ZipRecruiter

Log In

1

Medicare Verifier Jobs (NOW HIRING)

next page

Showing results 1-20

All JobsMedicare Verifier Jobs

Medicare Verifier information

See salary details

$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Medicare Verifiers often encounter challenges such as dealing with incomplete or outdated patient information, navigating complex Medicare guidelines, and handling high call or case volumes.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 June 2026, with employment types broken down into 40% Full Time, and 60% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $65,936 per year, or $31.7 per hour.
Medicaid/Medicare Billing - Community

Medicaid/Medicare Billing - Community

Otterbein Senior Life

Franklin, IN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Otterbein SeniorLife rating

6.6

Company rating: 6.6 out of 10

Based on 58 frontline employees who took The Breakroom Quiz

66th of 228 rated social care providers

Job description

**Now Offering DailyPay**

Overview

Otterbein has an opening for a Medicare/Medicaid Biller. The primary responsibility of the Medicare/Medicaid Biller is to assist Accounts Receivable with Medicaid/Medicare and billing.

At Otterbein, you are not an “employee.” You are a partner in caring because we are all partners working together for a goal. We believe in person-centered care that honors the residents and the choices they make. That are dedicated to providing the highest level of compassionate, quality care at our Communities or our small house neighborhoods. Join our team of Partners who are talented, kind, wise, funny, spirited, generous, endearing, and so much more.

Here is a link if you would like learn more about Otterbein SeniorLife Community Franklin: Click this link https://otterbein.org/find-a-location/franklin/

Summary:      

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Verify Medicaid and Medicaid waiver residents census and add payers
  • Verify Rehab Stay census & attach payers
  • Medicaid application
  • Authorized representative for family and Otterbein and send in documents needed
  • Field FSSA phone interview and letter with request
  • Process monthly Medicaid billing with the State and all 3 MCE’s
  • Process all monthly Medicare insurance billing
  • Monitor DDE system daily for Medicare claims status—make corrections and adjust.
  • Submit no pay claims
  • Private billing statements for SNF
  • Monitor all past due balances and contact responsible party for collection
  • Verify MCD eligibility for each resident on website for the month prior to billing
  • Prepare and track deviation bills for Medicaid residents who have old private balances
  • Bill and track Co-insurance claims
  • Prepare liability spread sheet with current liability or changes
  • Assist with Medicaid back billing on a computerized system
  • Follow up for Medicaid accounts – letters to families, phone calls to facilities that were former locations of Medicaid Residents
  • Enter in-house receipts from deposit for SNF
  • Assist with audits
  • Perform various other accounts receivable functions as assigned.
  • Work with all three MCE’s on Medicaid claims through Availity & UHC website
  • Track bad debt log for Medicaid—Medicare Co-Insurance with no supplement & submit annually.
  • Work with Hospice Companies to get claims paid
  • PASRR—send level of care to be updated in MCD system so we will get paid.
  • Perform various other accounts receivable functions as assigned.

Competencies:  To perform the job successfully, an individual should demonstrate the following competencies:  Customer Service - Respond to requests for service and assistance.  Interpersonal Skills - Maintain confidentiality.  Written Communication - Edit work for spelling and grammar. Professionalism - Approach others in a tactful manner.  Attendance/Punctuality - Ensure work responsibilities are covered when absent.                        

Qualifications:  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:  High School diploma or general education degree (GED), or one to three months’ related experience and/or training, or equivalent combination of education and experience.  Completion of high school courses in typing, bookkeeping and other business subjects.  One to two years additional course work in accounting or bookkeeping at college or equivalent work experience.  At least one year of accounting/bookkeeping experience with emphasis in accounts receivable.  Some experience with computerized accounting systems desirable.  Employee must participate in orientation training, attend mandatory in-services, and/or other department specified training in-services.

Computer Skills:  To perform this job successfully, an individual must be able to use the Community’s computerized time clock system.  Employee should have knowledge of Microsoft Word, Outlook, and Excel Processing software, the internet, and have ability and willingness to learn and use, if any, other software applications pertaining to this position.

BENEFITS*

  • Medical insurance with free virtual doctor visits
  • Vision and dental insurance
  • Paid Time off that accrues immediately
  • Paid Holidays
  • Life insurance
  • Retirements Savings with a 401(k) or 403(b) with company match
  • Access up to 100% of your net earned based wages daily through DailyPay
  • Employee sponsored fund for employees in need
  • Employee Assistance Program (EAP)
  • Tuition Assistance

*Some benefits are based on hours worked

Why work for Otterbein SeniorLife:

For more than 100 years, Otterbein has provided senior housing options rooted in respect and community.  We’re a non-profit 501(c)(3) health and human service organization, so our values and initiatives are focused on serving our residents.

Otterbein SeniorLife consists of lifestyle communities, revolutionary small house neighborhoods, home health, and hospice care in Ohio and Indiana.  We offer different lifestyle options for seniors through independent living, assisted living, skilled nursing, rehab, memory support, respite care, in-home care, and hospice services.

Follow your passion and apply today to begin a meaningful career as a Medicare/Medicaid Biller at Otterbein!

What Otterbein SeniorLife employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Otterbein SeniorLife logo

About Otterbein SeniorLife

Sourced by ZipRecruiter

Otterbein SeniorLife is a health and human services industry institution based in Lebanon, OH, US. Established in 1912, the organization has a century-old heritage of providing senior-focused services. Otterbein SeniorLife offers a full spectrum of health and human services including continuing care retirement communities and home health and hospice services. Upholding the values of inclusiveness, quality, innovation, and stewardship, the organization is widely recognized as a faith-based, non-profit ministry. Their mission is to enhance the quality of life and holistic growth of older persons.

Industry

Nursing and residential care facilities

Company size

1,001 - 5,000 Employees

Headquarters location

Lebanon, OH, US

Year founded

1912

View All Otterbein SeniorLife Jobs

Apply