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Remote Insurance Verification Jobs in Spring Hill, TN

Revecore

Auto Claims Specialist

Franklin, TN · Remote

$15/hr

Our medical, dental, vision, and life insurance benefits are available on day 1 * We enjoy ... US-Remote Pay: $15/hr + Incentive Plan As an Auto Claims Specialist at Revecore, you will make high ...

Revecore

Auto Claims Specialist

Franklin, TN · Remote

$15/hr

Our medical, dental, vision, and life insurance benefits are available on day 1 * We enjoy ... US-Remote Pay: $15/hr + Incentive Plan As an Auto Claims Specialist at Revecore, you will make high ...

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How much do remote insurance verification jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote insurance verification in Spring Hill, TN is $17.74, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $18.99 per hour, depending on experience, location, and employer.

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 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 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 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.

How to become a remote insurance verification specialist?

To become a remote insurance verification specialist, candidates typically need a high school diploma or equivalent, strong attention to detail, and familiarity with insurance policies and billing procedures. Relevant skills include data entry, communication, and proficiency with electronic health record (EHR) systems or insurance verification software. Some employers may prefer candidates with healthcare or insurance industry experience and may require certification in medical billing or coding.
More about Remote Insurance Verification jobs

What job categories do people searching Remote Insurance Verification jobs in Spring Hill, TN look for?

The top searched job categories for Remote Insurance Verification jobs in Spring Hill, TN are:

What cities near Spring Hill, TN are hiring for Remote Insurance Verification jobs?

Cities near Spring Hill, TN with the most Remote Insurance Verification job openings:

Remote Insurance Verification jobs near you
Infographic showing various Remote Insurance Verification job openings in Spring Hill, TN as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 21% Part Time, and 7% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $36,904 per year, or $17.7 per hour.

Revenue Cycle Associate - Financial Clearance

Quorum Health

Brentwood, TN • Remote

Full-time

Medical, Retirement, PTO

Posted 24 days ago

Key responsibilities

  • Verify patient insurance eligibility, benefits, and medical necessity prior to the patient's date of service.

  • Secure prior authorization, provide notices of admission, and obtain referrals as required.

  • Resolve insurance coverage and authorization discrepancies, and handle denials related to referrals, authorizations, and medical necessity.

Quorum Health rating

6.5

Company rating: 6.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Revenue Cycle Associate - Financial Clearance

Employment Type: Full Time
Location:  Remote
Reports To: Manager, Financial Clearance

You must reside in one of these states to be eligible for this position:

Arkansas                  California                 Kentucky
Massachusetts                Nevada                    New Mexico
Oregon                  Utah                      Tennessee
Texas                     Wyoming

Job Summary:

The Revenue Cycle Associate, Financial Clearance position is responsible for ensuring that a patient’s visit is financially cleared prior to the date of service. The role includes verifying patient insurance eligibility/benefits, calculating patient liability estimates, securing prior authorization, providing notice of admission, obtaining referrals, and verifying medical necessity. These efforts will result in increased net revenues by reducing front-end related denial write-offs. Interactions will be conducted with providers, payers, patients, and hospital-based personnel. Duties are to be performed accurately and timely while providing exceptional customer service.

Key Responsibilities:

  • Ensures Financial Clearance (e.g., verification of eligibility/ benefits, securing prior authorization, etc.) is obtained timely prior to the patient’s date of service based on service line and departmental policies.
  • Performs coverage discovery using eligibility tools to identify additional insurance coverage if existing insurance on file is inactive.
  • Calculates and clearly documents patient liability estimates based on patient’s verified benefit information.
  • Provides payers with timely inpatient and observation Notices of Admission (NOA) as required based on payer-specific guidelines.
  • Validates prior authorization has been obtained and follows up with providers via phone as required for applicable services lines.
  • Verifies medical necessity for applicable patients and identifies instances where a Medicare Advance Beneficiary Notices of Noncoverage (ABN or NONC) is required.
  • Escalates instances where Financial Clearance may not be obtained (e.g., unable to obtain authorization) prior to patient’s DOS to appropriate stakeholders in accordance with departmental deferral policies.
  • Resolves insurance coverage and authorization information discrepancies as identified through automated quality assurance tool.
  • Works denials related to referral, authorizations, notifications, non-coverage, and medical necessity as assigned. This includes, but is not limited to, coordinating with appropriate stakeholders to submit rebills or appeals and obtaining retro authorization when required.
  • Observes privacy, safety, and security procedures, and uses equipment and materials properly.
  • Possesses the ability to work within a remote call center environment, free from distractions and background noise. 
  • Recognizes and consistently exhibits exceptional customer service as a critical factor in all duties performed.

Required Skills & Qualifications:

  • Proficient in typing.
  • General knowledge of medical terminology.
  • Ability to communicate effectively and professionally in English, both verbally and in writing. 
  • Critical thinking and problem-solving skills.
  • High school graduate or equivalent.
  • One year of related experience in the medical field is preferred. 

Benefits:

  • Competitive salary and benefits package.
  • Opportunities for professional development and advancement.
  • Supportive work environment with a collaborative team.
  • Comprehensive healthcare coverage.
  • Retirement savings plan.
  • Paid time off and flexible scheduling options.
  • Student loan repayment program.

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