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Insurance Verification Specialist Jobs (NOW HIRING)

Spero Health

Insurance Verification Specialist

Brentwood, TN · On-site

$16 - $19.75/hr

Insurance Verification Specialist Spero Health is seeking an Insurance Verification Specialist to join our awesome team in Brentwood, TN! This position is for an Insurance Verification Specialist who ...

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Insurance Verification Specialist information

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How much do insurance verification specialist jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for insurance verification specialist 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 specialist do?

An insurance verification specialist double checks the status of patients’ medical insurance. Their primary responsibility is to ensure that a patient’s insurance will cover required medical procedures or hospital stays. Other duties include verifying patient information, billing, medical coding, and conducting claims examinations. Specialists may also be expected to educate the patient about their coverage.

What does an insurance verification specialist do?

An Insurance Verification Specialist is responsible for confirming a patient's health insurance coverage and eligibility before medical services are provided. They contact insurance companies to verify benefits, determine coverage levels, and obtain pre-authorizations if needed. Their work helps ensure that healthcare providers receive proper payment and that patients understand their financial responsibilities. This role requires strong attention to detail, communication skills, and knowledge of healthcare billing processes.

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

To thrive as an Insurance Verification Specialist, you need strong attention to detail, knowledge of healthcare insurance processes, and typically a high school diploma or equivalent. Familiarity with electronic health records (EHR) systems, insurance portals, and medical billing software is often required. Excellent communication, organizational, and problem-solving skills help you efficiently coordinate with patients, providers, and insurers. These skills ensure accurate insurance verification, prevent billing errors, and support timely patient care and reimbursement.

What are the most common challenges faced by insurance verification specialists, and how can they be managed?

Insurance Verification Specialists often encounter challenges such as navigating complex insurance policies, dealing with frequent changes in coverage, and communicating with both patients and insurance companies to resolve discrepancies. Managing these challenges requires strong organizational skills, attention to detail, and the ability to stay current with industry updates. Building positive relationships with coworkers in billing and patient services departments can also help ensure smoother workflows and accurate verifications.

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

AspectInsurance Verification SpecialistMedical Billing Specialist
Primary RoleVerify patient insurance coverage and benefitsProcess and submit medical claims for reimbursement
CredentialsKnowledge of insurance policies, healthcare regulationsUnderstanding of billing codes, claim submission processes
Work EnvironmentHealthcare facilities, insurance companies, medical officesMedical offices, billing companies, healthcare providers
Common UsagePre-authorization, eligibility checksClaims processing, payment posting

While both roles are essential in healthcare revenue cycle management, the Insurance Verification Specialist focuses on confirming insurance coverage before services are provided, whereas the Medical Billing Specialist handles the claims submission and reimbursement process afterward.

Is it hard to learn insurance verification specialist?

Learning to become an insurance verification specialist involves understanding insurance policies, billing procedures, and using verification tools or software. While some prior knowledge of healthcare or insurance is helpful, training is typically provided, and the role emphasizes attention to detail and communication skills rather than complex technical expertise.

What is the role of an insurance verification specialist?

An insurance verification specialist reviews and confirms patients' insurance coverage to ensure services are authorized and billed correctly. They gather insurance information, verify benefits, and communicate with insurance companies to prevent claim denials, often using specialized software and maintaining attention to detail. This role is essential for accurate billing and smooth patient care processes.
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Insurance Verification Specialist jobs near you
Infographic showing various Insurance Verification Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $39,247 per year, or $18.9 per hour.

Insurance Verification Specialist

PBS PREREG AND INS VERIFICATION

Portland, OR • On-site

$21.25 - $30.39/hr

Other

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

Job description

Insurance Verification Specialist

At Legacy, everything we do is driven by a shared mission: making life better for others. How can you contribute to that mission? By being the go-to expert who verifies insurance and clarifies liability questions. Your keen attention to detail and accuracy will help strengthen the patient-physician relationship, ensuring patients have the insurance information they need for expert care.

If this sounds like you, we invite you to apply for this Insurance Verification Specialist role.

Responsibilities

Insurance Verification Specialist:

  • Provides professional, accurate and timely insurance verification, initiates and secures authorization, notification of in-scope hospital services based on requirements for medical and other liability plans.
  • Obtains plan benefit information and creates hospital cost estimates for expected patient liability in preparation of financial communication with patients.
  • Specializes in payor type such as Commercial, Workers Compensation, Medicare, Medicaid, or Other Liability.
  • Acts as a resource to patients, family members, physicians and other departments regarding medical and/or other liability policy benefits, authorization guidelines and plan limitations.
Qualifications

Education:

  • Associate degree in business or healthcare, or equivalent experience, required.

Experience:

  • Two years of directly applicable healthcare business office experience (billing/credit/collection) or applicable insurance customer service experience required.
  • Demonstrated knowledge of insurance guidelines, including benefits and authorization protocols.
  • Hospital insurance verification experience preferred.

Skills:

  • Strong written and verbal communication and demonstrated effective interpersonal skills which promote cooperation and teamwork.
  • Ability to problem solve in a timely, professional manner.
  • Demonstrated knowledge of Payor/Plan structures, Medical policies, Payor contracts and Payor laws.
  • Knowledge of CPT and Diagnosis coding and medical terminology.
  • Net Typing of 40 wpm and PC based computer skills.
  • 10 key proficiency.
  • Knowledge of online eligibility systems and status review of claims.
  • Works efficiently with minimal supervision, exercising independent judgment within stated guidelines.
  • Ability to withstand varying job pressures, organize/prioritize related job tasks, and excellent attention to detail.
  • Excellent public relations skills and demonstrated ability to communicate in calm, businesslike manner.
  • Ability to multitask, learn new skills and adapt to change.
  • Ability to work in a fast-paced environment independently or as part of a team.
Pay Range

USD $21.25 - USD $30.39 /Hr.

Our Commitment to Health and Equal Opportunity

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

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