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Insurance Verifier Jobs in Philadelphia, PA (NOW HIRING)

Shields Shields & Lally

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Insurance Verification Specialist

Cherry Hill, NJ · On-site

$16.75 - $20.75/hr

Contact payers to verify benefits and insurance information prior to a patient's appointment/procedure/surgery. Refers matters outside their scope of duties to the Billing Manager. Responsibilities:

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All JobsInsurance Verifier JobsInsurance Verifier Jobs in Philadelphia, PA

Insurance Verifier information

See Philadelphia, PA salary details

$12

$29

$51

How much do insurance verifier jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for insurance verifier in Philadelphia, PA is $29.26, according to ZipRecruiter salary data. Most workers in this role earn between $15.29 and $43.03 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.

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.

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.

Is it hard to learn insurance verification?

Insurance verification is a skill that can be learned through training and practice, often involving understanding insurance policies, billing procedures, and using verification tools or software. While it requires attention to detail and familiarity with healthcare terminology, many employers provide on-the-job training for new insurance verifiers.

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 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.

Insurance Verifier jobs near you
Infographic showing various Insurance Verifier job openings in Philadelphia, PA as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $60,856 per year, or $29.3 per hour.

Insurance Verification Specialist

Delaware Orthopaedic Specialists

Wilmington, DE • On-site

$18 - $22/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 10 days ago

Job description

Job Title: Insurance Verification Specialist

Reports To: Phone Room Manager

Job Location: Wilmington, DE 19803

Hours/Week: 40

________________________________________

I. General Summary

Regional Orthopaedic Associates is seeking a detail-oriented and customer-focused Insurance Verification Specialist to join our team. This role is primarily responsible for verifying patient insurance coverage, benefits, and eligibility prior to scheduled appointments, while also supporting incoming call operations.

The ideal candidate will ensure accurate collection and validation of insurance and demographic information, communicate coverage details to patients when appropriate, and coordinate with clinical and administrative teams to support a smooth patient experience. This role plays a critical part in minimizing claim denials and ensuring efficient front-end revenue cycle operations.

________________________________________

II. Principal Duties and Essential Functions

  • Verify patient insurance eligibility, benefits, and coverage details prior to appointments, including copays, deductibles, referrals, and authorization requirements.
  • Contact insurance carriers via phone or online portals to confirm active coverage and obtain necessary information.
  • Accurately document verification details in the practice management system.
  • Identify and communicate any coverage issues, discrepancies, or authorization requirements to appropriate staff and/or patients.
  • Collect, enter, and update patient demographic and insurance information with a high degree of accuracy.
  • Assist patients in understanding their insurance coverage, financial responsibilities, and referral requirements when applicable.
  • Triage incoming calls and route them appropriately to clinical or administrative staff.
  • Collaborate with front desk, billing, and clinical teams to resolve insurancerelated issues.
  • Maintain compliance with HIPAA and all applicable privacy regulations.
  • Provide exceptional customer service in all patient interactions.

    • ________________________________________

    III. Job Requirements

    A. Job Knowledge and Skills

  • Strong understanding of insurance verification processes, including eligibility checks, benefits, referrals, and prior authorizations.
  • Familiarity with commercial insurance plans, Medicare, Medicaid, and managed care plans preferred.
  • Proficiency in Microsoft Office (Word, Outlook, Excel) and practice management systems.
  • Experience using insurance portals and verification tools is highly desirable.
  • Excellent attention to detail and strong organizational skills.
  • Effective communication skills, with the ability to explain insurance information clearly to patients.
  • Ability to multitask in a fastpaced environment while maintaining accuracy.
  • Working knowledge of medical terminology preferred.
  • Reliable, selfmotivated, and able to work both independently and as part of a team.
  • Must consistently monitor and respond to email communications in a timely manner.

    • ________________________________________

    B. Education
  • High School Diploma or GED required; additional healthcare or administrative training is a plus.

    • ________________________________________

    C. Experience
  • Prior experience in insurance verification, medical front office, or healthcare revenue cycle preferred.
  • Experience in an orthopaedic or specialty practice is a plus but not required.

    • ________________________________________

    Job Type: Full-time

    Benefits:
  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

    • Work Location: In person

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