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Remote Insurance Verification Jobs in Pennsylvania

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Remote Insurance Verification information

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$12

$18

$26

How much do remote insurance verification jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for remote insurance verification in Pennsylvania is $18.91, according to ZipRecruiter salary data. Most workers in this role earn between $16.39 and $20.24 per hour, depending on experience, location, and employer.

What is the difference between Remote Insurance Verification vs Remote Claims Processing Specialist?

AspectRemote Insurance VerificationRemote Claims Processing Specialist
Primary RoleVerify insurance coverage and eligibilityReview and process insurance claims for reimbursement
Required SkillsKnowledge of insurance policies, data entry, attention to detailClaims review, documentation, problem-solving
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare or insurance companies
CertificationsInsurance verification or billing certifications often preferredClaims processing certifications may be beneficial

Remote Insurance Verification and Remote Claims Processing Specialist roles both operate in the insurance and healthcare industries, often remotely. While verification focuses on confirming coverage details, claims processing involves reviewing and managing claims for reimbursement. Both roles require attention to detail and familiarity with insurance policies, but they differ in their specific responsibilities and certifications.

What are the key skills and qualifications needed to thrive as a Remote Insurance Verification Specialist, and why are they important?

To thrive as a Remote Insurance Verification Specialist, you need a solid understanding of health insurance policies, medical terminology, and experience with insurance verification processes, often supported by a high school diploma or relevant certification. Proficiency in insurance portals, electronic health record (EHR) systems, and spreadsheet software is typically required. Strong attention to detail, organizational skills, and effective communication are essential soft skills for handling sensitive patient data and coordinating with providers. These abilities are vital to ensure accurate insurance verification, prevent claim denials, and support smooth healthcare operations.

What are some common challenges faced in a remote insurance verification role, and how can I overcome them?

In a remote insurance verification role, one common challenge is navigating varying insurance policies and provider requirements, which can lead to delays or errors if not carefully reviewed. Communication can also be more complex when collaborating virtually with healthcare providers, patients, or insurance companies. To overcome these challenges, staying organized with detailed documentation, utilizing reliable communication tools, and proactively clarifying any uncertainties with team members or clients can help maintain efficiency and accuracy. Regular training and staying updated on industry changes also contribute to success in this role.

What is a Remote Insurance Verification Specialist?

A Remote Insurance Verification Specialist is a professional who works from a remote location to confirm patients' insurance coverage and benefits. They communicate with insurance companies, healthcare providers, and patients to ensure that medical procedures or services are covered by the patient's insurance plan. These specialists play a crucial role in preventing billing issues and ensuring that claims are processed accurately and efficiently. Their work helps healthcare organizations minimize denials and delays in reimbursement. The position typically requires strong communication skills, attention to detail, and familiarity with insurance policies and medical terminology.

What Are Remote Insurance Verification Jobs?

Remote insurance verification jobs include verification specialists, test claims supervisors, verification representatives, and verification clerks. The specific duties for these positions differ, but your basic responsibilities in any of these jobs overlap. In general, you are responsible for ensuring that a patient has coverage for a specific medical procedure, medication, or test. You check the patient’s benefits and communicate with the insurance provider to get authorization to complete the tests or administer the medication. Insurance verification workers can work for hospitals, pharmacies, clinics, or health groups.

More about Remote Insurance Verification jobs
What are the most commonly searched types of Insurance Verification jobs in Pennsylvania? The most popular types of Insurance Verification jobs in Pennsylvania are:
What are popular job titles related to Remote Insurance Verification jobs in Pennsylvania? For Remote Insurance Verification jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Verification jobs in Pennsylvania look for? The top searched job categories for Remote Insurance Verification jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Remote Insurance Verification jobs? Cities in Pennsylvania with the most Remote Insurance Verification job openings:
Remote Insurance Verification jobs near you
Infographic showing various Remote Insurance Verification job openings in Pennsylvania as of July 2026, with employment types broken down into 78% Full Time, and 22% Part Time. Highlights an 100% Remote job distribution, with an average salary of $39,341 per year, or $18.9 per hour.
Remote Insurance Verification Specialist, Specialty (Pennsylvania

Remote Insurance Verification Specialist, Specialty (Pennsylvania

Walgreens

Pittsburgh, PA • Remote

$15.75 - $19.25/hr

Other

Medical

Posted 3 days ago

Walgreens rating

5.5

Company rating: 5.5 out of 10

Based on 2,172 frontline employees who took The Breakroom Quiz

98th of 109 rated pharmacies

Job description

Job Summary:
Responsible for verifying patient eligibility, coordinating benefits, running test claims, and determining patient coverage/responsibility for services. Handles inbound and outbound calls with customers, physician offices, patients or third-party providers about the company's products or services following standard SOPs and procedures, working under direct supervision. Ensures all contacts receive efficient and courteous service. 
Job Responsibilities:
  • Respond to all levels of inbound Pharmacy Benefit Manager (PBM) and major medical insurance related phone calls.
  • Resolves questions and problems submitted by customers and Pharmacy Benefit Manager (PBM) following established guidelines and standard SOPs and procedures. Utilizes all available information to choose the best solution and resolve customer and PBM concerns.
  • Requests and loads PBM and/or Major Medical insurance plans.
  • Processes all non-clinical PBM rejections which may include but not limited to rejections for plan limits, coverage termed or prior authorization.
  • Assists physicians in the prior authorization process including initiation of prior authorizations.
  • May be cross-trained and/or work on Major Medical (MM) and Specialized PBM Plans.
  • Verifies benefits for Major Medical via online resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims.
  • Resolves questions and problems submitted by customers and Major Medical plans following established guidelines and standard SOPs and procedures. Utilizes all available information to choose best solutions and resolves customer and plan covers.
  • Facilitates the reimbursement windshields for PBM major medical claims.
  • Identifies and assesses individual customer or patient needs and provide education on or assist with grant applications, complex funding needs, commercial copay assistance enrollment along with appropriate action to satisfy those needs.
  • Provides primary support and expertise for specialized programs such as the patient assistance program or special handling.
  • Manages Pharma requirements including but not limited to warm transfers, bridge/quick start, enhanced prior authorization and appeal support.
  • May administer order queue such as Submission Problems or Waiting for Payment.
  • Documents contact interactions, records details, complaints, comments, and actions taken.
About Walgreens

Founded in 1901, Walgreens (www.walgreens.com) proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.

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