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Insurance Verification Representative Jobs in Georgia

Ortho Atlanta

Insurance Verification Specialist

Atlanta, GA · On-site

$16.25 - $20.25/hr

Insurance Verification Specialist Locations: Atlanta, GA Schedule: Full-time Hourly, On-site Compensation: Competitive hourly rate + benefits Perks: Pre-cert expertise, patient interaction ...

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How much do insurance verification representative jobs pay per hour?

As of May 29, 2026, the average hourly pay for insurance verification representative in Georgia is $16.49, according to ZipRecruiter salary data. Most workers in this role earn between $13.80 and $17.64 per hour, depending on experience, location, and employer.

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, and why are they important?

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.

More about Insurance Verification Representative jobs
What are popular job titles related to Insurance Verification Representative jobs in Georgia? For Insurance Verification Representative jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Insurance Verification Representative jobs in Georgia look for? The top searched job categories for Insurance Verification Representative jobs in Georgia are:
What are popular job titles related to Insurance Verification Representative jobs in GA? For Insurance Verification Representative jobs in GA, the most frequently searched job titles are:
Insurance Verification Representative jobs near you
Insurance Verification Representative

Insurance Verification Representative

Med Management LLC

Peachtree City, GA • On-site

$15.75 - $20.25/hr

Other

Posted 29 days ago

Job description

Description

Insurance Verification Representative

Peachtree City, GA

Description

SUMMARY/OBJECTIVE

The Insurance Verification Representative performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. All employees are expected to exhibit professional, ethical and respectful behavior in accordance with the company's mission, vision and values.

ESSENTIAL FUNCTIONS

Maintains patient demographic information and data collection systems.

Verify insurance eligibility for both medical and vision insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.

Review patient deductibles and/or copays and enter into the billing system and spreadsheets provided to the front end department at all locations.

Coordinate with front end regarding scheduling errors.

Assist front end staff and call center staff in understanding carrier websites and verification of

eligibility.

Enter insurance referrals as needed.

Participates in development of organization procedures and update of forms and manuals.

Answers questions from patients, clerical staff and insurance companies.

Works in conjunction with the reception to ensure clean billing.

Performs miscellaneous job-related duties as assigned.

Participates in educational activities and attends monthly staff meetings.

Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Assists in development and communication of SOP for key areas to improve accuracy and

understanding of processes.

COMPETENCIES 

Effective communication skills 

Teamwork oriented

Initiative

Proficient computer skills

Ethical conduct

Proficient typing skills

SUPERVISORY RESPONSIBILITY 

This position has no supervisory responsibilities.

WORK ENVIRONMENT

This position operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. 

PHYSICAL DEMANDS

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly to talk and listen. This is largely a sedentary role; however, there may be times of standing. Some bending, lifting of 5 to 10 lbs and routine computer usage.

POSITION TYPE AND EXPECTED HOURS 

This is a full time position. Days and hours of work are Monday through Friday 8:30 a.m. to 5:30 p.m. Remote options available for qualify candidates. 

TRAVEL

Moderate to frequent travel required based on the company needs and as job duties demand.

REQUIRED EDUCATION AND EXPERIENCE

High School diploma or equivalent

PREFERRED EDUCATION AND EXPERIENCE

Two to four years of experience in the health care industryy

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