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Medicare Verifier Jobs (NOW HIRING)

Empower AI Inc.

Utilize internet and intranet sources for policy verification. * Utilize Microsoft Office suite and ... Responsible for review of Medicare DRG claims. * Meeting quality and production standards.

Empower AI Inc.

Utilize internet and intranet sources for policy verification. * Utilize Microsoft Office suite and ... Responsible for review of Medicare DRG claims. * Meeting quality and production standards.

Empower AI Inc.

Utilize internet and intranet sources for policy verification. * Utilize Microsoft Office suite and ... Responsible for review of Medicare DRG claims. * Meeting quality and production standards.

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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 10, 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Medicare Verifiers often encounter challenges such as dealing with incomplete or outdated patient information, navigating complex Medicare guidelines, and handling high call or case volumes.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.

Medicare Sales Agent - Independent Contractor (1099) Opportunity

MyPlanAdvocate

SC • On-site, Remote

Contractor

Posted 10 days ago

Job description

MPA | Independent Medicare Sales Agent
Licensed Medicare Agents Only - active Health Insurance License is Required
MPA is a leading Medicare agency in the United States, committed to staying on the cutting edge of technology and creating exceptional experiences for both customers and agents. We believe that happy customers begin with fulfilled professionals, which is why we've designed a flexible, rewarding opportunity for experienced Medicare sales agents looking for independence and growth.
The Opportunity
As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set you up for success. If you're tired of rigid corporate environments with forced overtime, inflexible schedules, and unattainable goals, this opportunity offers the perfect alternative.
This isn't your average agency gig-we're investing heavily in growth, and agents who join now will be first in line to shape the future of how we sell Medicare.
Why Timing Matters
Carrier release deadlines are quickly approaching. Agents who onboard now will be ready to sell by September 1, positioning themselves to maximize earnings during the most lucrative part of the Medicare calendar: AEP and OEP.
We're actively investing in lead generation, advertising, and tech infrastructure. Our leadership team is laser-focused on agent success-and urgency is high. Don't miss your window.
What Sets Us Apart
  • Complete Flexibility: No minimum hours requirement-work when and where you want
  • Quality Leads: Free, inbound warm transfers after Medicare A&B, zip code, and Medicaid status verification
  • Modern Technology: AI-enabled platform to streamline your workflow and eliminate busywork
  • Attractive Compensation: Competitive commission structure with weekly direct deposit
  • Seasonal or Year-Round: Ideal for agents focused on AEP/OEP or those looking for long-term growth

Why Join Now?
Agents who come on board today will be fully ramped ahead of the September carrier release deadline. By joining MPA now, you'll gain a critical head start for AEP/OEP and position yourself for your most successful season yet-all while maintaining the freedom and flexibility of independent work.
Ideal Candidates
  • Experienced or newer Medicare agents looking for greater independence
  • High-performers tired of chasing low-quality leads
  • Professionals seeking a better work-life balance without sacrificing income

Must Have:
  • Active Health Insurance License for Your Resident State
  • 2026 AHIP Certification

Ability to Obtain During Onboarding:
  • Errors & Omission Insurance
  • Additional Non-Resident State Licenses

Next Steps
Ready to break free from the traditional employment model while still having access to elite support and resources? Join MPA's team of independent contractors and experience the perfect balance of freedom and opportunity.
MPA is proud to be building a better way to meet the needs of everyone we serve-including our valued sales professionals.

Apply