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Virtual Insurance Verification Jobs in Avon, OH (NOW HIRING)

IQVIA

Care Manager

Cleveland, OH · Remote

Minimum oneyearexperience in medical billing, reimbursement, insurance verification, or similar ... Able to work in a virtual team environment by being available and responsive during working hours.

Donley's

VDC Engineer I (OH)

Cleveland, OH · On-site

Due to our continued growth, Donley's is seeking a VDC (Virtual Design Coordinator) Engineer I to ... Dental & Vision Insurance * FSA or HSA * 401K with Company Match * ESOP * Short & Long-Term ...

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Virtual Insurance Verification information

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How much do virtual insurance verification jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for virtual insurance verification in Avon, OH is $16.16, according to ZipRecruiter salary data. Most workers in this role earn between $14.13 and $16.97 per hour, depending on experience, location, and employer.

What is a virtual insurance verification specialist?

Virtual insurance verification specialists are professionals who remotely confirm a patient's insurance coverage and benefits, typically before medical services are provided. They communicate with insurance companies, healthcare providers, and patients to ensure that coverage is active and to determine co-pays, deductibles, and any required authorizations. By handling this process virtually, they help streamline billing, reduce claim denials, and enhance patient experience. This role often requires strong communication skills, attention to detail, and familiarity with healthcare billing systems.

What skills and qualifications are needed to thrive as a virtual insurance verification specialist?

To excel as a Virtual Insurance Verification Specialist, you need a solid understanding of health insurance policies, verification procedures, and data entry, often supported by experience in healthcare administration or billing. Familiarity with insurance portals, electronic health records (EHRs), and verification software is typically required. Attention to detail, strong communication skills, and problem-solving abilities help you navigate complex insurance scenarios and interact with patients or providers. These competencies ensure accurate insurance verification, reduce claim denials, and support efficient patient care workflows.

What are the most common challenges faced in a virtual insurance verification role, and how can they be managed effectively?

One of the main challenges in a Virtual Insurance Verification role is navigating frequent changes in insurance policies and payer requirements, which can lead to delays or errors in verification. Additionally, working remotely may require strong self-organization and clear communication with both internal teams and external contacts. Staying updated on industry changes, utilizing robust verification tools, and establishing clear communication channels with healthcare providers and insurance companies can help overcome these challenges and ensure accuracy and efficiency.

What is the difference between Virtual Insurance Verification vs Insurance Verification Specialist?

AspectVirtual Insurance VerificationInsurance Verification Specialist
CredentialsHigh school diploma, certification in insurance or healthcare billing often preferredHigh school diploma, certification in insurance or healthcare billing often required
Work EnvironmentRemote, telehealth or insurance office settingsOffice-based or remote healthcare insurance departments
Industry UsageHealthcare, insurance companies, telehealth servicesHospitals, clinics, insurance companies
Job FocusVerifying insurance coverage remotely, often via electronic systemsVerifying insurance details, contacting providers, updating records

Both roles involve verifying insurance information, but Virtual Insurance Verification primarily focuses on remote, electronic verification processes, often within telehealth or insurance companies. Insurance Verification Specialists may work in healthcare facilities or insurance offices, performing similar tasks but often with more direct interaction. The roles overlap in credentials and industry usage, but the key difference lies in the remote versus in-person work environment.

What job categories do people searching Virtual Insurance Verification jobs in Avon, OH look for?

The top searched job categories for Virtual Insurance Verification jobs in Avon, OH are:

What cities near Avon, OH are hiring for Virtual Insurance Verification jobs?

Cities near Avon, OH with the most Virtual Insurance Verification job openings:

Virtual Insurance Verification jobs near you

Patient Billing Representative

Five Star Solutions

Cleveland, OH • Remote

$14/hr

Full-time

Posted 14 days ago

Job description

Join us as a Patient Billing Specialist, where you’ll support patients with payment processing, billing education, insurance verification, and claims-related inquiries. This role delivers empathetic, accurate, and compliant service while navigating healthcare billing systems and policies. Agents perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support.

This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND, OH, OK, PA, SC, SD, TX, TN, UT, VA, WV, WI, WY

Qualifications
  • Customer service or call center experience required.
  • Healthcare billing, insurance, or claims experience strongly preferred.
  • Payment processing or financial transaction experience preferred.
  • High school diploma or GED required; additional billing or healthcare education a plus.
  • Technical proficiency with EMR systems and standard computer applications.
  • Ability to work independently in a remote or virtual environment.
  • Must be able to speak, read, write, and understand English.
  • Background check required in accordance with applicable laws.
Essential Functions

These functions emphasize patient advocacy, analytical billing expertise, regulatory awareness, and high-quality service delivery.

Patient Payment & Account Support

  • Accurately process patient payments via phone in accordance with Privia financial responsibility policies.
  • Create, update, and maintain payment plans following established guidelines.
  • Ensure transaction accuracy, proper documentation, and data integrity.

Billing, Insurance & Claims Support

  • Interpret and clearly explain claim notes, balances, and billing outcomes to patients.
  • Verify, audit, and update insurance information for completeness and accuracy.
  • Add or update insurance data within the EMR and resubmit pending or corrected claims.
  • Educate patients on billing concepts including coordination of benefits, deductibles, coinsurance, copays, timely filing, and claim denials.
  • Identify discrepancies and coordinate with internal teams to resolve billing-related issues.

Problem Resolution & Patient Education

  • Research account history to determine the root cause of billing or payment concerns.
  • Recommend appropriate resolutions and next steps in alignment with Privia policies.
  • Maintain professionalism and empathy during complex or sensitive financial discussions.

Resource & System Utilization

  • Utilize Privia-approved billing systems, EMR platforms, tools, and knowledge resources.
  • Navigate multiple systems simultaneously while assisting patients.
  • Adhere to all documentation, privacy, and security requirements.

Reliability & Continuous Learning

  • Maintain schedule adherence and consistent availability during assigned hours.
  • Complete all required Privia and client-mandated training.
  • Participate in ongoing uptraining and cross-training initiatives.

Ethical & Compliant Conduct

  • Uphold HIPAA requirements, confidentiality standards, and Privia security protocols.
  • Demonstrate professionalism, accountability, and patient-centered service in all interactions.
Requirements
  • Strong verbal and written communication skills.
  • Analytical problem-solving abilities and high attention to detail.
  • Solid understanding of healthcare billing and insurance concepts.
  • Ability to clearly explain complex billing information in patient-friendly language.
  • Comfort working across multiple systems and tools simultaneously.
  • Organized, self-motivated, and collaborative approach to work.
Pay and Benefits

Starting pay - $14/hr plus shift differential(extra $1/hr nights & wkds)

Working hours between - 9:00am-6:00pm (EST) ; Work Days - M-F 

Paid Training - typically 2 weeks in length from 9:00am-6:00pm Mon-Fri (EST)

Status - Full Time 40 hours, Benefit eligible 1st of month after 60 days 

The above statements are intended to describe the general nature and level of work and are not intended to be an exhaustive list of all responsibilities, duties, and skills required of the job

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.