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Medical Insurance Verification Specialist Jobs (NOW HIRING)

Suvida Healthcare

Insurance Verification Specialist

Dallas, TX · On-site

$17 - $20.75/hr

Insurance Verification Specialist (Greeter) At Suvida Healthcare, we are not just caregivers; we're ... Best-In-Class Medical/Dental Coverage * Free Mental Health & Life Coaching for Team Members and ...

OrthoAtlanta

Insurance Verification Specialist

Atlanta, GA · On-site

$16.25 - $20.25/hr

What You'll Do As an Insurance Verification Specialist at OrthoAtlanta, you'll play a key role in ... Contact insurance companies to verify pre-certification, pre-authorization, and medical necessity ...

Legacy Health

Insurance Verification Specialist

Portland, OR · On-site

$21.25 - $30.39/hr

Responsibilities Insurance Verification Specialist: * Provides professional, accurate and timely ... Acts as a resource to patients, family members, physicians and other departments regarding medical ...

Ultimate LLC

Insurance Verification

The Villages, FL · On-site

$14.50 - $18/hr

... Specialist About the Job The Insurance Verification Specialist reporting to Patient Services Manager is responsible for taking inbound calls to answer patients' questions about their medical bills.

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Medical Insurance Verification Specialist information

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How much do medical insurance verification specialist jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for medical insurance verification specialist in the United States is $18.87, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.19 per hour, depending on experience, location, and employer.

What does a medical insurance verification specialist do?

A Medical Insurance Verification Specialist is responsible for confirming patients' insurance coverage and benefits before medical services are provided. They communicate with insurance companies to verify coverage details, eligibility, co-pays, deductibles, and pre-authorization requirements. This role helps ensure that medical claims are processed correctly and that patients are aware of their financial responsibilities. Specialists also update patient records with verified insurance information and may assist with resolving coverage issues or denials. Their work is crucial in preventing billing errors and streamlining the payment process for healthcare providers and patients.

What are the key skills and qualifications needed to thrive as a medical insurance verification specialist, and why are they important?

To thrive as a Medical Insurance Verification Specialist, you need in-depth knowledge of insurance policies, medical billing, and healthcare terminology, often backed by a high school diploma or relevant certification. Familiarity with billing software, electronic health records (EHR), and insurance portals is crucial for processing claims accurately. Attention to detail, strong organizational skills, and effective communication help specialists resolve coverage issues and interact with patients and providers. These abilities ensure timely insurance verification, minimize claim denials, and support efficient healthcare operations.

What are some common challenges faced by medical insurance verification specialists, and how can they be addressed?

Medical Insurance Verification Specialists often encounter challenges such as navigating complex insurance policies, handling discrepancies in patient information, and managing high volumes of verifications within tight deadlines. Staying updated with frequent changes in insurance regulations and payer requirements is also essential. To address these challenges, specialists benefit from strong attention to detail, effective communication skills to clarify information with patients and insurance companies, and leveraging technology to streamline verification processes. Ongoing training and collaboration with billing teams can further enhance efficiency and accuracy in the role.

What is the difference between Medical Insurance Verification Specialist vs Medical Claims Processor?

AspectMedical Insurance Verification SpecialistMedical Claims Processor
CredentialsHigh school diploma, certification in insurance verificationHigh school diploma, certification in claims processing
Work EnvironmentHealthcare offices, hospitals, clinicsInsurance companies, healthcare providers, billing departments
Job FocusVerifying patient insurance coverage and eligibilityProcessing and adjudicating insurance claims for payment
Common UsageHospitals, clinics, healthcare providersInsurance companies, billing departments

The Medical Insurance Verification Specialist primarily focuses on verifying patient insurance details to ensure coverage before services. In contrast, the Medical Claims Processor handles the processing and approval of insurance claims after services are rendered. Both roles are essential in healthcare billing but differ in their specific responsibilities and workflow.

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Medical Insurance Verification Specialist jobs near you
Infographic showing various Medical Insurance Verification Specialist job openings in the United States as of September 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Temporary. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $39,247 per year, or $18.9 per hour.

INSURANCE VERIFICATION SPECIALIST

Kew Gardens, NY • On-site

MARIAN DAVID M D P C
See more jobs at MARIAN DAVID M D P Cexternal

$21 - $26/hr

Full-time

Medical

Re-posted 27 days ago

Job description

 Large Cardiology Practice located in Kew Gardens, Queens, is seeking an Insurance Verification Specialist that meets the following requirements:
- proven experience with insurance verification of commercial and HMO plans and ability to demonstrate understanding of technical medical terminology (e.g. copayment, deductible, coinsurance, primary/ secondary payor, referral),
- ability to communicate professionally and efficiently on the phone and in person.
Health benefits and above market rates are offered for the right candidate(s).