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Insurance Verification Jobs in Spring, TX (NOW HIRING)

INEOS

CMSS Specialist

Pasadena, TX · On-site

$15.50 - $19.25/hr

Company: INEOS Phenol Interested in joining a winning team? A team whose employees share in the ownership of the business and are empowered to make a difference? Job Title CMSS Specialist Department ...

Naba Dental

Dental Office Manager

Houston, TX · On-site

$23.25 - $30.50/hr

Perform and supervise insurance verification , eligibility checks, and claims follow-up. * Support treatment planning and patient communication as a Treatment Coordinator. * Handle or oversee billing ...

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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
Precertification Specialist

Precertification Specialist

SUN Behavioral Houston

Houston, TX

$16.25 - $20/hr

Full-time

Posted 2 days ago

Job description

Position Summary:

Responsible for obtaining pre-certifications and pre-authorizations for hospital service lines per assigned caseload by successfully completing the required authorization process in addition to effectively communicating details to appropriate departments.

Position Responsibilities:

Clinical / Technical Skills (40% of performance review)

  • Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations.
  • Request, track and obtain pre-authorization from insurance carriers within time allotted for assigned workload and follow up on regularly pending cases.
  • Ensure tracking programs and patient records are kept up to date through the pre-certification process.
  • Demonstrate and apply knowledge of medical terminology, high proficiency of general inpatient hospital understanding including HIPAA regulations.
  • Clearly document all communication and contacts with providers and personnel in standardized documentation requirements.
  • Communicate any insurance changes or trends among team.
  • Prioritize authorization requests according to urgency.
  • Answer insurance telephone inquiries pertaining to patient accounts.
  • Perform other duties as required.

Safety (15% of performance review)

  • Strives to create a safe, healing environment for patients and family members
  • Follows all safety rules while on the job.
  • Reports “near misses”, as well as errors and accidents promptly.
  • Corrects minor safety hazards.
  • Communicates with peers and management regarding any hazards identified in the workplace.
  • Attends all required safety programs and understands responsibilities related to general, department, and job specific safety.
  • Participates in quality projects, as assigned, and supports quality initiatives.
  • Supports and maintains a culture of safety and quality.

Teamwork (15% of performance review)

  • Works well with others in a spirit of teamwork and cooperation.
  • Responds willingly to colleagues and serves as an active part of the hospital team.
  • Builds collaborative relationships with patients, families, staff, and physicians.
  • The ability to retrieve, communicate, and present data and information both verbally and in writing as required
  • Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word.
  • Demonstrates adequate skills in all forms of communication.
  • Adheres to the Standards of Behavior

Integrity (15% of performance review)

  • Strives to always do the right thing for the patient, coworkers, and the hospital
  • Adheres to established standards, policies, procedures, protocols, and laws.
  • Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence.
  • Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources.
  • Completes required trainings within defined time periods, as established by job description, policies, or hospital leadership
  • Exemplifies professionalism through good attendance and positive attitude, at all times.
  • Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws.
  • Ensures proper documentation in all position activities, following federal and state guidelines.

Compassion (15% of performance review)

  • Demonstrates accountability for ensuring the highest quality patient care for patients.
  • Willingness to be accepting of those in need, and to extend a helping hand
  • Desire to go above and beyond for others
  • Understanding and accepting of cultural diversity and differences

Education

  • Required: High school diploma or GED. CPR and hospital-selected de-escalation technique certification.
  • Preferred: Associates or Bachelors degree.
  • Maintains education and development appropriate for position.
  • May substitute experience for education

Experience

  • Required: One year of experience in a behavioral healthcare setting.
  • Preferred: Previous experience as Precertification Specialist
  • May substitute education for experience

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