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Insurance Verification Representative Jobs in Texas

Insurance Verification Specialist

Houston, TX · On-site

$16.25 - $20/hr

The Insurance Verification Specialist will be the first impression of the center to all patients, family members, and visitors. The Greeter will provide exceptional customer service and ensure all ...

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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 ...

Insurance Verification Specialist

Midland, TX · On-site

$16.50 - $20.50/hr

Insurance Verification Specialist GENERAL SUMMARY OF DUTIES : Ensures all records are maintained in absolute integrity and in compliance with applicable regulations and requirements. Responsible for ...

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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 Jul 26, 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 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 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 popular job titles related to Insurance Verification Representative jobs in Texas? For Insurance Verification Representative jobs in Texas, the most frequently searched job titles are:
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 July 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $37,849 per year, or $18.2 per hour.
Insurance Verification Specialist

$16.75 - $20.75/hr

Full-time

Posted 5 days ago


Austin Retina Associates rating

8.1

Company rating: 8.1 out of 10

Based on 6 frontline employees who took The Breakroom Quiz


Job description

Insurance Verification SpecialistPosition Summary

Austin Retina Associates is seeking a responsible, self-motivated individual to assist in providing unparalleled patient satisfaction while verifying, communicating and tracking insurance.

Duties/Responsibilities
  • Verify insurance for new patients, all insurance changes, review coverages, co-pays, co-insurance, and deductible information to ensure that both patient and physician are aware of coverages prior to diagnosis and/or beginning of treatment
  • Assist with pre-authorization of inpatient treatments with insurance companies to ensure treatments are covered, verifying and communicating co-pays, co-insurance, and deductible information
  • Connect patients with subsidized or discounted coverage insurance options when eligible or available
  • Verify required referrals by contacting referring physician offices via phone, email, or fax
  • Communicate openly with co-workers via phone, electronic messages, and by updating patient chart notes in real time
  • Create records of documentation and communication with insurance companies and referring physicians. Will scan and input data into EMR/EHR systems including AMD, MDI and Practice Plus
  • Other administrative duties as needed
Required Attributes
  • Master multiple computer systems including Google, Microsoft Office, Teams, data management
  • Will master ophthalmology and retina terminology
  • Develop and maintain strong relationships with referring doctors, practices, and patients
  • Strong organizational and follow through skills with competing demands and priorities
  • Previous experience in medical office, insurance or administration
Preferred Attributes
  • Demonstrated effectiveness showing courtesy, diligence, integrity, and teamwork in alignment with ARA core values
  • Strong interpersonal skills including effective listening, clear communication, effective customer problem resolution with warm encouraging demeanor
  • Ability to develop and maintain effective peer relationships at work within a fast-paced, and at times a high-stress environment
  • Experienced with health insurance verification and physician referrals tracking
  • Bilingual in Spanish for inbound/outbound calls
Position Details
  • Schedule assigned by Supervisor, approximately 9-6 or 8-5 weekdays 8-5pm during weekdays
  • No travel required
  • Hourly pay, FLSA non-exempt, eligible for overtime
Physical Demands and Requirements

Prolonged sitting, some standing and walking, talking and hearing both in person and by telephone; use hands to finger, handle and feel objects or controls; reach with hands and arms. Occasionally required to stoop, kneel, bend, crouch and lift up to 10 pounds on occasion. Specific vision abilities required by this job includes continuous use of a computer terminal, viewing multiple computer screens, close vision, distance vision, depth perception, color vision and the ability to adjust focus. Viewing images and operating computer devices constantly.

Employment Type: FULL_TIME

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