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Insurance Verification Jobs in Fresno, CA (NOW HIRING)

EYE-Q Vision Care

Verification Specialist

Fresno, CA · On-site

$23/hr

The Verification Specialist will be responsible for obtaining insurance authorizations and verification of eligibility for all clinic appointments through using interface systems, placing calls to ...

New

PACS

Admissions Coordinator Full-Time

Clovis, CA · On-site

$19 - $26/hr

Maintain accurate and up-to-date records in accordance with federal, state, and facility regulations. * Assist with insurance verifications, authorizations, and financial eligibility processes.

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$12

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How much do insurance verification jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for insurance verification in Fresno, CA is $18.74, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $20.05 per hour, depending on experience, location, and employer.

What is an insurance verification specialist?

Insurance verification jobs focus on researching and verifying patient insurance coverage in a healthcare clinic or facility. Your duties in this field may include working to determine coverage eligibility during the admissions process at a hospital or clinic. In some positions, an insurance verification expert helps a patient understand their benefits and their level of coverage so that they can make decisions about their medical treatments. You need to inquire frequently with insurance companies to find the details of a patient’s current insurance contract and provide details for their claim.

What does an insurance verification specialist do?

An Insurance Verification Specialist is responsible for confirming patients' insurance coverage and benefits before medical services are provided. They communicate with insurance companies to verify patient eligibility, coverage details, co-payments, deductibles, and pre-authorization requirements. This ensures that both the healthcare provider and patient understand the financial responsibilities, which helps prevent billing issues and claim denials. The role involves attention to detail, strong communication skills, and knowledge of insurance policies and healthcare billing procedures.

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 a solid understanding of healthcare insurance policies, medical terminology, and patient billing processes, often supported by a high school diploma or associate degree. Familiarity with electronic health record (EHR) systems, insurance portals, and billing software is typically required. Attention to detail, strong communication, and problem-solving skills help you efficiently resolve coverage issues and collaborate with patients or providers. These abilities are crucial for ensuring accurate insurance processing, minimizing claim denials, and supporting smooth healthcare operations.

What are some common challenges faced in an insurance verification role, and how can they be managed effectively?

One frequent challenge in insurance verification is dealing with discrepancies between patient information and insurance records, which can delay approvals and billing. Additionally, frequent changes in insurance policies require verification specialists to stay updated and communicate clearly with both patients and providers. Effective management involves attention to detail, strong communication skills, and utilizing electronic verification tools to streamline the process. Regular training and collaboration with billing teams also help address these challenges efficiently.

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

AspectInsurance VerificationMedical Billing Specialist
Primary RoleVerify patient insurance coverage and benefitsProcess and submit medical claims for reimbursement
Required CredentialsHigh school diploma, knowledge of insurance policiesHigh school diploma, coding certifications often preferred
Work EnvironmentFront-office, healthcare provider officesBilling departments, healthcare facilities
Industry UsageCommonly used in healthcare settings for patient intakeUsed across healthcare providers for claims processing

Insurance Verification focuses on confirming patient insurance details before services, while Medical Billing Specialists handle the claims process afterward. Both roles are essential in healthcare revenue cycle management and often work closely together to ensure smooth patient billing and reimbursement.

How to become an insurance verification specialist?

To become an insurance verification specialist, candidates typically need a high school diploma or equivalent, along with strong attention to detail and knowledge of insurance policies and billing procedures. Relevant skills include proficiency with electronic health records and insurance verification software, and some roles may require prior experience in healthcare or administrative support. Certification is not mandatory but can enhance job prospects and credibility in the field.
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Insurance Verification jobs near you
Infographic showing various Insurance Verification job openings in Fresno, CA as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 25% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $38,969 per year, or $18.7 per hour.

Verification Specialist

EYE-Q Vision Care

Fresno, CA • On-site

$23/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted yesterday

New

Job description

Description

Do you want to help people see better, look better, and feel better? 


The Verification Specialist will be responsible for obtaining insurance authorizations and verification of eligibility for all clinic appointments through using interface systems, placing calls to various insurances and/or physician offices, and utilizing internet applications for vision and medical referrals/authorizations. 

ABOUT EYE-Q 

Consistently ranked one of the top ten "Best Companies to work for in Central California" since 2006. EYE-Q Vision Care proudly serves the California Central Valley. We are a fast-paced, highly complex practice and offer several specialty services to our patients. Our team of ophthalmologists, optometrists, and professional support staff handle all aspects of eye/vision care, from general exams to complex surgeries. We are looking for individuals who are enthusiastic, energetic, and passionate about providing excellent care to our patients while treating fellow coworkers with dignity and respect. 


WHAT YOU'LL DO

  •  Generate appointment reports daily and determine which appointments require authorization and/or referral 
  •  Access interface programs and place telephone calls for benefit and eligibility information 
  •  Document patient authorizations and benefit data in the practice management system 
  •  Contact primary care physicians for referrals and/or authorization
  •  Identify and obtain proper benefits for all patients on the schedule 
  •  Contact patients for discrepancies regarding insurance policy identifications 
  •  Facilitate authorizations and imaging appointments for outpatient referrals 
  •  Advise coordinator of problems or trends relating to authorizations and/or referrals 
  •  Adhere to HIPAA regulations concerning patient privacy and confidentiality 

SCHEDULE: Monday-Friday FT


WHAT WE OFFER

  • Competitive pay 
  • Annual scrub vouchers 
  • Excellent benefits (medical, dental, vision, FSA, 401k, pet insurance, etc.) 
  • Paid vacation, holidays, and sick time 
  • Employee discounts (glasses, contacts, and other cosmetic services) 
  • Birthday and milestone anniversary gifts 
  • Employee assistance program 
  • Employee appreciation events  

We will review applications until the position is filled. 


FOR MORE INFORMATION ABOUT EMPLOYMENT AT EYE-Q VISION CARE, OR TO VIEW ALL OF OUR OPENINGS, PLEASE VISIT: https://eyeqvc.com/careers/

Requirements

KNOWLEDGE, SKILLS, AND ABILITIES

  • Knowledge of electronic data entry
  • Ability to use computers, calculators, and programs such as Microsoft Excel, internet, e-mail, and EHR
  • Knowledge of recordkeeping and basic accounting 
  • Ability to manage stress and remain composed in a fast-paced, high-stress environment
  • Ability to hear in person and over the phone in various settings 
  • Knowledge of NextGen (preferred)
  • Bilingual in Spanish (preferred) 

EDUCATION AND EXPERIENCE

  • High school diploma/GED
  • Six months to one year of related experience and/or technical school training
  • Bachelor's degree (preferred) 
  • One to two years of related experience and/or training (preferred) 

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