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Insurance Verification Representative Jobs in Texas

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 ...

Credit Verification Representative

Irving, TX · On-site

$16.25 - $21/hr

Verify and update credit information as requested by clients in support of the mortgage underwriting process. * Provide operational support to the production team through the course of the credit ...

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Insurance Verification Specialist

San Antonio, TX · On-site

$15.25 - $19/hr

We are looking for an experienced Insurance Verification person for our Ophthalmology Practice with: experience in a optometry/ophthalmology office environment, verification/eligibility of Medicare ...

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Insurance Verification Specialist

San Antonio, TX · On-site

$15.25 - $19/hr

We are looking for an experienced Insurance Verification person for our Ophthalmology Practice with: experience in a optometry/ophthalmology office environment, verification/eligibility of Medicare ...

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Insurance Verification Representative information

See Texas salary details

$12

$18

$24

How much do insurance verification representative jobs pay per hour?

As of Jun 24, 2026, the average hourly pay for insurance verification representative in Texas is $18.20, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $19.47 per hour, depending on experience, location, and employer.

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 do you need to be an insurance verification specialist?

To become an insurance verification specialist, you typically need strong attention to detail, excellent communication skills, and familiarity with insurance policies and billing procedures. A high school diploma or equivalent is usually required, and some employers prefer candidates with experience in healthcare or insurance environments. Proficiency with computer systems and insurance verification software is also important.

What jobs pay 2000 a day?

Insurance Verification Representatives typically do not earn $2,000 a day; their salaries are usually hourly or salaried. High-paying roles that can reach this level include specialized medical professionals, certain executive positions, or highly experienced consultants, often requiring advanced skills, certifications, or extensive experience. Such roles are rare and usually involve significant responsibility or expertise.

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.

Is it hard to learn insurance verification?

Insurance Verification Representatives typically learn their role through on-the-job training or short courses, focusing on understanding insurance policies, verification procedures, and using specific software systems. While some familiarity with healthcare terminology and attention to detail helps, the role is generally accessible to those with strong organizational skills and a willingness to learn.

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.

What is the highest paying position in insurance?

In the insurance industry, executive roles such as Chief Executive Officer (CEO), Chief Underwriting Officer, and Chief Actuary tend to be the highest paying positions. These roles require extensive experience, leadership skills, and often advanced certifications, and they oversee company strategy, underwriting, or actuarial functions.

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 job categories do people searching Insurance Verification Representative jobs in Texas look for? The top searched job categories for Insurance Verification Representative jobs in Texas are:
What are popular job titles related to Insurance Verification Representative jobs in TX? For Insurance Verification Representative jobs in TX, the most frequently searched job titles are:
Insurance Verification Representative

Insurance Verification Representative

CCS

Houston, TX

$16.25 - $20.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago


Job description

Overview

Are you looking for a purposeful career that will make a difference in the patient community? At CCS, our approach to at-home patient care is redefining chronic care management. We are seeking individuals that will thrive in a patient-centric dynamic environment. If you are an attentive listener, fast-thinker, and problem-solver, with the ability to relate to different people, you are a match for CCS.   

As a Verification Representative, you'll be at the heart of our operations as you deliver first-class customer service in every interaction in our call center. You will be responsible for qualifying patients' insurance coverage and ensures patient orders are accurate and complete prior to shipment claim. 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 patient's challenges-and deliver on our promise of superior customer service.

Alaska, California, Colorado, Delaware, Hawaii, Idaho, Maine, Montana, Nevada, New Hampshire, New York, North Dakota, Rhode Island, South Dakota, Vermont, Washington, Wyoming , Illinois; residents are not eligible.

Responsibilities
  • Makes outbound calls to insurance companies to verify insurance benefits        
  • Evaluates insurance coverage in order to determine the policy's compatibility with our program and recommends the appropriate products based on the patient's needs and insurance coverage
  • Efficiently and accurately verifies, reviews, documents and completes insurance verifications
  • Identifies and initiates documentation needs and requests to permit timely billing of services and communication with appropriate team(s)
  • Reviews patient accounts and determines appropriate action(s) needed to collect payment
  • Reviews claims and performs claim corrections and submissions to new carrier based on new plan verification
  • Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
  • Ability to analyze and correct accounts receivable problems 
  • Maintains a high degree of confidentiality always due to access to sensitive information 
  • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department 
  • Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
Qualifications
  • High School diploma
  • One-year medical insurance verification related experience or equivalent combination of education and experience
  • One year of customer service experience required
  • Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
  • Ability to analyze and correct accounts receivable problems
  • Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
  • Knowledge of government and commercial insurance payers as it relates to documentation of claims that are required before submission
  • Ability to understand Medical Records documents 
  • Position may require evening and weekend availability
Values

Certainty-The lives of the individuals we serve depend on our ability to execute.  We commit to doing this every day. 

  • Use appropriate methods and a flexible interpersonal style to help build a cohesive and collaborative team based on a foundation of trust and transparency. Deliver what you commit to.

Compassion-We understand the burdens of patients and their loved ones and channel this into a relentless pursuit of customer satisfaction in every part of our business. 

  • Ensure that the patient is the driving force behind business decisions, implementing service practices that meet needs of both the patient and the organization. Treat others the way you want to be treated. 

Advancement-We are endlessly looking for ways to progress and become more innovative in all things we do.

  • Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. Speak the truth.

CCS Medical and EEOC/AA employer. M/F/D/V

Company Overview

CCS is the strategic partner addressing America's most pressing healthcare challenges through intelligent chronic care management, tackling the $412 billion annual diabetes burden and chronic conditions affecting over 133 million Americans. At the core of CCS's differentiated model is LivingConnected, a human-led, digitally-enabled clinical solution. PropheSee-an AI-powered predictive model that identifies non-adherence risk and delivers personalized interventions- is an integral part of this solution, creating a first-of-its-kind platform to improve adherence, enhance clinical outcomes, and help prevent costly hospitalizations. By combining data-driven insights with three decades of industry relationships, CCS is the smart choice for health plans, providers, employers, and manufacturers who believe that value-based care starts by keeping patients healthy and delivers benefits like lower cost of care, improved HEDIS scores, and alleviating provider burnout. CCS's approach extends clinical reach while supporting over 200,000 people nationwide with home-delivered medical supplies and pharmaceuticals annually. Recognized as a Great Place to Work, and with numerous peer-reviewed publications validating our care management approach, CCS is more than a trusted supplier-we're a partner in transforming chronic care delivery. To learn more about how CCS is addressing today's healthcare challenges, visit ccsmed.com or connect with us on LinkedIn.

What We Offer
  • Competitive Salary 
  • Bonus/Incentive Opportunities/commission: (if applicable)
  • Comprehensive Benefits:
    • Medical, dental, and vision insurance
    • 401(k) with company match
    • Paid time off (vacation and holidays)
  • Growth & Development:
    • Ongoing training and professional development
  • Work-Life Balance:
    • Remote or hybrid work options (if applicable)
    • Wellness programs and mental health support
Employment Type: FULL_TIME