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Insurance Verification Specialist Jobs in Springfield, MA

Trinityhealth

Medical Receptionist

Hartford, CT · On-site

$16.75 - $20.25/hr

... insurance verification, copay and point of service collections, pre-certifications, prior ... primary care providers, specialists and surgeons serving patients in Connecticut and western ...

Trinity Health

Medical Receptionist

Hartford, CT

$16.75 - $20.25/hr

... insurance verification, copay and point of service collections, pre-certifications, prior ... primary care providers, specialists and surgeons serving patients in Connecticut and western ...

Trinity Health

Medical Receptionist

Hartford, CT

$16.75 - $20.25/hr

... insurance verification, copay and point of service collections, pre-certifications, prior ... primary care providers, specialists and surgeons serving patients in Connecticut and western ...

Trinityhealth

Medical Receptionist

Hartford, CT · On-site

$16.75 - $20.25/hr

... insurance verification, copay and point of service collections, pre-certifications, prior ... primary care providers, specialists and surgeons serving patients in Connecticut and western ...

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Showing results 21-40

All JobsInsurance Verification Specialist JobsInsurance Verification Specialist Jobs in Springfield, MA

Insurance Verification Specialist information

See Springfield, MA salary details

$12

$18

$26

How much do insurance verification specialist jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for insurance verification specialist in Springfield, MA is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $16.30 and $20.14 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 Springfield, MA are:

What cities near Springfield, MA are hiring for Insurance Verification Specialist jobs?

Cities near Springfield, MA with the most Insurance Verification Specialist job openings:

Insurance Verification Specialist jobs near you
Infographic showing various Insurance Verification Specialist job openings in Springfield, MA as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $39,110 per year, or $18.8 per hour.

Sr Insurance Specialist - Commercial/Blue Cross

Valley Health Systems

Holyoke, MA • On-site

Full-time

Re-posted 2 days ago

Job description

Disclaimer for Job Postings

Note: The compensation range noted above represents the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range.

Holyoke Medical Center is looking for a Sr Insurance Specialist.  This position manages complex medical claims, acting as a subject matter expert to investigate, adjudicate negotiate settlements, ensure compliance and mentor junior staff, focusing on accurate and timely and cost-effective claims resolution while maintaining strong communication with providers, payers and internal teams. Works all claims as assigned/directed.

DUTIES AND RESPONSIBILITIES:

Serve as subject matter expert, providing guidance on policy, regulations and complex claims scenarios.
Conduct in-depth analysis, research discrepancies, prevent fraud and develop plans for claims resolution.
Handles escalated inquires, build relationships with providers/payers and communicate claims status.
Assist in training, coaching and provide senior support to less experienced team members.
Review and process complex hospital claims and determine coverage based on policy, medical necessity and contracts.
Able to work all aspects of Commercial Managed Care, Medicare Advantage, and Medicaid Advantage Care accounts sliding between Financial Classes as needed for Billing, Follow-up, Denials Management, Credit Balance and Account resolution.

Required Skills
Must show honesty, integrity, strong ethics, data entry skills and time management skills
Insurance follow up experience especially Blue Cross and all Commercial Lines
Strong understanding of Medetech and finThrive billing programs
Strong Verbal and written skills for preparing and presenting appeals, negotiating settlements and presenting reports to Senior Management.
Proactive approach to resolving discrepancies between insurance policy terms and provider charges
Ability to analyze complex data, identify issues and solve problems
Proven background in handling complex institutional or healthcare related claims
Proficiency with claims software and MS Office (especially Excel).
Strong time management, organization skills and ability to work independently or in a team
Good plus knowledge of ICS/HCPCS/CPT Coding and medical terminology
Knowledge of commercial, state and federal healthcare regulations
Excellent Math Skills and knowledge of general accounting principals
Ability to logically and accurately organize data
Excellent problem solving skills
Strong attention to detail
 

QUALIFICATIONS/JOB REQUISITES:

Education: High School Diploma or GED is required, an Associate or Bachelor’s degree in Health Administration or related Study preferred
Experience: Eight plus (8+) years in the health insurance, hospital business office or claims processing/management.

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