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Medical Insurance Verifier Jobs in California (NOW HIRING)

Sutter Health

PAFMG2022-215

Palo Alto, CA

Palo Alto Foundation Medical Group is seeking a part-time, board-certified, or board-eligible Urgent Care physician. * Beautiful state-of-the outpatient medical center supported by over 50 specialty ...

Advance Medical Supply

Be Seen First

Medical Insurance Biller & Coder (English/Spanish)

La Mesa, CA · On-site

$18.75 - $24/hr

Advance Medical Supply is a Home Medical Equipment Company that provides Wheelchairs, Scooters ... Review and verify insurance eligibility Bill health plans for the items/services we provide ...

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All JobsMedical Insurance Verifier JobsMedical Insurance Verifier Jobs in California

Medical Insurance Verifier information

See California salary details

$12

$19

$34

How much do medical insurance verifier jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for medical insurance verifier in California is $19.10, according to ZipRecruiter salary data. Most workers in this role earn between $15.67 and $19.71 per hour, depending on experience, location, and employer.

What are some common challenges faced by medical insurance verifiers, and how can they be managed effectively?

Medical Insurance Verifiers often encounter challenges such as navigating complex insurance policies, dealing with frequent policy changes, and communicating with both patients and insurance companies to clarify coverage details. Managing these challenges requires strong attention to detail, up-to-date knowledge of insurance regulations, and effective communication skills. Many verifiers find it helpful to stay organized, leverage electronic health record (EHR) systems, and participate in ongoing training to keep pace with changes in the healthcare and insurance industries.

What is a medical insurance verifier?

Medical Insurance Verifiers are healthcare professionals responsible for verifying patients' insurance coverage and benefits before medical services are provided. They confirm the validity of insurance policies, determine the extent of coverage, and communicate with insurance companies to clarify patient eligibility and benefits. Their work helps ensure that medical providers receive appropriate reimbursement and that patients are informed about their financial responsibilities. Medical Insurance Verifiers play a crucial role in minimizing claim denials and streamlining the billing process in healthcare facilities.

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

To thrive as a Medical Insurance Verifier, you need a solid understanding of medical terminology, insurance policies, and billing procedures, often supported by a high school diploma or equivalent and relevant experience. Familiarity with electronic health records (EHR) systems, insurance verification software, and medical billing platforms is essential. Attention to detail, strong organizational skills, and effective communication set top performers apart in this role. These skills ensure accurate insurance verification, minimize claim denials, and support smooth patient billing processes.

What is the difference between Medical Insurance Verifier vs Medical Biller?

AspectMedical Insurance VerifierMedical Biller
Primary RoleVerifies insurance coverage, checks patient eligibility, and confirms benefitsProcesses and submits claims, manages billing, and follows up on payments
CredentialsTypically requires knowledge of insurance policies and basic healthcare certificationsRequires coding certifications and billing experience
Work EnvironmentOffice-based, healthcare facilities, insurance companies
Common TasksVerifying insurance details, updating patient recordsSubmitting claims, resolving billing issues

While both roles are essential in healthcare revenue cycle management, Medical Insurance Verifiers focus on confirming insurance coverage and benefits, whereas Medical Billers handle claim submission and payment processing. Understanding these differences helps healthcare providers streamline administrative workflows and improve revenue cycle efficiency.

What are popular job titles related to Medical Insurance Verifier jobs in CA? For Medical Insurance Verifier jobs in CA, the most frequently searched job titles are:
Medical Insurance Verifier jobs near you
Infographic showing various Medical Insurance Verifier job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $39,735 per year, or $19.1 per hour.

Scheduler/Insurance Verifier

Surgery Partners

Van Nuys, CA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Surgery Partners rating

7.7

Company rating: 7.7 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

160th of 887 rated healthcare providers

Job description

Insurance Verifier 

ESSENTIAL FUNCTIONS:

  1. Ensure all records are maintained in absolute integrity and in compliance with applicable regulations and requirements.
  2. Obtaining required referrals and authorizations via phone, fax, on-line, etc.
  3. Review reports daily for patients requiring authorizations, pre-notification, and insurance benefit verification.
  4. Obtaining retro-authorizations or updating existing authorizations in a timely manner.
  5. Data entry in a fast-paced environment with high expectation on accuracy.
  6. Updates the patient account with details of the insurance verification.
  7. Coordinating with patients regarding their insurance benefits.
  8. Identifies deductibles, co-pays, and self-pay accounts.
  9. Notifying the appropriate staff members if treatment or service is denied.
  10. Re-verify patients monthly for active, current insurance.
  11. Assist manager and other staff with account questions when presented.
  12. Perform other duties as assigned.
  13. Relies on experience and judgment to plan and accomplish goals.

EDUCATION:  High School, with 1-2 years experience in healthcare insurance billing and verification, collections and/or authorizations.

KNOWLEDGE:

  1. Knowledge of clinic policies and procedures.
  2. Knowledge of managed care contracts and utilization.
  3. Knowledge of computer systems, programs and spreadsheet applications.
  4. Knowledge of medical terminology.
  5. Knowledge of CPT/ICD-10

SKILLS:

  1. Skill in gathering and reporting claim information.
  2. Skill in solving utilization problems.
  3. Skill in written and verbal communication and customer relations.

Scheduler

ESSENTIAL FUNCTIONS: 

  • Counseling patients and scheduling surgeries for multiple physicians.
  • Schedule surgeries and work with primary care physicians on a daily basis to ensure each patient has their history and physicals completed prior to surgery.
  • Complete all necessary paperwork for each procedure on the physicians’ schedule.
  • Precertify any procedures on the schedule that require pre-certification.
  • Must be capable of multi-tasking and working with a diverse patient population. 
  • Provide back up support for the Front Office as needed.
  • Other duties as needed. 

EDUCATION/EXPERIENCE:

  • High School
  • 2 years of previous experience scheduling appointments and/or surgeries
  • Experience with insurance

KNOWLEDGE:

  • Knowledge of clinic policies and procedures.
  • Knowledge of managed care contracts and utilization.
  • Knowledge of computer systems, programs and spreadsheet applications.
  • Knowledge of medical terminology and be familiar with scheduling software.

SKILLS:

  • Skill in gathering and reporting claim information.
  • Skill in solving utilization problems.
  • Skill in written and verbal communication and customer relations.
  • Experience in a medical office as a scheduler.
  • Fast and accurate data entry.
  • Service oriented, patient demeanor.

 

Benefits: 

Full-time:

  • Comprehensive health, dental, and vision insurance
  • Health Savings Account with an employer contribution
  • Life Insurance 
  • PTO
  • 401(k) retirement plan with a company match
  • And more! 

Equal Employment Opportunity & Work Force Diversity 

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws.  This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc.  Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

 

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