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Insurance Verification Jobs in Houston, TX (NOW HIRING)

Insurance Specialist

Houston, TX · Remote

$20 - $35/hr

Completes insurance verification on all new and existing patients and follow-up appropriately for authorization. * Contacts insurance carriers to obtain benefit coverage for ordered services, policy ...

Completes insurance verification on all new and existing patients and follow-up appropriately for authorization. * Contacts insurance carriers to obtain benefit coverage for ordered services, policy ...

E-Verify is an internet-based system used to electronically confirm employment eligibility. ABM is a military-friendly company proudly employing thousands of men and women who have served in the U.S ...

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Insurance Verification information

See Houston, TX salary details

$11

$16

$23

How much do insurance verification jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for insurance verification in Houston, TX is $16.91, according to ZipRecruiter salary data. Most workers in this role earn between $14.66 and $18.08 per hour, depending on experience, location, and employer.

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 claim systems, and some roles may require certification in medical billing or coding. On-the-job training is common, and experience in healthcare or insurance environments can improve job prospects.

What do you do in insurance verification?

In insurance verification, the insurance verification specialist confirms a patient's insurance coverage, benefits, and eligibility before medical services are provided. This process involves contacting insurance companies, reviewing policy details, and documenting information accurately to ensure proper billing and coverage. Attention to detail and familiarity with insurance systems or electronic health records (EHR) are important skills for this role.

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 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 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.

Is doing insurance verification hard?

Insurance verification is a clerical task that involves reviewing patient information, insurance policies, and coverage details to confirm eligibility. It requires attention to detail, familiarity with insurance terminology, and often the use of specialized software, but it is generally considered manageable with proper training and experience.

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.

What are the most commonly searched types of Insurance Verification jobs in Houston, TX? The most popular types of Insurance Verification jobs in Houston, TX are:
What are popular job titles related to Insurance Verification jobs in Houston, TX? For Insurance Verification jobs in Houston, TX, the most frequently searched job titles are:
What cities near Houston, TX are hiring for Insurance Verification jobs? Cities near Houston, TX with the most Insurance Verification job openings:
Infographic showing various Insurance Verification job openings in Houston, TX as of August 2026, with employment types broken down into 67% Full Time, and 33% Contract. Highlights an 100% In-person job distribution, with an average salary of $35,170 per year, or $16.9 per hour.

Medical Benefits Verification Specialist

Onco360

Houston, TX

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

21st of 112 rated pharmacies


Job description

Are you someone looking for professional career growth? Onco360 Pharmacy is looking for a Medical Benefits Verification Specialist for our Pharmacy located in Houston, TX.
Work Hours: Monday-Friday 8:30-5 EST, may adjust according to Time Zone of candidate.
**Starting salary at $23/hour** We also offer quarterly incentive bonuses.
We offer a variety of benefits including:
  • Medical, Dental amp; Vision insurance
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Paid Volunteer Day
  • Floating Holiday
  • Referral Incentive
  • Paid Life, and short amp; long-term disability insurance
Medical Benefits Verification Specialist Summary:
The Medical Benefit Verification Specialist will investigate, review, and load accurate patient insurance for medical coverage, assign coordination of benefits, and investigate/identify authorization requirements needed to obtain medication coverage. They will ensure accurate insurance benefit documentation is made for specific IV and oral therapy orders.
Medical Benefits Verification Specialist Major Responsibilities:
  • Verify Government payer (i.e. Medicare and Medicaid) eligibility and benefits utilizing electronic resources to load primary, secondary, tertiary, etc. insurances to patient profile. This involves contacting Medicare or other relevant government payers to confirm coverage and benefits for specific services.
  • Verify Commercial insurance plans eligibility and benefits utilizing electronic resources to load primary, secondary, tertiary, etc. insurances to patient profile. Confirming patient eligibility and benefits with various commercial insurance carriers (i.e. Aetna, Humana, Anthem, Cigna, etc.).
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information and patient copays, deductibles and Out-of-Network responsibilities.
  • Determine optimal reimbursement based on medical plan and dispensing location, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.
  • Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information, doctors’ notes, assessments and lab reports.
  • Communicate succinctly and professionally both verbally and through written correspondence with Physician offices, nurses, insurance companies and patients as needed.
  • Exhibits a positive, courteous, respectful, and helpful attitude towards patients, team members, payers, and management. Contributes team effort by accomplishing related tasks as needed and other duties as assigned.
  • Research proper billing policies and procedures for all payer types, ensuring claims are processed correctly against industry and government standards and regulations, adhere to company compliance, integrity, patient privacy, and ethical billing practices.
  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Education/Learning Experience
  • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
  • Desired: Associate degree or equivalent program from a 2-year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
Work Experience
  • Required: 1+ years’ Medicare and Medical benefit verification experience
  • Desired: 3+ years Specialty Pharmacy, Medical Verification, and/or Infusion benefit verification experience
Skills/Knowledge
  • Required: Medicare and Medical insurance and benefit verification, medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, coordination of benefits, Understanding Medicare Parts A, B, C, and D, as well as relevant laws and guidelines, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, basic math and analytical skills, Intermediate typing/keyboarding skills.
  • Desired: Specialty Pharmacy experience, Medicare Billing Experience, Medical Authorization experience
Licenses/Certifications
  • Required: None
  • Desired: Registration with Board of Pharmacy as required by state law or Certified Pharmacy Technician (PTCB)
Behavior Competencies
  • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills
Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.
A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion.
We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth.

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