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Insurance Verifier Jobs in Pennsylvania (NOW HIRING)

Community Health Net

Insurance Liaison

Erie, PA · On-site

$13.84 - $16.50/hr

Essential Duties and Responsibilities Insurance Verification: -Verify patients' insurance coverage and eligibility. - Collaborate with patients to obtain necessary insurance information. - Update and ...

Community Health Net

Insurance Liaison

Erie, PA · On-site

$13.84 - $16.50/hr

Essential Duties and Responsibilities • Insurance Verification: -Verify patients' insurance coverage and eligibility. - Collaborate with patients to obtain necessary insurance information. - Update ...

Community Health Net

Insurance Liaison

Erie, PA

$13.84 - $16.50/hr

Essential Duties and Responsibilities Insurance Verification: -Verify patients' insurance coverage and eligibility. - Collaborate with patients to obtain necessary insurance information. - Update and ...

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Insurance Verifier information

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$13

$31

$55

How much do insurance verifier jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for insurance verifier in Pennsylvania is $31.78, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $46.73 per hour, depending on experience, location, and employer.

What does an insurance verifier do?

An Insurance Verifier is responsible for verifying patients’ insurance coverage and benefits before medical procedures or appointments. They contact insurance companies to confirm eligibility, coverage details, copays, deductibles, and pre-authorization requirements. Insurance Verifiers help ensure that billing is accurate and that patients are informed about their financial responsibilities. This role is crucial in preventing claim denials and streamlining the billing process for healthcare providers.

What are the key skills and qualifications needed to thrive as an insurance verifier, and why are they important?

To thrive as an Insurance Verifier, you need a strong understanding of health insurance policies, medical terminology, and verification procedures, often supported by a high school diploma or associate degree. Familiarity with insurance verification software, electronic health records (EHRs), and billing systems like Epic or Cerner is highly beneficial. Attention to detail, strong organizational skills, and effective communication are essential soft skills for ensuring information accuracy and resolving coverage issues. These competencies are crucial for minimizing claim denials, expediting patient care, and maintaining efficient healthcare operations.

What are some common challenges faced by insurance verifiers, and how can they effectively address them?

Insurance Verifiers often encounter challenges such as navigating complex insurance policies, dealing with frequent changes in coverage, and communicating with both patients and insurance companies to resolve discrepancies. Staying organized and detail-oriented is key to managing multiple verifications simultaneously. Building strong communication skills and keeping up-to-date with insurance regulations can help verifiers efficiently resolve issues and prevent delays in patient care or billing.

What is the difference between Insurance Verifier vs Medical Biller?

AspectInsurance VerifierMedical Biller
CredentialsHigh school diploma, certification preferredHigh school diploma, certification often preferred
Work EnvironmentHealthcare offices, hospitalsHealthcare offices, hospitals
Primary ResponsibilitiesVerify insurance coverage, confirm patient benefitsProcess and submit claims, handle billing
Industry UsageCommonly used in healthcare settings for insurance verificationUsed for billing and claims processing in healthcare

Insurance Verifiers focus on confirming patient insurance details and coverage before services, while Medical Billers handle the financial transactions and claims submission afterward. Both roles are essential in healthcare revenue cycle management and often work closely together.

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 or require certification in medical billing or coding, such as the Certified Professional Biller (CPB) or Certified Coding Associate (CCA), and familiarity with insurance claim processing software is beneficial.

Is it hard to learn insurance verification?

Insurance verifiers need to understand insurance policies, billing procedures, and use verification tools, which can require some training but are generally straightforward to learn. Strong attention to detail and familiarity with healthcare or insurance terminology help in mastering the process efficiently.

What cities in Pennsylvania are hiring for Insurance Verifier jobs?

Cities in Pennsylvania with the most Insurance Verifier job openings:

What are popular job titles related to Insurance Verifier jobs in PA?

For Insurance Verifier jobs in PA, the most frequently searched job titles are:

Insurance Verifier jobs near you
Infographic showing various Insurance Verifier job openings in Pennsylvania as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 25% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $66,094 per year, or $31.8 per hour.

Insurance Verification Specialist / Specialty Billing Representative

Mid Atlantic Retina

Freemansburg, PA • On-site

$16.75 - $20.75/hr

Other

Re-posted 18 days ago

Mid Atlantic Retina rating

7.9

Company rating: 7.9 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Insurance Verification Specialist / Specialty Billing Representative

Specialty Billing is responsible for verifying all benefits as they pertain to specialty drug injections and all the co-pay assistance funds. They are also responsible for following up with accounts receivable for any necessary payer.

Essential Functions

  1. Verifies all benefits for scheduled injection appointments.
  2. Evaluates all benefits for patient responsibility and notates accurate collection amounts.
  3. Obtains all necessary pre-authorizations or pre-determinations for each patient to have treatment with a specialty drug.
  4. Monitors all assigned schedules for add-ons and changes.
  5. Assists in general billing AR when needed including but not limited to claims follow up, calls to insurances and anything necessary to obtain payment for all specialty drugs.
  6. Recognizes, interprets, and evaluates inconsistencies, discrepancies, and inaccuracies in accounts along with system files, and initiates appropriate corrective methods.
  7. Act as customer service representative in person or by telephone for any patient's questions about their account.
  8. Maintain up to date billing knowledge of insurance carriers and their clinical policies.
  9. Works overtime as needed.
  10. Travels to other MAR locations as needed.
  11. Performs other duties as assigned.

Competencies

  1. Problem Solving / Analysis - Creative problem solving within defined acceptable parameters. Identifies and resolves problems in a timely fashion.
  2. Customer Service- Superior listening skills, professional demeanor, and appropriate firmness.
  3. Conflict Resolution- Responds promptly to customer needs. Ability to handle difficult patient interactions relative to sensitive billing issues.
  4. Detail Oriented - Ensure proper procedures, protocols and processes are complied with consistently.
  5. Strong Interpersonal Skills- Works effectively with patients, employees, and physicians.
  6. Creative problem solving within defined acceptable parameters.
  7. Time Management- maintains high volume productivity level for essential functions.
  8. Ethical Conduct - Maintains confidentiality.

Required Education and Experience

  1. Medical billing experience preferred.
  2. Knowledge of benefit investigation including obtaining eligibility information, authorizations, and referrals.
  3. Experience with CPT codes and ICD-10. Microsoft Office Suite required.

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