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Insurance Verification Specialist Jobs in Riverside, CA

COMPASSUS

Insurance Specialist

Anaheim, CA · Remote

$20 - $35/hr

Position Summary The Insurance Specialist is responsible for modeling the Compassus values of ... Completes insurance verification on all new and existing patients and follow-up appropriately for ...

Valued Voices

Insurance & Billing Specialist

Irvine, CA · On-site

$20/hr

Insurance & Billing Specialist Valued Voices | Irvine, CA | Part-time, 15-20 hrs/week (starting ... Verify insurance benefits and obtain prior authorizations * Submit claims, post payments, and ...

GXO Logistics

Verification - Day Shift

Jurupa Valley, CA · On-site

$18.50/hr

Day Shift, Monday - Friday, 08:00 AM - 04:30 PM As the Verification team member, your strong work ... insurance, 401(k), and other benefits to eligible employees. You can apply for this role by ...

The Staff Pad

Bilingual Patient Care Coordinator

Pomona, CA · On-site

$17.50 - $23/hr

Medical Assistant Patient Services Representative (PSR) Medical Receptionist Patient Access Representative Referral Coordinator Insurance Verification Specialist Healthcare Enrollment or Eligibility ...

Oso Home Care

Authorization Specialist

Irvine, CA · On-site

$23 - $25.90/hr

Insurance Coordination * Verify patient eligibility and benefits in collaboration with Benefits Verification Specialists. * Interpret insurance coverage guidelines for specialty infusion medications ...

Oso Home Care

Authorization Specialist

Irvine, CA · On-site

$23 - $25.90/hr

Insurance Coordination * Verify patient eligibility and benefits in collaboration with Benefits Verification Specialists. * Interpret insurance coverage guidelines for specialty infusion medications ...

Advantage Ambulance

Medical Biller

Riverside, CA · On-site

$20 - $24/hr

REQUIRED/PREFERRED QUALIFICATIONS FOR OUR INSURANCE VERIFICATION SPECIALIST/MEDICAL BILLER: * Minimum three (3) years of medical billing experience (Required) * Three (3) to five (5) years ...

Advantage Ambulance

Medical Biller

Riverside, CA · On-site

$20 - $24/hr

REQUIRED/PREFERRED QUALIFICATIONS FOR OUR INSURANCE VERIFICATION SPECIALIST/MEDICAL BILLER: * Minimum three (3) years of medical billing experience (Required) * Three (3) to five (5) years ...

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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 5, 2026, the average hourly pay for insurance verification specialist in Riverside, CA is $19.69, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $21.06 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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The top searched job categories for Insurance Verification Specialist jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Insurance Verification Specialist jobs?

Cities near Riverside, CA with the most Insurance Verification Specialist job openings:

Insurance Verification Specialist jobs near you
Infographic showing various Insurance Verification Specialist job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 22% Part Time, and 6% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $40,945 per year, or $19.7 per hour.

Insurance Verification Specialist

Bookman Consulting

Irvine, CA • On-site

$70 - $80K/hr

Other

PTO

Posted 7 days ago

Job description

We are recruiting for a Insurance Verification Specialist for our client in Irvine. Our client is medical treatment provider. The appropriate candidate should have experience interacting directly with insurance carriers, third party administrators, etc., while seeking authorization for treatment, and navigating potential billing issues. This role should have excellent work/life balance!


Insurance Verification Specialist (Irvine – On Site):

  • Must have experience working with insurance carriers to obtain medical pre-authorizations
  • Must have excellent communication skills
  • Should have experience submitting authorization requests, including Requests for Authorization (RFAs)
  • Should have experience reviewing authorization approvals to confirm approved dates, units, frequency, level of care, and services
  • Should have experience monitoring authorization expiration dates and remaining approved units to prevent authorization gaps
  • Should have experience managing authorization changes when clients transition between levels of care
  • Salary likely $70-$80k + benefits, PTO, etc


This company has been around a long time, has an excellent reputation in the community, and is growing quickly. They invest in their people and promote from within. This is a brand-new role! This position works closely with Workers’ Compensation carriers, third-party administrators (TPAs), and billing staff to ensure services are appropriately authorized and requirements are met prior to and throughout treatment. If interested, please attach a fully updated copy of your resume. Thank you!

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