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Insurance Verification Jobs in Raleigh, NC (NOW HIRING)

Responsible for data collection, verification, and transmission of exposure data to actuary, auditors and brokers, and others as required. * Review and maintain insurance policies, analyzes existing ...

Responsible for data collection, verification, and transmission of exposure data to actuary, auditors and brokers, and others as required. * Review and maintain insurance policies, analyzes existing ...

Responsible for data collection, verification, and transmission of exposure data to actuary, auditors and brokers, and others as required. * Review and maintain insurance policies, analyzes existing ...

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Insurance Verification information

See Raleigh, NC salary details

$12

$18

$25

How much do insurance verification jobs pay per hour?

As of Jul 22, 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.

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 cities near Raleigh, NC are hiring for Insurance Verification jobs? Cities near Raleigh, NC with the most Insurance Verification job openings:
Infographic showing various Insurance Verification job openings in Raleigh, NC as of July 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $38,151 per year, or $18.3 per hour.

Patient Service Representative

RALEIGH MEDICAL GROUP PA

Raleigh, NC • On-site

$17.50 - $18/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago


Job description

Title: Patient Service Representative-Dermatology

Location: Raleigh, NC | Onsite

Department: Dermatology

Shift: Monday – Friday | Day Shift


Patient Service Representative
Raleigh, NC | In-Office

Be the first smile patients see and help create an exceptional healthcare experience.

Raleigh Medical Group is seeking a friendly, organized, and customer-focused Patient Service Representative (PSR) to join our team. As the first point of contact for patients and visitors, this role is essential in delivering outstanding customer service while supporting patient registration, scheduling, insurance verification, payment collection, and daily front office operations.

The Patient Service Representative plays a vital role in ensuring a positive patient experience through professional communication, attention to detail, and efficient workflow management.


Responsibilities

• Greet patients and visitors in a professional, courteous, and welcoming manner

• Verify and update patient demographic, insurance, and registration information to ensure accuracy and completeness

• Provide and review registration documents, consent forms, HIPAA documentation, and other required patient paperwork

• Scan and maintain insurance cards and patient documentation within the Electronic Health Record (EHR)

• Collect copays, deductibles, outstanding balances, and other patient payments at the time of service

• Verify insurance eligibility and communicate with appropriate departments regarding referrals, authorizations, and insurance concerns

• Answer incoming telephone calls, route inquiries appropriately, and provide excellent customer service

• Complete patient check-in and checkout processes while ensuring all required documentation is obtained

• Assist with referrals, administrative paperwork, and patient-related documentation as needed

• Provide support to the Medical Records department when requested

• Collaborate with clinical, billing, operational, and administrative teams to support coordinated patient care

• Assist with training and onboarding of new staff members as assigned

• Participate in departmental meetings, training programs, and organizational initiatives

• Cross-train in departmental functions and provide coverage as needed

• Provide early shift and late stay coverage as assigned

• Perform additional duties as assigned

Qualifications

Required:

• High School diploma or equivalent

• Basic computer proficiency and ability to learn practice management and Electronic Health Record (EHR) systems

• Strong customer service, communication, and interpersonal skills

• Professional telephone etiquette

• Ability to multitask and work effectively in a fast-paced environment

• Strong organizational skills and attention to detail

• Ability to maintain confidentiality and handle sensitive information appropriately

Preferred:

• Previous medical office, front desk, scheduling, customer service, or patient registration experience

• Experience utilizing Electronic Health Record (EHR) and practice management systems

• Knowledge of insurance verification, patient registration, and referral processes

• Basic understanding of medical terminology

Why Join Raleigh Medical Group?

• Meaningful work supporting patient-centered care

• Collaborative and team-oriented work environment

• Opportunity to grow within a respected multi-specialty medical practice

• Stable weekday schedule

• Professional development and cross-training opportunities

We Offer Our Valued Employees

• Group Health, Dental, and Vision coverage

• FSA and HSA options

• Generous Paid Time Off (PTO)

• 401(k) Retirement Plan with employer matching

• Company-paid Life, Short-Term & Long-Term Disability

• Competitive pay


EEO Statement:

Raleigh Medical Group, PA is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin, or any other characteristic protected under applicable federal, state, or local law.