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Insurance Verification Representative Jobs in Texas

Insurance Verification

San Antonio, TX · On-site

$14.75 - $18.75/hr

The Insurance Verification teammate will be responsible for verifying insurance coverage ... As a representative of Pasteur Plaza Surgery Center, all comments, attitudes, actions, and ...

Credit Verification Representative Our client, a mortgage and real estate services company, is looking for a credit verification representative for their Irving, TX location. Responsibilities include ...

Currently, we have a Credit Verification Representative opportunity with a trusted leader in the title and escrow industry , known for its stability, innovative solutions, and commitment to ...

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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 May 28, 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 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.

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:
Infographic showing various Insurance Verification Representative job openings in Texas as of May 2026, with employment types broken down into 3% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, 1% Contract, and 1% Nights. Highlights an 99% Physical, and 1% Hybrid job distribution, with an average salary of $37,849 per year, or $18.2 per hour.
Insurance Verification Representative - Onsite

Insurance Verification Representative - Onsite

Community Health Systems

Longview, TX • On-site

$15.25 - $19.25/hr

Full-time

This job post has expired today. Applications are no longer accepted.


Community Health Systems rating

6.9

Company rating: 6.9 out of 10

Based on 262 frontline employees who took The Breakroom Quiz

449th of 864 rated healthcare providers


Job description

Insurance Verification Representative

The Insurance Verification Representative is responsible for verifying insurance coverage and benefits for scheduled procedures and services. This role ensures accuracy in patient records and assists in obtaining prior authorizations, if needed, to facilitate timely reimbursement. The Insurance Verification Representative works closely with clinical and administrative teams to provide a seamless patient experience.

Essential Functions

  • Verifies patient insurance information, including eligibility, benefits, and coverage limitations.
  • Reviews scheduled services and procedures to determine any necessary pre-certifications or authorizations.
  • Coordinates with insurance providers to obtain required authorizations and verifies prior approvals.
  • Communicates insurance requirements and benefit information to patients and answers any questions related to coverage.
  • Accurately enters and updates insurance information in the patient's medical record and billing systems.
  • Identifies and resolves any insurance-related discrepancies or issues, working with other departments as necessary.
  • Assists with resolving denied authorizations and facilitates appeals as required.
  • 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, billing, or a related role in a healthcare setting required

Knowledge, Skills and Abilities

  • Basic knowledge of insurance terminology, eligibility verification, and authorization processes.
  • Strong attention to detail and accuracy in data entry and documentation.
  • Effective communication and interpersonal skills for interacting with patients, staff, and insurance companies.
  • Ability to manage time effectively and work in a fast-paced environment.
  • Proficient in basic computer skills and comfortable navigating healthcare billing or insurance software.

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