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Insurance Verification Jobs in Garner, NC (NOW HIRING)

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How much do insurance verification jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for insurance verification in Garner, NC is $16.82, according to ZipRecruiter salary data. Most workers in this role earn between $14.57 and $17.98 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.
More about Insurance Verification jobs

What cities near Garner, NC are hiring for Insurance Verification jobs?

Cities near Garner, NC with the most Insurance Verification job openings:

Insurance Verification jobs near you
Infographic showing various Insurance Verification job openings in Garner, NC as of September 2026, with employment types broken down into 1% As Needed, 71% Full Time, 23% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $34,984 per year, or $16.8 per hour.

Patient Access Representative

Raleigh, NC • On-site

Playground Pediatrics
See more jobs at Playground Pediatricsexternal

$16.75 - $21.50/hr

Other

Posted 27 days ago

Job description

Job Type
Full-time
Description
If you thrive in a fast-paced clinic and love caring for children, this is the place to shine! Every patient, every family, every day - your skills make the difference. In this role, you'll play a vital part in supporting the care and comfort of our pediatric patients and their families.
POSITION SUMMARY:
As a Patient Access Representative, you'll be one of the first friendly faces families meet when they visit our practice. From scheduling and registration to insurance verification and financial clearance, you'll ensure patients are ready for care the moment they arrive. Your commitment to accuracy and exceptional service helps keep each patient's record up-to-date, supporting high-quality care and an outstanding front-desk experience.
Schedule: Full-time (40 hours/week) with a rotating half-day Saturday
Hours of Operations: Mon-Fri, 8:00 AM-5:00 PM / 7:00 AM - 4:00 PM (rotating weekday shifts), Saturday Clinic 8:00 AM-12:00 PM
RESPONSIBILITIES:

  • Answers calls for multiple areas in efficient and effective manner using standard greetings for opening of call, content of call and closure of call.
  • Ensures accuracy in answering questions and assisting customer with requests to meet their needs.
  • Demonstrate exceptional customer service and patient focus to make each encounter extraordinary.
  • Verify and accurately capture patient demographics, insurance, and appropriate medical information.
  • Schedule appointments using appropriate electronic system while following appropriate protocols for clinic/area, including prioritizing patient's health concerns according to the department's urgency.
  • Ensure that patient questions and problems are resolved efficiently, effectively, and expeditiously within appropriate area of knowledge.
  • Provide information to patients and callers regarding appointment, date, time, location, clinic guidelines, parking, etc.
  • Captures customer information and document using messaging system to clinic staff and/or providers.
  • Schedules appointments in electronic systems using guidelines for area/department including prioritizing patients' health problems according to their urgency while making safe and effective decisions. May include referrals, follow-up on overdue well visits, or overdue vaccinations.
  • Updating patient files and appointment information accurately
  • Communicating information and important details to other medical care staff
  • Contacting insurance companies regarding coverage, preapprovals, billing, and other issues
  • Processing payments from patients and handling billing issues between patients and insurance companies
  • Managing various types of paperwork and other clerical duties
  • Maintain strict confidentiality; adheres to all OSHA, HIPAA, and other federal, state, and local guidelines/regulations.
  • Demonstrate dedication to the mission, vision, values, and goals of the organization.
  • Regular and reliable attendance including attending monthly staff meetings.
  • Perform other duties as assigned
Requirements
  • High School diploma or GED
  • Minimum one (1) year of customer service experience
  • Reliable transportation, valid driver's license and auto insurance
  • Ability to travel between clinic locations to support operations needs
  • Availability to participate in a rotating half-day Saturday approximately once every 2-3 weeks (8:30 AM-12:30 PM)
Preferred:
  • Healthcare experience, preferred
Knowledge, Skills & Abilities:
  • Strong understanding of front office healthcare workflows, including patient registration, scheduling, and insurance verification
  • Confident use of electronic medical record (EMR) systems and office technology to ensure accurate and timely patient information
  • Delivers a positive patient experience by providing friendly, professional, and empathetic service to pediatric patients and families
  • Communicates clearly and effectively with patients, parents, providers, and team members
  • Thrives in a fast-paced environment while maintaining accuracy, organization, and attention to detail
  • Effectively prioritizes responsibilities and remains composed when managing competing demands or high patient volume
  • Uses sound judgment, critical thinking, and problem-solving skills to resolve issues and support smooth clinic operations
  • Demonstrates initiative, reliability, and the ability to work both independently and as part of a collaborative team
  • Consistently upholds HIPAA compliance and protects patient confidentiality

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