound and outbound calls related to insurance inquiries, financial responsibilities, and service delays.

Job description

Company Description

i

s an American company which operates as the second-largest pharmacy store chain in the United States. 


  • Treatment of complex, chronic, and/or rare conditions
  • High cost, often exceeding $10,000, with some costing more than $100,000 annually
  • Availability through exclusive, restricted, or limited distribution
  • Special storage, handling, and/or administration requirements
  • Ongoing monitoring for safety and/or efficacy
  • Risk Evaluation Mitigation Strategy


 
Job Description

Responsible for verifying patient eligibility, coordinating benefits, claims and determining patient coverage/responsibility for services including, but not limited to primarily major medical insurance benefits verification, complex insurance plan verification and high volume PBM plans. Also  responsible 
for the coordination of benefits investigation and partnering with patient assistance programs.

Essential Functions:

  • Utilizes all available resources to obtain and enter insurance coverage information for ordered services into patient's file. 
  • Verifies patient insurance coverage of medications, administration supplies and related pharmacy services. 
  • Facilitates and completes the Prior Authorization process with insurance companies and practitioner offices. 
  • Completes a full Medical Verification for all medications, administration supplies and related pharmacy services. 
  • Notifies patients, physicians, practitioners and/or clinics of any financial responsibility of services provided and requested services that are not provided by the facility. 
  • Facilitates pharmacy and/or major medical claims with insurance companies and practitioner offices and investigates and facilitates prior authorization any other insurance rejections. 
  • Provides notification of urgent orders to the Senior level or Group Supervisor and communicates with other departments when an urgent need for filling a prescription or delivery is necessary; Places outbound calls to patients or physicians offices to obtain additional information needed to process the script or to notify of delay in processing script. 
  • Manages inbound calls on the Insurance line from patients, clients, physicians, practitioners and clinics regarding inquiries about services provided, financial responsibility and insurance coverage. 
Qualifications
  • High School Diploma/GED
  • 1 year insurance verification and/or pharmacy technician experience OR at least 6 months specialty pharmacy experience.
  • Understanding of claims processes
  • Understanding the authorization process is a must. 
  • At least 1 year experience in obtaining prior authorizations from a pharmacy benefit or medical billing experience
  • Needs to have an understanding of Commercial Insurance, Medicare and Medicaid - Please make sure this is on the resume
  • Strong Data Entry Skills
  • Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets) 
  • Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions) 
Additional Information

Advantages of this Opportunity:

Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm


Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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