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Insurance Verification Scheduler Jobs (NOW HIRING)

USPI, INC.

Insurance Verification Clerk

Suffolk, VA · On-site

FT Insurance Verification Clerk Bon Secours Surgery Center at Harbour View is seeking a detail ... Review scheduled procedures to determine authorization and referral requirements. * Coordinate with ...

USPI, INC.

Insurance Verification Specialist

Moline, IL · On-site

$20/hr

Insurance Verification Specialist Quad City Gastroenterology has an immediate need for a full time ... Request pre-authorizations for scheduled procedures, urgent procedures, and imaging. * Accurately ...

Gadjab

Insurance Verification Specialist

Lehi, UT · Hybrid

$22/hr

... hybrid schedule at the manager's discretion. Following the initial training period, specific ... Verify patient insurance eligibility and benefits for services provided in skilled nursing ...

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Insurance Verification Scheduler information

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How much do insurance verification scheduler jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for insurance verification scheduler in the United States is $18.87, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.19 per hour, depending on experience, location, and employer.

What does an insurance verification scheduler do?

An Insurance Verification Scheduler is responsible for verifying a patient's insurance coverage and benefits before medical appointments or procedures. They contact insurance companies to confirm eligibility, benefits, and any requirements for pre-authorization. Additionally, they communicate with patients about their coverage, ensure accurate billing information, and help prevent delays in care due to insurance issues. Their work is essential to streamline patient access to healthcare services and minimize denied claims.

What are the key skills and qualifications needed to thrive as an insurance verification scheduler, and why are they important?

To thrive as an Insurance Verification Scheduler, you need strong attention to detail, knowledge of insurance processes, and familiarity with medical terminology, often backed by a high school diploma or equivalent. Experience with insurance verification software, electronic health records (EHRs), and scheduling systems is typically required. Excellent communication, organization, and problem-solving skills help build rapport with patients and collaborate effectively with healthcare teams. These skills ensure accurate insurance verification, minimize billing errors, and support a smooth patient experience.

What are common challenges faced by insurance verification schedulers, and how can they be addressed?

Insurance Verification Schedulers often encounter challenges such as managing high call volumes, navigating complex insurance policies, and ensuring timely communication between patients, providers, and insurance companies. Staying organized and detail-oriented is crucial, as missing information can delay patient care and create additional work. Utilizing electronic health records (EHR) systems and maintaining strong relationships with both clinical and administrative teams can help streamline the verification process and reduce errors.

What is the difference between Insurance Verification Scheduler vs Insurance Billing Specialist?

AspectInsurance Verification SchedulerInsurance Billing Specialist
Primary RoleSchedule and verify insurance coverage before patient appointmentsProcess and submit insurance claims after services are provided
CredentialsTypically high school diploma or equivalent; certification not mandatoryHigh school diploma; certification in medical billing preferred
Work EnvironmentFront-office, healthcare clinics, hospitalsBilling departments, healthcare offices, hospitals
Industry UsageCommonly used in outpatient clinics and hospitalsUsed across healthcare providers for claims processing

The Insurance Verification Scheduler focuses on confirming insurance coverage prior to patient visits, ensuring smooth scheduling. In contrast, the Insurance Billing Specialist handles post-visit billing and claims submission. Both roles are essential in healthcare revenue cycle management but differ in timing and responsibilities.

How do you become an insurance verification scheduler?

To become an insurance verification scheduler, candidates typically need a high school diploma or equivalent and strong organizational and communication skills. Experience with healthcare billing, insurance processes, or scheduling software can be beneficial, and some employers may require familiarity with electronic health record systems. Certification is not usually mandatory but can enhance job prospects.

Is it hard to learn insurance verification scheduler?

Learning to be an insurance verification scheduler involves understanding insurance policies, verification procedures, and using scheduling or healthcare management software. The role typically requires attention to detail and good communication skills but is generally accessible with training and practice, often provided by employers. Prior experience in healthcare or insurance can be helpful but is not always necessary for entry-level positions.

What cities are hiring for Insurance Verification Scheduler jobs?

Cities with the most Insurance Verification Scheduler job openings:

What states have the most Insurance Verification Scheduler jobs?

States with the most job openings for Insurance Verification Scheduler jobs include:

What are popular job titles related to Insurance Verification Scheduler jobs?

For Insurance Verification Scheduler jobs, the most frequently searched job titles are:

Insurance Verification Scheduler jobs near you

Insurance Verification Representative

Farragut, TN • On-site

Community Health Systems
See more jobs at Community Health Systemsexternal

$15 - $19/hr

Other

This job post has expired 2 days ago. Applications are no longer accepted.

Community Health Systems rating

6.9

Company rating: 6.9 out of 10

Based on 276 frontline employees who took The Breakroom Quiz

452nd of 898 rated healthcare providers

Job description

Insurance Verification Representative

The Insurance Verification Representative is responsible for accurately verifying patient insurance coverage, benefits, and eligibility to ensure proper reimbursement and prevent service delays. This role coordinates with physician offices, case management teams, and financial counseling to facilitate pre-certifications, authorizations, and patient financial obligations. The Insurance Verification Representative plays a key role in maintaining accurate patient account liability, minimizing denials, and improving revenue cycle efficiency.

Essential Functions

  • Verifies insurance benefits, eligibility, and pre-determination requirements for all scheduled patients, ensuring accuracy and completeness before services are rendered.
  • Coordinates with physician offices to obtain required pre-authorizations and pre-certifications, preventing reschedules or cancellations due to missing approvals.
  • Confirms patient coverage for procedures and treatments, documenting insurance details, policy limitations, and reimbursement expectations.
  • Initiates financial counseling for uninsured or underinsured patients, referring them to financial assistance programs or payment plan options.
  • Accurately documents and updates patient records, including pre-certification numbers, eligibility details, and authorization statuses.
  • Communicates effectively with patients and physician offices, providing clear information regarding insurance coverage, financial responsibilities, and payment expectations.
  • Ensures timely entry of pre-registration documents into the electronic health record (EHR) and forwards them to the appropriate department.
  • Maintains accurate department records, reports, and documentation, ensuring compliance with billing, regulatory, and facility policies.
  • Identifies and resolves insurance discrepancies, proactively addressing issues that could result in billing errors or claim denials.
  • Works collaboratively with case management, patient registration, and billing teams, ensuring seamless revenue cycle operations and optimized reimbursement.
  • 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, medical billing, or patient access in a healthcare setting required
  • 2-4 years of insurance verification experience in an acute care hospital or physician practice group preferred
  • Experience with electronic health records (EHR), insurance portals, and revenue cycle workflows preferred

Knowledge, Skills and Abilities

  • Strong knowledge of insurance verification, pre-authorizations, and patient financial services.
  • Proficiency in healthcare insurance terminology, including co-pays, deductibles, out-of-pocket costs, and covered services.
  • Ability to interpret and apply insurance policies and payer guidelines to verify eligibility and benefits accurately.
  • Effective communication and customer service skills, ensuring professional interactions with patients, physician offices, and insurance providers.
  • Strong organizational and time-management skills, handling multiple verification requests efficiently.
  • Proficiency in electronic health record (EHR) systems, payer websites, and insurance portals for eligibility verification.
  • Understanding of HIPAA regulations and patient privacy requirements when handling sensitive financial and insurance information.

Licenses and Certifications

  • CHAA - Certified Healthcare Access Associate preferred

Job Identification 162909

Job Category Finance and Accounting

Locations 10820 Parkside Dr, Knoxville, TN, 37934, US

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