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Insurance Verification Specialist Jobs in Riverside, CA

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As a Patient Care and Reimbursement Specialist (Customer Service) , you will play a vital role in ... insurance verification. We offer a business casual dress code, and our primary location is in ...

M-F, 8-5 ## Job Summary Our client is looking for a Medical Front Desk Specialist to join their ... Verify patient insurance information. * Support billing-related tasks. * Maintain overall front ...

Central Scheduler - Per Diem

Corona, CA · On-site

$23 - $32.60/hr

... Specialists, and Riverside Medical Clinics. We've won various awards throughout our region and ... Ability to complete Scheduling and Insurance verification functions for pre-scheduled procedures.

Central Scheduler - Per Diem

Corona, CA · On-site

$19.50 - $25/hr

... Specialists, and Riverside Medical Clinics. We've won various awards throughout our region and ... Ability to complete Scheduling and Insurance verification functions for pre-scheduled procedures.

Showing results 41-60

Insurance Verification Specialist information

See Riverside, CA salary details

$13

$19

$27

How much do insurance verification specialist jobs pay per hour?

As of Sep 12, 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.

What are popular job titles related to Insurance Verification Specialist jobs in Riverside, CA?

For Insurance Verification Specialist jobs in Riverside, CA, the most frequently searched job titles are:

What job categories do people searching Insurance Verification Specialist jobs in Riverside, CA look for?

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:

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.

Patient Care Specialist (Customer Service)

Irvine, CA • On-site

RIS Rx
Software Development • 51 - 200 employees

$20 - $23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

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Job description

Location: Irvine, CA - Onsite

Pay: $20 - $23 hourly

Summary:

As a Patient Care and Reimbursement Specialist (Customer Service), you will play a vital role in executing day-to-day deliverables across our program portfolio. You will be responsible for completing eligibility assessments, benefits verifications, and benefits investigations for patients enrolling in therapeutic programs via web or live calls. You will also support our commercial affordability programs by completing and organizing reimbursement submissions. Your ability to multitask, prioritize tasks, and work in an expanded capability role will be essential to your success.

We are looking for:

We are looking for a Patient Care and Reimbursement Specialist who is passionate about ensuring that patients have access to the best possible care and who is eager to join a team of curious, courageous, and collaborative people in an inspiring environment.

The ideal candidate is a talented and outgoing individual who is both a critical thinker and a relationship builder. You should possess the willingness and drive to adapt to a dynamic work setting and be receptive to learning new processes. You should also have a sense of urgency to complete tasks and be team-oriented, willing to help out when needed with extra tasks.

SKILLS:

  • Understanding the implications of new information for both current and future problem-solving and decision-making.
  • Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  • Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
  • Coaching and Staff Management
  • Experience working with MS Office and Excel
  • Leadership Skills
  • Customer Service
  • Attention to Detail & the Ability to Multi-task.
  • Organization and Time Management Skills
  • Decision Making and Judgment
  • Accountability and Dependability
  • Ethics and Integrity
  • Relationship Building
  • Technical Knowledge
  • Analytical Skills

EXPERIENCE:

  • Customer Service/Call Center Experience: 1-2 years
  • Past medical billing or pharmacy related experience (Preferred)
  • Multiline telephone systems, Salesforce, MS Office

About Us:

At RIS Rx, we believe that no patient should be left behind. We are a healthcare technology and service organization based in Irvine, CA, dedicated to providing superior services with a high degree of proficiency in the pharmaceutical industry. At RIS Rx, we offer a full-time position with room for growth in the organization. We provide on-the-job training, and you will be assigned a trainer to help you facilitate your understanding of the concepts in benefits and insurance verification. We offer a business casual dress code, and our primary location is in Irvine, CA.

If you are passionate about helping patients access the care they need and want to join a team of curious, courageous, and collaborative people who share your determination to tackle the world's toughest medical challenges, we invite you to apply for this exciting opportunity.

Benefits:

  • 401(k) match
  • Paid holidays
  • Paid time off
  • Medical, Dental, Vision Insurance
  • Flexible Spending Account

Shift:

  • 8 hour shift

Work Location: In person

Company Description

Our fundamental pillars – Resilience, Innovation, Service – inspire us to overcome challenges, develop pioneering solutions and deliver exceptional support for life sciences organizations.

As a leader in the healthcare technology space, RIS Rx
provides the transparency required for pharmaceutical manufacturers to make swift and intelligent financial decisions centered around patient well-being.

Delivering innovative solutions for patient prosperity.
At RIS Rx, we believe in delivering bespoke healthcare solutions that address unique patient and business needs. Our software integrates seamlessly with our customers’ systems, ensuring better treatment outcomes and improved program efficiencies.

Our proprietary software and solutions are born out of deep industry knowledge and experience and allow RIS Rx to address the complex demands of today’s healthcare systems.


RIS Rx logo

About RIS Rx

Sourced by ZipRecruiter

Industry

Software development

Company size

51 - 200 Employees

Headquarters location

Newport Beach, CA, US

Year founded

2020