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Medical Insurance Verification Jobs in Springfield, IL

Memorial Health

Follow-Up Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Follows up on outstanding payments due on all types of open medical insurance claims, i.e., managed ... Accesses external insurance providers' websites to determine and/or verify patients' insurance ...

Memorial Health

Follow-Up Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Follows up on outstanding payments due on all types of open medical insurance claims, i.e., managed ... Accesses external insurance providers' websites to determine and/or verify patients' insurance ...

Memorial Health

Follow-Up Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Follows up on outstanding payments due on all types of open medical insurance claims, i.e., managed ... Accesses external insurance providers' websites to determine and/or verify patients' insurance ...

Memorial Health

Patient Access Associate I

Lincoln, IL

$16.50 - $24.82/hr

Medical terminology, medical office, patient registration, or billing experience strongly preferred ... Accurately collect patient data to verify insurance eligibility and determine financial ...

Memorial Health

Patient Access Associate I

Lincoln, IL · On-site

$16.50 - $24.82/hr

Medical terminology, medical office, patient registration, or billing experience strongly preferred ... Accurately collect patient data to verify insurance eligibility and determine financial ...

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All JobsMedical Insurance Verification JobsMedical Insurance Verification Jobs in Springfield, IL

Medical Insurance Verification information

See Springfield, IL salary details

$12

$19

$34

How much do medical insurance verification jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for medical insurance verification in Springfield, IL is $19.18, according to ZipRecruiter salary data. Most workers in this role earn between $15.72 and $19.76 per hour, depending on experience, location, and employer.

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.

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 popular job titles related to Medical Insurance Verification jobs in Springfield, IL? For Medical Insurance Verification jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Medical Insurance Verification jobs in Springfield, IL look for? The top searched job categories for Medical Insurance Verification jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Medical Insurance Verification jobs? Cities near Springfield, IL with the most Medical Insurance Verification job openings:
Medical Insurance Verification jobs near you
Infographic showing various Medical Insurance Verification job openings in Springfield, IL as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $39,904 per year, or $19.2 per hour.

Follow-Up Specialist

Memorial Health

Springfield, IL • On-site

$18.34 - $28.42/hr

Full-time

Medical, Vision

Re-posted 12 days ago

Memorial Health rating

6.9

Company rating: 6.9 out of 10

Based on 175 frontline employees who took The Breakroom Quiz

452nd of 887 rated healthcare providers

Job description

Min
USD $18.34/Hr.
Max
USD $28.42/Hr.
Overview
Position Summary:
Follows up on outstanding payments due on all types of open medical insurance claims, i.e., managed care and commercial. Coordinates activities with external insurance companies for the resolution of patient account balances. Ensures compliance with managed care guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.
Qualifications
Education:
Education equivalent to graduation from high school or GED is required.
Experience:
Two or more years as an Account Follow-Up Specialist, or comparable years of medical insurance and/or health care billing experience is required. Possesses the technical knowledge to independently process claims of any denomination, type, and complexity is required.
Other Knowledge/Skills/Abilities:
  • Demonstrates thorough knowledge of the electronic billing system, medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, DRGs and hospital billing claim form UB-04 is required.
  • Demonstrates a thorough knowledge of contract management systems and Blue Cross and Tricare guidelines.
  • Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.
  • Ability to work within the guidelines of defined managed care contract policy provisions and company procedures.
  • Demonstrated ability to work successfully with internal customers and external contacts is required.
  • Possesses highly-developed prioritization and organization skills and critical thinking and problem solving ability.
  • Demonstrates excellent communication skills, including telephone etiquette, and keyboarding and basic math skills.

Responsibilities
Principal Duties & Responsibilitites:
  1. Accesses external insurance providers' websites to determine and/or verify patients' insurance eligibility and account status.

  1. Receives and examines daily listings for all denominations and types of patient accounts and determines which require further analysis and action.

  1. Investigates assigned patient accounts with incomplete/incorrect information and resolves problems or errors to ensure complete and compliant information accompanies the claim.

  1. Follows up and investigates all denominations and types of unpaid items and other issues associated with unpaid claims. Contacts patients, guarantors, or other sources of third party payment and secures arrangements for prompt payment.

  1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
  • SAFETY: Prevent Harm - I put safety first in everything I do. I take action to ensure the safety of others.
  • COURTESY: Serve Others - I treat others with dignity and respect. I project a professional image and positive attitude.
  • QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance. I work with others to achieve superior results.
  • EFFICIENCY: Reduce Waste - I use time and resources wisely. I prevent defects and delays.

  1. Receives and researches insurance claim denials, rejections and underpayments, and as necessary, prepares the necessary paperwork to appeal the denial.

  1. Reviews correspondence relating to payments and claims; conducts the necessary research to provide supplementary background information regarding the inquiry

  1. Researches and resolves complex issues associated with patient insurance accounts. As applicable, identifies, documents, and reports problematic trends to management.

  1. Analyzes reports containing rejected account information and performs the necessary research to resolve the reason(s) for the rejection and secures any other required information.

  1. Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing medical insurance claims.

  1. Responds to requests from internal departments regarding the proper coding, billing, and processing of medical insurance claims.

  1. Communicates and resolves issues with a variety of internal and external sources to resolves issues involving medical insurance claims. This may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies.

  1. Initiates corrections to all denominations and types of charges and contractual/allowances within scope of expertise and authority granted.

  1. Identifies and calculates write-off amounts and secures the necessary approvals from management for processing.

  1. Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments.

  1. Researches complex issues on all denominations and types of accounts and coordinates their resolution in a timely manner.

  1. Ensures compliance to managed care contract guidelines and processes at each work step to facilitate accurate and timely reimbursements to the organization.
  2. May assist with special projects, analyses, or audits.

  1. As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.

  1. Performs other related work as required or requested.

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