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Insurance Verification Representative information

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$11

$17

$23

How much do insurance verification representative jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for insurance verification representative in North Carolina is $17.75, according to ZipRecruiter salary data. Most workers in this role earn between $14.86 and $18.99 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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The top searched job categories for Insurance Verification Representative jobs in North Carolina are:

What are popular job titles related to Insurance Verification Representative jobs in NC?

For Insurance Verification Representative jobs in NC, the most frequently searched job titles are:

Insurance Verification Representative jobs near you
Infographic showing various Insurance Verification Representative job openings in North Carolina as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $36,920 per year, or $17.8 per hour.

Insurance Verification Representative I

UNC Health Appalachian

Boone, NC • On-site

$16.97/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Job description

Insurance Verification Representative I
Location: Boone, North Carolina | Full-Time | Monday-Friday, Standard Hours
Why You'll Love Working Here
As an Insurance Verification Representative I at UNC Health Appalachian, you'll obtain pre-certification and insurance verification for patient admissions, helping ensure a smooth, financially clear admissions experience. You'll be part of a mission-driven health system committed to patient safety, quality outcomes, teamwork, and professional growth.
Nestled in the scenic Appalachian Mountains, Boone offers the perfect blend of community, culture, and outdoor adventure.
  • Compensation: Starting at $16.97 per hour, based on education and experience.
  • Benefits: Comprehensive medical/dental/vision, retirement with match, PTO, tuition reimbursement, paid parental leave, wellness incentives, and employee discounts.

What You'll Do as an Insurance Verification Representative I
  • Obtain pre-certification and benefits verification for all patient admissions.
  • Contact insurance providers to verify coverage, network status, and financial responsibilities.
  • Process patient registration and admission information accurately and efficiently.
  • Communicate with patients, families, and healthcare providers to facilitate a seamless admission process.
  • Maintain compliance with hospital policies, insurance regulations, and patient confidentiality standards.
  • Provide exceptional customer service to enhance the patient experience.

Qualifications
  • Education:
    • High school diploma or GED required.
  • Experience:
    • 3-6 months of experience in a medical office, clinic, or acute care setting preferred, but not required.
  • Licensure/Certifications:
    • None required.
  • Skills & Abilities:
    • Knowledge of patient admissions and scheduling processes.
    • Strong communication skills for patient interactions, insurance verification, and care coordination.
    • Proficiency with computer systems, faxing, phone operations, and document scanning.
    • Attention to compliance, detail, and financial accuracy.
    • Ability to provide exceptional customer service to patients, families, and staff.

Physical & Work Environment
  • Prolonged sitting, with periods of standing and walking, often 7+ hours per day.
  • Occasional bending, squatting, twisting, and turning.
  • Near visual acuity for computer and document review tasks.
  • Standard office environment.

What Sets Us Apart
  • Career Growth: Structured advancement pathways, tuition reimbursement, and ongoing development through our Career Pathways Program.
  • Impactful Work: As an Insurance Verification Representative I, you'll bring clarity and confidence to patients at a critical step in their care journey, supporting admissions across our three community hospitals and outpatient facilities.
  • Community & Lifestyle: Boone ranks among the best small towns in America, offering outdoor recreation, arts, culture, and a welcoming atmosphere.
  • Inclusive Culture: UNC Health Appalachian is committed to diversity, equity, and inclusion, ensuring every team member feels valued and supported.

Ready to help patients start their care journey with clarity and confidence? Apply today to join UNC Health Appalachian and make a lasting impact on our community.
About UNC Health Appalachian
UNC Health Appalachian, the leader in High Country healthcare, consists of three hospitals, 13 medical practices, Seby B. Jones Regional Cancer Center, The Rehabilitation Center, and Appalachian Regional Healthcare Foundation. We are committed to improving health, enhancing quality of life, and making life better for our community.
About UNC Health
UNC Health is a state entity affiliated with the University of North Carolina system, operating 14 hospitals, 18 hospital campuses, and over 500 clinics. Over the past three years, UNC Health has provided $400+ million in uncompensated or charity care to North Carolina residents.
UNC Health Appalachian values diversity and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected status. We welcome applications from all backgrounds and are committed to a fair and inclusive hiring process.
Employment at UNC Health Appalachian is contingent upon the successful completion of a background check and drug screening. For accommodations or additional information, contact arhsrecruitment@unchealth.unc.edu.

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