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Insurance Verification Representative Jobs (NOW HIRING)

Care Resource

INSURANCE VERIFICATION REPRESENTATIVE

Miami, FL · On-site

$16.50 - $21/hr

JOB SUMMARY The Insurance Verification Representative (IVR) is responsible for assisting all Client Service Specialists in processing insurance eligibility for all Care Resource patients, including ...

CCS

Insurance Verification Representative

$17.50 - $22.25/hr

The verification representative will verify coverage for governmental, commercial insurance companies and patient accounts. You'll be the one of our subject matter experts that will help us solve our ...

CCS

Insurance Verification Representative

Houston, TX · On-site +1

$16.25 - $20.75/hr

The verification representative will verify coverage for governmental, commercial insurance companies and patient accounts. You'll be the one of our subject matter experts that will help us solve our ...

RadNet

Insurance Verification Rep

Ontario, OR

$24 - $28/hr

When you join us as an Insurance Verification Representative you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all ...

RadNet

Insurance Verification Rep

Ontario, OR

$24 - $28/hr

When you join us as an Insurance Verification Representative you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all ...

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How much do insurance verification representative jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for insurance verification representative 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 does an insurance verification representative do?

An Insurance Verification Representative is responsible for confirming a patient’s insurance coverage and benefits before medical services are provided. They contact insurance companies to verify details such as policy status, coverage limits, and patient copayments or deductibles. This role helps ensure that healthcare providers receive payment for services and that patients understand their financial responsibilities. Accurate insurance verification minimizes billing errors and streamlines the medical billing process.

What does an insurance verification representative do?

An insurance verification representative is someone in health care who works with patients and hospitals to interpret insurance coverage. In this job, your responsibilities are to review the treatments that a patient will need as well as the benefits granted to them by their insurance policy. You then determine their eligibility and coverage for those treatments and procedures. You may be needed to provide authorization for certain procedures and assist hospitals and patients in filing claims. Additionally, your duties are to enter patient data, update insurance plan information in the hospital’s database, and verify that existing information is accurate.

What are the key skills and qualifications needed to thrive as an insurance verification representative?

To thrive as an Insurance Verification Representative, you need strong attention to detail, knowledge of insurance policies, and experience with healthcare billing or medical terminology, often supported by a high school diploma or equivalent. Familiarity with insurance verification software, electronic health record (EHR) systems, and payer portals is typically required. Excellent communication, organizational skills, and the ability to handle sensitive information discreetly are essential soft skills. These abilities ensure accurate insurance processing, reduce claim errors, and support efficient healthcare operations.

What are some common challenges faced by insurance verification representatives, and how can they be managed?

Insurance Verification Representatives often encounter challenges such as dealing with complex coverage policies, navigating frequent changes in insurance regulations, and managing high call or case volumes. To effectively handle these issues, it’s important to stay organized, keep up-to-date with insurance guidelines, and utilize clear communication when liaising with providers, patients, and team members. Many organizations provide ongoing training and support to help representatives stay current and succeed in this fast-paced environment.

What is the difference between Insurance Verification Representative vs Insurance Billing Specialist?

AspectInsurance Verification RepresentativeInsurance Billing Specialist
CredentialsHigh school diploma or equivalent; some roles may require certification in healthcare or insuranceHigh school diploma; certification in medical billing preferred
Work EnvironmentHealthcare offices, hospitals, clinicsMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesVerify patient insurance coverage, eligibility, and benefitsProcess claims, handle billing, and ensure payment collection

While both roles are essential in healthcare administration, the Insurance Verification Representative focuses on confirming insurance details before services are provided, whereas the Insurance Billing Specialist manages claims and payments after services are rendered. Understanding these differences helps job seekers identify the right career path in healthcare support roles.

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Insurance Verification Representative jobs near you
Infographic showing various Insurance Verification Representative 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.

Insurance Verification Representative

Knoxville, TN

Turkey Creek Medical Center
Hospitals • 11 - 50 employees
Learn more about Turkey Creek Medical Centerexternal

$16.25 - $20.75/hr

Full-time

Posted 3 days ago

New

Job description

Job Description Job Summary
The Insurance Verification Representative is responsible for accurately verifying patient insurance coverage, benefits, and eligibility to ensure proper reimbursement and prevent service delays. This role coordinates with physician offices, case management teams, and financial counseling to facilitate pre-certifications, authorizations, and patient financial obligations. The Insurance Verification Representative plays a key role in maintaining accurate patient account liability, minimizing denials, and improving revenue cycle efficiency.
Essential Functions
  • Verifies insurance benefits, eligibility, and pre-determination requirements for all scheduled patients, ensuring accuracy and completeness before services are rendered.
  • Coordinates with physician offices to obtain required pre-authorizations and pre-certifications, preventing reschedules or cancellations due to missing approvals.
  • Confirms patient coverage for procedures and treatments, documenting insurance details, policy limitations, and reimbursement expectations.
  • Initiates financial counseling for uninsured or underinsured patients, referring them to financial assistance programs or payment plan options.
  • Accurately documents and updates patient records, including pre-certification numbers, eligibility details, and authorization statuses.
  • Communicates effectively with patients and physician offices, providing clear information regarding insurance coverage, financial responsibilities, and payment expectations.
  • Ensures timely entry of pre-registration documents into the electronic health record (EHR) and forwards them to the appropriate department.
  • Maintains accurate department records, reports, and documentation, ensuring compliance with billing, regulatory, and facility policies.
  • Identifies and resolves insurance discrepancies, proactively addressing issues that could result in billing errors or claim denials.
  • Works collaboratively with case management, patient registration, and billing teams, ensuring seamless revenue cycle operations and optimized reimbursement.
  • Performs other duties as assigned.
  • Maintains regular and reliable attendance.
  • Complies with all policies and standards.
Qualifications
  • 0-2 years of experience in insurance verification, medical billing, or patient access in a healthcare setting required
  • 2-4 years of insurance verification experience in an acute care hospital or physician practice group preferred
  • Experience with electronic health records (EHR), insurance portals, and revenue cycle workflows preferred
Knowledge, Skills and Abilities
  • Strong knowledge of insurance verification, pre-authorizations, and patient financial services.
  • Proficiency in healthcare insurance terminology, including co-pays, deductibles, out-of-pocket costs, and covered services.
  • Ability to interpret and apply insurance policies and payer guidelines to verify eligibility and benefits accurately.
  • Effective communication and customer service skills, ensuring professional interactions with patients, physician offices, and insurance providers.
  • Strong organizational and time-management skills, handling multiple verification requests efficiently.
  • Proficiency in electronic health record (EHR) systems, payer websites, and insurance portals for eligibility verification.
  • Understanding of HIPAA regulations and patient privacy requirements when handling sensitive financial and insurance information.
Licenses and Certifications
  • CHAA - Certified Healthcare Access Associate preferred
Turkey Creek Medical Center logo

About Turkey Creek Medical Center

Sourced by ZipRecruiter

Conveniently located on Parkside Drive in Turkey Creek, Turkey Creek Medical Center offers a range of services in the heart of Knoxville, Tennessee. Our Knoxville hospital features a 24/7 emergency room, ICU, advanced surgical suites, a dedicated heart hospital, cancer care services, cardiac and pulmonary rehabilitation, sleep center, Center for Surgical Weight Loss, digital mammography and much more. The hospital offers private patient rooms, dining on request and free parking. The Tennova Physicians Plaza connects Turkey Creek Medical Center to the new Tennova Surgery Center West. The surgery center offers four, fully equipped operating rooms, two advanced endoscopic suites, and the same quality, professional care you expect from Turkey Creek Medical Center. The enclosed courtyard between the two facilities provides a comfortable, quiet respite for patients and visitors.

Industry

Hospitals

Company size

11 - 50 Employees

Headquarters location

Knoxville, TN, US

Social media

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