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Remote Insurance Verification Jobs in Gainesville, GA

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How much do remote insurance verification jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for remote insurance verification in Gainesville, GA is $17.59, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $18.85 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.
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The most popular types of Insurance Verification jobs in Gainesville, GA are:

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For Remote Insurance Verification jobs in Gainesville, GA, the most frequently searched job titles are:

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The top searched job categories for Remote Insurance Verification jobs in Gainesville, GA are:

What cities near Gainesville, GA are hiring for Remote Insurance Verification jobs?

Cities near Gainesville, GA with the most Remote Insurance Verification job openings:

Remote Insurance Verification jobs near you
Infographic showing various Remote Insurance Verification job openings in Gainesville, GA as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, and 4% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $36,596 per year, or $17.6 per hour.

Medical Billing AR / Denials Specialist

Summit Spine and Joint Centers

Lawrenceville, GA • Remote

$17.25 - $21/hr

Full-time

Medical, Retirement, PTO

Re-posted yesterday

Job description

Company Overview:

Summit Spine and Joint Centers (SSJC) is a rapidly growing, multi-state Interventional Pain Management practice providing comprehensive clinical, surgical, and imaging services. With locations across Georgia, North Carolina, South Carolina, Tennessee, Florida, and Texas, our team is committed to delivering exceptional, patient-centered care through collaboration, innovation, and clinical excellence.

As one of the largest single-specialty pain management practices in the nation, SSJC continues to expand its network while investing in the people who make our success possible. We are seeking motivated, qualified professionals who are passionate about making a meaningful impact and contributing to our continued growth.

Job Duties:
  • Processes assigned AR, working to maximize collections while minimizing aging AR
  • Process insurance denials and appeals to ensure timely account resolution
  • Identify denial trends and provide management with a summary of identified issues
  • Manages outstanding accounts to include following up with insurance carriers for overpayments, underpayments, filing corrected claims, appealing claims, and following up on all denials to ensure processing / reprocessing and timely payments
  • Review AR aging to ensure timely collection of payments
  • Review and initiate payor and patient refunds
  • Appropriately documents issues, sources, and actions taken on each account
  • Identify, document, and report payer denial trends to billing manager for escalated follow-up
  • Creates reports regarding the status of patient accounts as requested
  • Address inquiries from insurance companies, patients, and providers
  • Ensure claim information is complete and accurate
  • Post office paper zero pay denials, and scan into our system
  • Verify patient benefits and eligibility
  • Maintain denials productivity spreadsheet
  • Follows HIPAA guidelines in handling patient information
Qualifications:
  • Minimum of 3 years’ experience with accounts receivable or revenue cycle in a medical setting
  • Experience with Medicare, Medicaid, Commercial insurance plans, Workers’ comp, and Personal Injury cases
  • Knowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management
  • Knowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials.
  • Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required
  • Excellent computer skills and familiarity with Microsoft Office
  • Comfortable working in a growing, dynamic organization and able to navigate change.
  • Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environment
  • Bachelor’s degree preferred
  • Experience using eClinicalWorks preferred
  • Experience with Pain Management preferred
Preferred Location

While this is a remote position, preference will be given to candidates residing in one of the following states:

  • Georgia
  • Texas
  • North Carolina
  • South Carolina
  • Florida

Candidates located in Georgia should be able to attend meetings or training at our Lawrenceville administrative office as needed.

Compensation amp; Benefits

This is a full-time position offering a competitive salary, paid time off (PTO), comprehensive health benefits, and a 401(k) with company match.

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