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Insurance Verification Rep Jobs in Washington, DC

Prism Vision Group

Patient Service Rep

Chevy Chase, MD

$18 - $31.89/hr

... • Verification of insurance information, verification of benefits and insurance referral ... services representatives and provide excellent customer service skills. • Comply with company ...

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All JobsInsurance Verification Rep JobsInsurance Verification Rep Jobs in Washington, DC

Insurance Verification Rep information

See Washington, DC salary details

$14

$22

$29

How much do insurance verification rep jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for insurance verification rep in Washington, DC is $22.11, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $23.65 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 Washington, DC as of September 2026, with employment types broken down into 100% Full Time. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $45,995 per year, or $22.1 per hour.

Accounts Receivable Rep I, Hybrid

Linthicum, MD • On-site

University of Maryland Medical System
See more jobs at University of Maryland Medical Systemexternal

$19.50 - $27.31/hr

Full-time

Re-posted 14 days ago

Job description

Job Requirements
Under general supervision this position supports the vision and mission for the University of Maryland Medical Systems, a multi-billion dollar, regional healthcare facility. Expectations include, but are not limited to, Insurance verification, evaluating financial responsibility of patients, updating accounts to a billable/collectible status, researching denials, claim rejections, and delays in reimbursement, utilizing all possible means to resolve accounts, which include contacting patients, insurance companies and other departments. Assists the department by organizing collection procedures and meeting performance goals while adhering to current laws and payer regulations and reducing uncompensated care.
Key Responsibilities
  • Works and maintains assigned receivables through work queues, age trail balance reports (ATB's), and special projects to achieve established department goals through resolution of outstanding account balances and reduction of uncompensated care.
  • Works with third party insurances to obtain maximum level of cash to reduce receivable.
  • Reviews financial references, including guidelines for reimbursement, state and federal regulations, payer-specific reimbursement policies, procedures.
  • Ensures correct processing of outstanding insurance claims by: interpreting insurance payer responses, requesting account level adjustments, submitting appeals and claims reconsiderations, evaluating financial responsibility of patients, resolving insurance denials and claim rejections, performing insurance verification.

Knowledge, Skills and Abilities
  • Concern for quality and ability to identify errors and implement corrections.
  • Effective verbal and written communication skills are necessary in dealing with a variety of healthcare and finance professionals including senior management staff.
  • Ability to work effectively in a matrix work environment and to manage multiple deadline-driven tasks and projects.
  • Minimal knowledge or demonstrated ability to learn and understand HSCRC/CMS regulations, CPT (Current Procedural Terminology), and ICD-10 coding.
  • Ability to operate a personal computer is required. Proficiency with the following applications is required: MS Excel, MS Word, and PowerPoint. MS Access, SAS, and Tableau is preferred.
  • Ability to handle confidential issues with integrity and discretion.
  • Ability to prioritize and manage work in a stressful environment.

Work Experience
Required
Education
  • High School Diploma or equivalent (GED)

Experience
  • 1 year work experience in general collections, accounts receivable oversight or customer service

Preferred
Education
  • Associates degree in healthcare; courses in Accounting, Finance, Business Administration and/or Healthcare Administration

Experience
  • Familiar with EPIC HB module
  • Institutional Collections
  • Basic knowledge of insurance billing, collections, insurance or medical terminology; including CPT, ICD-10, HCPCS coding, EOB/EOP

Benefits
Compensation:
$19.50 - $27.31/hr

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