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Insurance Verification Jobs in Spring, TX (NOW HIRING)

ORTHOLONESTAR

Pre-Cert Specialist - Fondren

Houston, TX

$20 - $24/hr

Verifies and analyzes insurance coverage plan for patients upon referral/admission. Communicates plan information to appropriate parties. Provide accurate and complete data input for precertification ...

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$11

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$23

How much do insurance verification jobs pay per hour?

As of Jun 2, 2026, the average hourly pay for insurance verification in Spring, TX is $16.79, 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 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 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 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 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 Spring, TX? The most popular types of Insurance Verification jobs in Spring, TX are:
What are popular job titles related to Insurance Verification jobs in Spring, TX? For Insurance Verification jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Insurance Verification jobs in Spring, TX look for? The top searched job categories for Insurance Verification jobs in Spring, TX are:
What cities near Spring, TX are hiring for Insurance Verification jobs? Cities near Spring, TX with the most Insurance Verification job openings:
Insurance Verification jobs near you

Insurance Verification Specialist

Premier Medical Resources

Houston, TX • On-site

$16.25 - $20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

Revenue Cycle Management is looking for an Insurance Verification Specialist to join our team!
Hybrid/Remote opportunity after 90 days of in-person training
SUMMARY: The Insurance Verification Specialist is responsible for verifying the patient's insurance coverage, ensuring surgery and procedures are covered by an individual's insurance plan. Creates cost estimates prior to the surgery date and communicates cost to patients. In addition to, entering and verifying accurate data and updating patient benefit information in the Electronic Medical Records (EMR).
ESSENTIAL FUNCTIONS:
  • Assists front office with verification questions or concerns
  • Resolves any coverage issues and update patient EMR
  • Enters insurance coverage (co-payments, deductibles, etc.) accurately into patient EMR
  • Serves as a liaison between the patient, facility, physicians, and other departments to ensure timely and accurate financial clearance of all accounts
  • Verifies patient insurance coverage and benefits through online portals, phone calls, and other resources
  • Verifies insurance eligibility along with benefits and ensures all notifications and authorizations are completed by the surgery date
  • Identifies patient accounts based on self-pay, PPO, HMO, personal injury, workmen's compensation or other managed care organizations
  • Collects relevant data for eligibility and benefit verification including all ICD-10 and billable CPT codes per orders
  • Communicates with internal and external individuals to obtain information, resolve benefit issues, and ensure accurate benefit information is obtained
  • Responds to inquiries regarding patient accounts with appropriate and accurate information in a professional manner
  • Ensures accounts are financially secured by reviewing and documenting benefits, patient responsibilities, authorization requirements, and other relevant information
  • Creates financial arrangements, alongside management, when a patient is unable to complete payment
  • Responds promptly to requests and keeps open channels of communication with physician, patient, and service areas regarding financial clearance status and resolution
  • Collaborates with billing and coding departments to ensure correct processing of claims
  • Calculates co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and plan as applicable
  • Completes high-quality work while adhering to productivity standards
  • Performs miscellaneous job-related duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES:
  • Demonstrates ability to use basic computer functions, technology and Microsoft office (excel, word)
  • Broad knowledge of the content, intent, and application of HIPAA, federal and state regulations
  • Ability to work independently with little or no supervision as well as function within a team
  • Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization
  • Good communication skills (verbal / written) providing a great patient experience
  • Ability to work effectively in a fact paced environment
  • Strong knowledge of managed care, medical terminology, CPT Coding and ICD10
  • Demonstrates use of appropriate modifiers, HIPAA regulations, and insurance verification procedures
  • Knowledge of payor guidelines including reading, understanding and interpreting medical records and payor requirements etc.
  • Ability to think critically, assess problems and provide problem resolutions
  • Demonstrates attention to detail, accountability, people skills, problem solving and decision-making skills

EDUCATION AND EXPERIENCE:
  • High School Diploma or GED
  • One (1) year of revenue cycle experience
  • One (1) year of experience with insurance verification in a hospital/ASC setting

BENEFITS:
  • 3 Medical Plans
  • 2 Dental Plans
  • 2 Vision Plans
  • Employee Assistant Program
  • Short- and Long-Term Disability Insurance
  • Accidental Death & Dismemberment Plan
  • 401(k) with a 2-year vesting
  • PTO + Holidays

Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
Employment for this position is contingent upon the successful completion of a background check and drug screening.
Please visit our website for more information:
www.pmr-healthcare.com

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