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How much do insurance verification rep jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for insurance verification rep in the United States is $19.53, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.91 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 are hiring for Insurance Verification Rep jobs?

Cities with the most Insurance Verification Rep job openings:

What states have the most Insurance Verification Rep jobs?

States with the most job openings for Insurance Verification Rep jobs include:

What are popular job titles related to Insurance Verification Rep jobs?

For Insurance Verification Rep jobs, the most frequently searched job titles are:

Insurance Verification Rep jobs near you
Infographic showing various Insurance Verification Rep job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $40,625 per year, or $19.5 per hour.

Patient Access Rep II - Insurance Verification Rep

Tucson, AZ • On-site

Tucson Medical Center
See more jobs at Tucson Medical Centerexternal

$16 - $20.50/hr

Per diem

Re-posted 29 days ago

Tucson Medical Center rating

7.5

Company rating: 7.5 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

295th of 1,066 rated hospitals

Job description

Patient Access Rep II - Insurance Verification Rep
Job CategoryClerical
SchedulePer Diem
ShiftRotating Shift

SUMMARY:

The Patient Access Representative II - Insurance Verification is responsible for advanced insurance verification, authorization coordination, and financial clearance functions. This role supports complex cases and serves as a resource for junior staff, ensuring accurate and timely processing of patient access workflows. The Representative II demonstrates a high level of proficiency in payer requirements, EHR systems, and patient communication.

ESSENTIAL FUNCTIONS:

Verify insurance eligibility and benefits for complex and high-priority cases using payer portals and electronic tools.

Obtain and document prior authorizations, including peer-to-peer requests and escalations.

Coordinate with clinical departments and physician offices to ensure accurate procedure and diagnosis coding.

Provide mentorship and training to Patient Access Representative I staff.

Assist in resolving escalated patient inquiries and insurance issues.

Ensure accurate and complete patient registration and financial documentation.

Collect co-pays, deductibles, and outstanding balances; establish and monitor payment plans.

Maintain compliance with HIPAA, organizational policies, and payer regulations.

Participate in quality improvement initiatives and workflow optimization projects.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION:

EXPERIENCE: Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access.

LICENSURE OR CERTIFICATION: None required; CHAA or related certification preferred.

KNOWLEDGE, SKILLS, AND ABILITIES:

Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices.

Strong communication and customer service skills with the ability to de-escalate complex situations.

Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite.

Ability to multitask, prioritize, and manage time effectively in a fast-paced environment.

Attention to detail and accuracy in data entry and documentation.

Demonstrated leadership and mentoring capabilities.

Employment Type: PER_DIEM

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