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Medical Insurance Verification Jobs in Tennessee

Surgery Partners

Insurance Verifier

Franklin, TN · On-site

Responsibilities will include the verification of benefits and coverages of insurance plans ... Keyboarding, medical terminology and detail oriented. The Insurance Verifier associate is ...

Surgery Partners

Insurance Verifier

Franklin, TN · On-site

Responsibilities will include the verification of benefits and coverages of insurance plans ... Keyboarding, medical terminology and detail oriented. The Insurance Verifier associate is ...

Surgery Partners

Insurance Verifier

Franklin, TN · On-site

Responsibilities will include the verification of benefits and coverages of insurance plans ... Keyboarding, medical terminology and detail oriented. The Insurance Verifier associate is ...

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Medical Insurance Verification information

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$31

How much do medical insurance verification jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for medical insurance verification in Tennessee is $17.57, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $18.12 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 Tennessee?

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

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

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

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

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

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

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

Medical Insurance Verification jobs near you
Infographic showing various Medical Insurance Verification job openings in Tennessee 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 $36,542 per year, or $17.6 per hour.

Medical Insurance Verification Specialist

Nashville, TN • On-site

Advanced Rx Management
51 - 200 employees
Learn more about Advanced Rx Managementexternal

$18/hr

Full-time

This job post has expired 4 days ago. Applications are no longer accepted.

Job description

Job Overview

The Medical Insurance Verification Specialist is responsible for completing the enrollment process for new Workers' Compensation patients by obtaining and verifying all information required to successfully bill the patient's initial prescription claim. This individual serves as the liaison between physician offices, injured workers, employers, insurance carriers, adjusters, nurse case managers, attorneys, and internal departments to ensure claims are set up accurately and efficiently.

This position plays a critical role in reducing billing delays, improving first-pass claim acceptance, and ensuring patients receive their medications as quickly as possible.

Position Objective

The Verification Specialist ensures every new Workers' Compensation patient is accurately enrolled and all required claim information is obtained before billing begins. By establishing complete and accurate patient records at the start of the process, this role helps reduce billing delays, improve reimbursement timelines, and support a positive experience for both patients and provider partners.

Essential Responsibilities

· Complete the enrollment of all new Workers' Compensation patients.

· Collect and verify all information required to establish a new Workers' Compensation claim.

· Contact insurance carriers, employers, adjusters, physician offices, nurse case managers, attorneys, and third-party administrators (TPAs) to obtain missing or incomplete claim information.

· Review documentation for completeness and accuracy before the claim is released for billing.

· Research and resolve missing enrollment information in a timely manner.

· Maintain detailed and accurate documentation within the pharmacy management system.

· Work collaboratively with Billing, Collections, Prior Authorization, Customer Service, Clinical, and Operations teams to ensure a seamless patient onboarding process.

· Identify and escalate complex enrollment issues that may delay claim processing.

· Maintain HIPAA compliance and protect confidential patient information.

· Meet established productivity, quality, and service expectations.

Qualifications

· High school diploma or equivalent required; associate or bachelor’s degree preferred.

· Minimum of two years of experience in Workers' Compensation, medical billing, pharmacy, healthcare, or insurance.

· Working knowledge of Workers' Compensation claims and insurance processes.

· Experience communicating with insurance adjusters, TPAs, employers, and physician offices.

· Strong organizational skills with exceptional attention to detail.

· Excellent verbal and written communication skills.

· Ability to prioritize multiple tasks and work independently in a fast-paced environment.

· Proficient in Microsoft Office and healthcare software applications.

Preferred Experience

· Minimum (2) years Workers' Compensation pharmacy experience.

· Pharmacy revenue cycle experience.

· Insurance verification experience.

· Knowledge of medical terminology.

· Experience working within pharmacy or healthcare management systems.

Key Performance Indicators

· Average enrollment turnaround time

· Number of enrollments completed per day

· Enrollment accuracy rate

· Time to resolve incomplete or missing claim information

· First-pass billing readiness rate

· Documentation quality

· Productivity and quality standards

· Internal and external customer satisfaction