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Insurance Verification Jobs in Simpsonville, SC (NOW HIRING)

AUS Inc

Security Officer Entrance Verification

Spartanburg, SC · On-site

$17/hr

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Security Officer Entrance Verification As a Security Officer Entrance Verification in Spartanburg ... insurance. * Exclusive Perks: Enjoy discounts on top brands and services through our Perks Program.

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Insurance Verification information

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$11

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How much do insurance verification jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for insurance verification in Simpsonville, SC is $16.72, according to ZipRecruiter salary data. Most workers in this role earn between $14.47 and $17.88 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 Simpsonville, SC are hiring for Insurance Verification jobs?

Cities near Simpsonville, SC with the most Insurance Verification job openings:

Insurance Verification jobs near you
Infographic showing various Insurance Verification job openings in Simpsonville, SC as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $34,784 per year, or $16.7 per hour.

Patient Access Specialist, FT, Days

Prisma Health

Greenville, SC • On-site

$16.25 - $21.75/hr

Full-time

Re-posted 11 days ago

Prisma Health rating

7.1

Company rating: 7.1 out of 10

Based on 350 frontline employees who took The Breakroom Quiz

381st of 888 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions.

Essential Functions

  • All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.Serve with compassion. Be the difference.

  • Interviews patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information. Enters accurate information into computer database, accesses Sovera to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines. Follows up for incomplete and missing information.

  • Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third-party payor. Information obtained through insurance verification must always be documented in the system. Assigns appropriate insurance plan from the third-party database; ensures insurance priorities are correct based on third-party requirements/ COB. Initiates pre-certification process as required according to Departmental Guidelines; obtains signed waiver for cases where pre-certification is required but not yet obtained.

  • Obtains necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, and Waiver Letter.

  • Receives payments and issues receipts, actively working toward collection goals. Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures.

  • Prepares and distributes appropriate reports, documents, and patient identification items as required. This includes, but is not limited to, Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, Medicare Booklet, schedules, productivity logs, monthly collection reports, patient armbands, patient valuables, etc.

  • Communicates to patients their estimated financialresponsibility.Requests payment prior to or at the time of service. Refers patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to appropriate program.

  • Performs other duties as assigned.

Supervisory/Management Responsibilities

  • This is a non-management job that will report to a supervisor, manager, director, or executive.


Minimum Requirements

  • Education - High School diploma or equivalent OR post-high school diploma/highest degree earned

  • Experience - Two (2) years of Admissions, Billing, Collections, Insurance and/or Customer Service


In Lieu Of

  • NA

Required Certifications, Registrations, Licenses

  • NA

Knowledge, Skills and Abilities

  • Basic computer skills (word processing, spreadsheets, database, data entry)

  • Mathematical skills

  • Registration and scheduling experience preferred

  • Familiarity with medical terminology preferred

Work Shift

Day (United States of America)

Location

Greenville Memorial Hospital

Facility

7001 Corporate

Department

70019065 Patient Access-GMH Campus

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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