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Medicare Verifier Jobs (NOW HIRING)

Navigate Medicare and carrier portals to perform provider searches, formulary and drug cost assessments, and benefit verification at a specialist level. * Assist the Director of Medicare and team ...

MEDICARE BILLER/COLLECTOR

Dothan, AL

$16.50 - $21.25/hr

Resident insurance verification * Billing software information verification and entry * Resident ... Monthly Original Medicare and Managed Medicare Billing and Collections * Resident insurance ...

Medicaid/Medicare Consultant

MD ยท On-site

$90K - $150K/yr

Enhance billing and coding accuracy, claims management, eligibility verifications, regulations, and ... Provide and manage services to process Medicare D claims and collection as required by Federal ...

Medicare Nurse Administrator

Troy, MI ยท On-site

$96K - $126K/yr

Medicare Nurse Administrator AmeriCare Medical provides integrated health service to hospitals ... Vaccination verification of COVID-19 (preferred) This is a full-time, 8:30 am - 5:00 pm, Monday ...

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Medicare Verifier information

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$13

$31

$55

How much do medicare verifier jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for medicare verifier in the United States is $31.70, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $46.63 per hour, depending on experience, location, and employer.

What is the difference between Medicare Verifier vs Medical Billing Specialist?

AspectMedicare VerifierMedical Billing Specialist
CredentialsHigh school diploma, certifications in Medicare policiesHigh school diploma, certifications in billing and coding
Work EnvironmentHealthcare offices, insurance companiesMedical offices, hospitals, billing companies
Primary ResponsibilitiesVerify Medicare eligibility, coverage, and claimsProcess medical claims, manage billing, and reimbursements
Industry UsageInsurance, healthcare administrationHealthcare providers, billing services

While both roles involve healthcare and insurance processes, a Medicare Verifier primarily focuses on verifying Medicare coverage and claims, whereas a Medical Billing Specialist handles the entire billing process for various insurance providers. Understanding these differences helps in choosing the right career path or job search focus.

What are some common challenges Medicare Verifiers face when verifying patient eligibility, and how can these be addressed?

Medicare Verifiers often encounter challenges such as dealing with incomplete or outdated patient information, navigating complex Medicare guidelines, and handling high call or case volumes. Staying organized, utilizing electronic verification systems, and maintaining up-to-date knowledge of Medicare regulations can help overcome these hurdles. Effective communication with patients, providers, and insurance representatives is also crucial for resolving discrepancies and ensuring accurate eligibility verification.

What are the key skills and qualifications needed to thrive as a Medicare Verifier, and why are they important?

To thrive as a Medicare Verifier, you need a solid understanding of Medicare regulations, healthcare documentation, and eligibility criteria, often supported by relevant experience or training in medical billing or insurance verification. Familiarity with electronic health record (EHR) systems, insurance verification software, and HIPAA compliance is typically required. Attention to detail, strong organizational skills, and effective communication are vital soft skills for this position. These abilities are crucial for ensuring accurate verification, preventing billing errors, and maintaining compliance with regulatory standards.

What are Medicare Verifiers?

Medicare Verifiers are professionals responsible for reviewing and validating patient information to ensure eligibility and compliance with Medicare requirements. They typically work in healthcare settings such as hospitals, clinics, or insurance companies, where they verify patient coverage, process claims, and resolve discrepancies. Their role is crucial in preventing billing errors, fraud, and ensuring that providers and patients follow Medicare guidelines. Effective Medicare Verifiers must be detail-oriented and knowledgeable about current Medicare policies and regulations.
What states have the most Medicare Verifier jobs? States with the most job openings for Medicare Verifier jobs include:
Infographic showing various Medicare Verifier job openings in the United States as of May 2026, with employment types broken down into 8% Locum Tenens, 13% As Needed, 8% Full Time, and 71% Part Time. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $65,936 per year, or $31.7 per hour.
INSURANCE VERIFIER

Full-time

Posted 25 days ago


Job description

Job Type
Full-time
Description
Position Summary
The Insurance Verifier for NRMC Specialty Clinic must be a self-motivated person to perform office functions, assist in billing, and insurance verification. The Insurance Verifier verifies all insurance coverage for clinic patient visits, surgeries, and/or procedures. Will be able to work without constant oversight and has the ability to multitask in a changing environment subsequent to the number of patients at any one time. Will maintain the mission and core values set forth by Natchitoches Regional Medical Center.
Primary Responsibilities
Reasonable accommodations may be made to enable individuals with disabilities to perform the primary responsibilities.
1. Verifies all insurance and workers compensation benefits for all scheduled outpatient procedures.
2. Obtains pre-certification or prior authorizations for scheduled outpatient procedures, including Same Day Surgery.
3. Obtains PCP referrals required by third party payer.
4. Verifies eligibility for Medicare, Medicare HMOs, and Medicaid payers.
5. Verifies and calls patients regarding their deductibles, co-pays, and payment arrangements.
6. Documents all pertinent and additional information obtained from the insurance company in the computer on the patient's account and makes any necessary corrections.
7. Verifies that information on computer screen matches the information on insurance cards exactly.
8. Assists in the registration process as required.
9. Provides insurance information to physicians as requested.
10. Attends staff meetings as required.
11. Participates in emergency and disaster situations.
12. Performs miscellaneous duties as deemed appropriate and when assigned by supervisor.
13. Maintains patient information in Caretracker.
14. Does office billing in Caretracker.
15. Keeps tally balanced ion all batches.
16. Will float to other departments as necessary.
17. Registers patients into Meditech if send out labs or x-rays/procedures are needed.
18. Maintains inventory and orders clerical supplies as needed.
19. Biller/Insurance Verifier will be crossed trained to do Receptionist's job.
Competencies
1. Ability to read, write, speak, understand, and communicate effectively in English (other languages desirable)
2. Ability to concentrate when there are numerous interruptions.
3. Knowledge of third party payers.
4. Knowledge of admission procedures.
5. Knowledge of automated systems and basic computer software.
6. Ability to type 50 wpm.
7. Ability to meet deadlines and work with time constraints.
8. Ability to use appropriate discretion in handling confidential material and information.
9. Good telephone techniques.
10. Ability to deal with public in a tactful manner.
11. Ability to perform detailed assignments, work accurately, follow directions and assesses priorities.
Supervisory Responsibility
None.
Requirements
Required Education and Experience
1. High school diploma or GED required.
2. One year admission experience required.
Preferred Education and Experience
1. Vocational training in office procedures preferred.
2. One to two years of college preferred.
3. Six months medical business office experience preferred.
4. Knowledge of medical terminology preferred.
5. Previous experience with insurance billing in a hospital, similar medical facility, or physician's office preferred.