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Insurance Verification Jobs in Raleigh, NC (NOW HIRING)

Village Dental Raleigh

Insurance Coordinator

Raleigh, NC · On-site

$18 - $23/hr

Dental Insurance verifications * Insurance breakdowns accurately entered into practice software * Explaining dental insurance coverage and benefits to patients * Following up on outstanding dental ...

Village Dental

Insurance Coordinator

Raleigh, NC

Dental Insurance verifications * Insurance breakdowns accurately entered into practice software * Explaining dental insurance coverage and benefits to patients * Following up on outstanding dental ...

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All JobsInsurance Verification JobsInsurance Verification Jobs in Raleigh, NC

Insurance Verification information

See Raleigh, NC salary details

$12

$18

$25

How much do insurance verification jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for insurance verification in Raleigh, NC is $18.34, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $19.62 per hour, depending on experience, location, and employer.

What position in insurance pays the most?

In insurance verification roles, senior positions such as Insurance Verification Manager or Claims Director tend to have the highest salaries, often exceeding $80,000 annually. These roles typically require extensive experience, leadership skills, and knowledge of insurance policies and billing systems.

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 coverage and prevent billing issues.

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.

Is verifying insurance hard?

Insurance verification is a routine task for professionals in the field, involving checking policy details, coverage limits, and eligibility. It requires attention to detail, familiarity with insurance systems, and often the use of specialized software. While it can be straightforward for experienced staff, new employees may need training to become proficient.

What Are Insurance Verification Jobs?

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.

How to become an insurance verifier?

To become an insurance verifier, candidates typically need a high school diploma or equivalent and should develop skills in medical billing, coding, and insurance procedures. Some employers prefer candidates with certification in medical billing or coding, and on-the-job training is common to learn specific insurance verification processes and software tools.

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.

More about Insurance Verification jobs
What are the most commonly searched types of Insurance Verification jobs in Raleigh, NC? The most popular types of Insurance Verification jobs in Raleigh, NC are:
What are popular job titles related to Insurance Verification jobs in Raleigh, NC? For Insurance Verification jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Insurance Verification jobs in Raleigh, NC look for? The top searched job categories for Insurance Verification jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Insurance Verification jobs? Cities near Raleigh, NC with the most Insurance Verification job openings:
Insurance Verification jobs near you
Infographic showing various Insurance Verification job openings in Raleigh, NC as of July 2026, with employment types broken down into 1% As Needed, 70% Full Time, 23% Part Time, 1% Temporary, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $38,149 per year, or $18.3 per hour.
Insurance Coordinator

Insurance Coordinator

Raleigh Plastic Surgery Center

Raleigh, NC • On-site

Full-time

Medical, Dental, Retirement, PTO

Posted 18 days ago

Job description

Salary: $18-$22 per hour DOE

Insurance Coordinator

Raleigh Plastic Surgery Center | Raleigh, NC


About Us

Raleigh Plastic Surgery Center is a leading provider of cosmetic and reconstructive surgical care in the Raleigh area. We're committed to delivering exceptional patient experiences from consultation through recovery, and we're looking for a detail-oriented Insurance Coordinator to join our administrative team.


Position Summary

The Insurance Coordinator serves as the primary liaison between patients, surgeons, and insurance carriers, ensuring accurate and timely processing of insurance verifications, pre-authorizations, and claims related to reconstructive and medically necessary procedures. This role is essential to maintaining smooth practice operations and a positive patient financial experience.


Key Responsibilities

  • Verify patient insurance benefits and eligibility prior to scheduled procedures
  • Obtain pre-authorizations and pre-certifications for reconstructive and medically necessary surgeries
  • Communicate with insurance companies to resolve coverage questions, denials, and appeals
  • Coordinate with surgeons and clinical staff to gather documentation needed for prior authorization requests
  • Explain insurance coverage, out-of-pocket costs, and payment responsibilities to patients and collect payments
  • Maintain accurate records of authorizations, claims status, and patient communications in the practice management system
  • Stay current on payer policies, CPT/ICD-10 coding requirements, and prior authorization criteria relevant to plastic and reconstructive surgery
  • Collaborate with billing staff to ensure accurate claim submission and reimbursement
  • Assist patients with appeals for denied claims when medically necessary procedures are involved


Qualifications

  • High school diploma or equivalent required; associate degree or relevant certification preferred
  • 2+ years of experience in medical insurance verification, prior authorization, or medical billing (plastic surgery, dermatology, or surgical specialty experience strongly preferred)
  • Working knowledge of CPT, ICD-10, and HCPCS coding
  • Familiarity with major insurance carriers and their authorization processes
  • Excellent communication and interpersonal skills, with the ability to explain complex insurance information to patients clearly and compassionately
  • Strong organizational skills and attention to detail
  • Proficiency with electronic health records (EHR) and practice management software
  • Ability to multitask in a fast-paced clinical office environment


What We Offer

  • Competitive salary based on experience
  • Health and dental insurance
  • Paid time off and holidays
  • 401(k) with employer match
  • Employee discounts on cosmetic services
  • Supportive, team-oriented work environment


Raleigh Plastic Surgery Center is an equal opportunity employer.