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Insurance Verification Jobs in Springfield, IL (NOW HIRING)

Memorial Health

Follow-Up Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Accesses external insurance providers' websites to determine and/or verify patients' insurance eligibility and account status. * Receives and examines daily listings for all denominations and types ...

Springfield Clinic

Radiology Scheduler

Springfield, IL · On-site

$19.13 - $27.73/hr

Verify insurance eligibility. * Explain patient prep and dispense prep kits as needed. * Task providers' offices when necessary. * Complete reminder calls for future appointments. * Ensure all ...

Circle K

Field Inventory Auditor

Springfield, IL · On-site

$14 - $16/hr

Essential Functions: 1. Verifies merchandise and cash in each of the Company stores by conducting a ... insurance. 4. Occasional overnight travel may be required. Physical Requirements: The physical ...

Springfield Clinic

Radiology Scheduler

Springfield, IL · On-site

$19.13 - $27.73/hr

Verify insurance eligibility. * Explain patient prep and dispense prep kits as needed. * Task providers' offices when necessary. * Complete reminder calls for future appointments. * Ensure all ...

Cennox

Field Technician

Chatham, IL · On-site

$20 - $27.25/hr

Total Benefits Package including Retirement, Health, Dental, Vision, Life Insurance & more * Paid ... E-Verify Cennox participates in the E-Verify program to confirm the identity and employment ...

Cennox

Field Technician

Chatham, IL · On-site

$20 - $27.25/hr

Total Benefits Package including Retirement, Health, Dental, Vision, Life Insurance & more * Paid ... For more information, please visit www.e-verify.gov.

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Insurance Verification information

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How much do insurance verification jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for insurance verification in Springfield, IL is $18.70, according to ZipRecruiter salary data. Most workers in this role earn between $16.20 and $20.00 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 are the most commonly searched types of Insurance Verification jobs in Springfield, IL?

The most popular types of Insurance Verification jobs in Springfield, IL are:

What job categories do people searching Insurance Verification jobs in Springfield, IL look for?

The top searched job categories for Insurance Verification jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Insurance Verification jobs?

Cities near Springfield, IL with the most Insurance Verification job openings:

Insurance Verification jobs near you
Infographic showing various Insurance Verification job openings in Springfield, IL as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 25% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $38,898 per year, or $18.7 per hour.

Follow-Up Specialist

Memorial Health

Springfield, IL • On-site

$18.34 - $28.42/hr

Full-time

Medical, Vision

Re-posted 5 days ago

Memorial Health rating

7.0

Company rating: 7.0 out of 10

Based on 177 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers

Job description

MinUSD $18.34/Hr.MaxUSD $28.42/Hr.Overview

Position Summary:

Follows up on outstanding payments due on all types of open medical insurance claims, i.e., managed care and commercial. Coordinates activities with external insurance companies for the resolution of patient account balances. Ensures compliance with managed care guidelines and MMC organizational policies.  Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Qualifications

Education:

Education equivalent to graduation from high school or GED is required.

Experience:

Two or more years as an Account Follow-Up Specialist, or comparable years of medical insurance and/or health care billing experience is required. Possesses the technical knowledge to independently process claims of any denomination, type, and complexity is required.

Other Knowledge/Skills/Abilities:

  • Demonstrates thorough knowledge of the electronic billing system, medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, DRGs and hospital billing claim form UB-04 is required.
  • Demonstrates a thorough knowledge of contract management systems and Blue Cross and Tricare guidelines.
  • Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.
  • Ability to work within the guidelines of defined managed care contract policy provisions and company procedures.
  • Demonstrated ability to work successfully with internal customers and external contacts is required.
  • Possesses highly-developed prioritization and organization skills and critical thinking and problem solving ability.
  • Demonstrates excellent communication skills, including telephone etiquette, and keyboarding and basic math skills.
Responsibilities

Principal Duties & Responsibilitites:

  • Accesses external insurance providers' websites to determine and/or verify patients' insurance eligibility and account status.
  • Receives and examines daily listings for all denominations and types of patient accounts and determines which require further analysis and action.
  • Investigates assigned patient accounts with incomplete/incorrect information and resolves problems or errors to ensure complete and compliant information accompanies the claim.
  • Follows up and investigates all denominations and types of unpaid items and other issues associated with unpaid claims. Contacts patients, guarantors, or other sources of third party payment and secures arrangements for prompt payment.
  • Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
    • SAFETY: Prevent Harm - I put safety first in everything I do.  I take action to ensure the safety of others.
    • COURTESY: Serve Others - I treat others with dignity and respect.  I project a professional image and positive attitude.
    • QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
    • EFFICIENCY: Reduce Waste - I use time and resources wisely.  I prevent defects and delays.
  • Receives and researches insurance claim denials, rejections and underpayments, and as necessary, prepares the necessary paperwork to appeal the denial.
  • Reviews correspondence relating to payments and claims; conducts the necessary research to provide supplementary background information regarding the inquiry
  • Researches and resolves complex issues associated with patient insurance accounts. As applicable, identifies, documents, and reports problematic trends to management.
  • Analyzes reports containing rejected account information and performs the necessary research to resolve the reason(s) for the rejection and secures any other required information.
  • Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing medical insurance claims.
  • Responds to requests from internal departments regarding the proper coding, billing, and processing of medical insurance claims.
  • Communicates and resolves issues with a variety of internal and external sources to resolves issues involving medical insurance claims. This may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies.
  • Initiates corrections to all denominations and types of charges and contractual/allowances within scope of expertise and authority granted.
  • Identifies and calculates write-off amounts and secures the necessary approvals from management for processing.
  • Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments.
  • Researches complex issues on all denominations and types of accounts and coordinates their resolution in a timely manner.
  • Ensures compliance to managed care contract guidelines and processes at each work step to facilitate accurate and timely reimbursements to the organization.
  • May assist with special projects, analyses, or audits.
  • As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.
  • Performs other related work as required or requested.
    • Employment Type: FULL_TIME

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