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Medical Insurance Verification Jobs in Ohio (NOW HIRING)

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Medical Insurance Verification information

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How much do medical insurance verification jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for medical insurance verification in Ohio is $18.40, according to ZipRecruiter salary data. Most workers in this role earn between $15.10 and $18.99 per hour, depending on experience, location, and employer.

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

To thrive as a Medical Insurance Verification Specialist, you need strong attention to detail, knowledge of medical terminology, and familiarity with insurance policies and procedures, often supported by a high school diploma or equivalent. Experience with healthcare billing software, electronic health records (EHR), and insurance verification platforms is typically required. Exceptional communication, problem-solving skills, and the ability to manage time efficiently make someone stand out in this position. These skills ensure accurate verification, prevent claim denials, and facilitate smooth billing processes for both patients and healthcare providers.

What are some common challenges faced in medical insurance verification, and how can they be managed?

Professionals in Medical Insurance Verification often encounter challenges such as navigating complex insurance policies, handling discrepancies in patient information, and staying updated with frequent policy changes. Managing these issues typically involves strong attention to detail, clear communication with both patients and insurance providers, and using up-to-date verification software. Building good relationships with insurance representatives and regularly attending training sessions can also help address these challenges effectively and improve overall workflow.

What is the difference between Medical Insurance Verification vs Medical Billing Specialist?

AspectMedical Insurance VerificationMedical Billing Specialist
Primary RoleVerify patient insurance coverage and benefitsProcess and submit claims, handle payments
CredentialsKnowledge of insurance policies, basic healthcare certificationsMedical coding, billing certifications often preferred
Work EnvironmentFront desk, administrative offices, healthcare facilities

Medical Insurance Verification focuses on confirming patient coverage before services, while Medical Billing Specialists handle claims processing and payments. Both roles are essential in healthcare revenue cycle management, often working closely but with distinct responsibilities.

How to become a medical insurance verification specialist?

To become a medical insurance verification specialist, candidates typically need a high school diploma or equivalent, along with knowledge of healthcare billing and insurance processes. Relevant skills include attention to detail, communication, and familiarity with insurance claim systems or electronic health records. Certification in medical billing or coding can enhance job prospects and may be preferred by employers.

Is it hard to learn medical insurance verification?

Medical insurance verification is a skill that can be learned with training in healthcare billing, coding, and insurance policies. It involves understanding insurance plans, verifying patient coverage, and using tools like electronic health records, making it accessible with proper education and practice.

What skills do you need to be a medical insurance verification specialist?

A medical insurance verification specialist needs strong attention to detail, excellent communication skills, and knowledge of insurance policies and billing procedures. Proficiency with electronic health records (EHR) systems and basic computer skills are essential. Certification in medical billing or coding can enhance job prospects and efficiency.

What are the most commonly searched types of Medical Insurance Verification jobs in Ohio?

The most popular types of Medical Insurance Verification jobs in Ohio are:

What are popular job titles related to Medical Insurance Verification jobs in Ohio?

For Medical Insurance Verification jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Medical Insurance Verification jobs in Ohio look for?

The top searched job categories for Medical Insurance Verification jobs in Ohio are:

What cities in Ohio are hiring for Medical Insurance Verification jobs?

Cities in Ohio with the most Medical Insurance Verification job openings:

Medical Insurance Verification jobs near you
Infographic showing various Medical Insurance Verification job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $38,277 per year, or $18.4 per hour.

Insurance Verification and Prior Auth Specialist

Ohio Gastroenterology Group

Columbus, OH • On-site

$16.50 - $20.25/hr

Full-time

Posted 26 days ago

Job description

Primary Job Functions[1]:
  • Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third-party payer requirements/on-line eligibility systems.
  • Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for patients. Follows up with internal departments, physician offices, patients and third-party payers to complete the pre-certification process.
  • Identifies out of pocket amounts (i.e., copay, deductible, co-insurance), determining the correct coordination of benefits, identifying if a replacement or supplemental plan exists, identifying termed coverage, and identifying if the patient's plan is considered out of network coverage.
  • Collaborates with internal departments to provide account status updates, including expected out of pocket amounts, coordinate the resolution of issues, and appeal denied authorizations.
  • Ensures services have prior authorizations and updates patients on their preauthorization status. Coordinates peer to peer review if required by insurance. Notifies ordering providers if authorization/certification is denied.
  • May need to coordinate scheduling of patient appointments, diagnostic and/or specialty appointments, tests and/or procedures.
  • Maintains files for referral and insurance information, and enters referrals into the system.
  • Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans.
  • Runs system-generated reports to verify insurance verification/authorization is being done timely prior to the patient's date of service; verifies the insurance benefits and eligibility either by phone or online for every patient that is scheduled
  • Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
  • May need to respond to patient inquiries about their insurance benefits.
  • Assists physician's office staff with any insurance benefit questions and educate them on any changes to the insurance companies' verification/pre-certification process for the facility.
  • Ensures insurance information is verified and entered into the billing system.
  • Works with Billing Department to assure all insurance information is entered so claims are not denied. May help research any claim issues.
  • Other duties as assigned.

Secondary Job Functions:
  • Attend meetings and training sessions
  • Maintain confidentiality of patient and financial information by utilizing HIPAA guidelines and regulations
  • Adheres to all Federal, State, and Local laws and regulations as well as policies set forth by Ohio Gastroenterology Group Inc and its related parties

Knowledge, Skills and Abilities
  • Knowledge of third-party payers and prior-authorization requirements
  • Understanding of basic medical terminology and procedures
  • Proficient use of office equipment, such as copier and fax machine, phones, etc.
  • Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, payer websites, physician practice management, and electronic medical records systems.
  • High attention to detail and the ability to multi-task.
  • Strong time management skills
  • Ability to work independently with minimal supervision and to manage multiple priorities.
  • Strong written and verbal communication skills
  • Ability to effectively communicate with a variety of people under stressful circumstances.
  • Neat appearance, professional demeanor and pleasant voice
  • Fluent in English

Credentials and Experience
  • Must have high school diploma or equivalent
  • One (1) year of experience and relevant knowledge of revenue cycle functions, insurance eligibility, or prior authorization in a healthcare setting preferred
  • Experience with eClinicalWorks a plus

Physical Demands
  • Must be able to bend over (frequent), climb stairs (frequent), sit (frequent), stand (frequent), stoop (frequent), walk (frequent) and type on keyboard (frequent).

Work Environment
  • Minimal medical office exposure that may require contact with adult patients
  • Office workstation environment with numerous employees

[1] Critical features of this job are described under this heading. They may be subject to change at any time due to reasonable accommodation or other reasons,
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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