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Work From Home Insurance Verification Jobs in Springfield, TN

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$12

$17

$24

How much do work from home insurance verification jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for work from home insurance verification in Springfield, TN is $17.82, according to ZipRecruiter salary data. Most workers in this role earn between $15.43 and $19.09 per hour, depending on experience, location, and employer.

What is a work from home insurance verification job?

Work from home insurance verification jobs focus on the healthcare industry, and particularly on getting prior authorization for needed medical services. In this role, you may evaluate a patient's coverage and benefits, process paperwork, handle incoming and outgoing phone calls, and review documents to ensure they have the necessary information. Work from home insurance verifiers often follow up with insurance companies, review medical coding, perform research on the internet and ensure the confidentiality of all patient data. Work from home insurance verification jobs are located outside insurance companies—internal insurance verification is rarely a separate job at insurance companies and is therefore rarely advertised under this name.

What is a work from home insurance verification job?

Work from home insurance verification jobs involve reviewing, confirming, and processing insurance information for patients or clients remotely. Professionals in this role typically contact insurance companies to verify coverage details, eligibility, and benefits, ensuring accurate billing and patient records. These jobs are common in healthcare, dental, and pharmacy sectors, and require strong attention to detail, communication skills, and familiarity with insurance procedures. Working remotely allows for flexibility, but also demands self-motivation and reliable internet access.

What are the key skills and qualifications needed to thrive as a work from home insurance verification specialist, and why are they important?

To thrive as a Work From Home Insurance Verification Specialist, you need a solid understanding of insurance policies, medical terminology, and data entry, often supported by relevant experience or a background in healthcare administration. Familiarity with insurance verification software, electronic health record (EHR) systems, and secure communication platforms is typically required. Strong attention to detail, excellent organizational skills, and effective verbal and written communication set standout performers apart. These skills ensure the accurate and timely verification of insurance coverage, minimizing errors and supporting smooth patient billing processes.

How does a work from home insurance verification specialist collaborate with other departments to resolve complex cases?

As a remote insurance verification specialist, you'll frequently interact with billing teams, healthcare providers, and occasionally patients to clarify coverage details or resolve discrepancies. Collaboration typically happens through secure email, chat platforms, and virtual meetings. Effective communication and timely follow-ups are essential to ensure all parties have the accurate information needed, especially when dealing with urgent pre-authorizations or appeals. Building strong remote relationships can help streamline processes and prevent delays in patient care or billing.

What is the difference between Work From Home Insurance Verification vs Work From Home Claims Processor?

AspectWork From Home Insurance VerificationWork From Home Claims Processor
Required CredentialsInsurance knowledge, basic certificationClaims processing certification, insurance knowledge
Work EnvironmentHome office, computer-basedHome office, computer-based, possibly more detailed data entry
Employer & Industry UsageInsurance companies, third-party verification firmsInsurance companies, claims departments
Common Search & ComparisonYesYes

Work From Home Insurance Verification involves confirming insurance details remotely, focusing on verifying policy information. Work From Home Claims Processor handles processing insurance claims, often requiring more detailed data entry and claims assessment. Both roles are home-based, industry-specific, and involve insurance knowledge, but they differ in responsibilities and certification needs.

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What job categories do people searching Work From Home Insurance Verification jobs in Springfield, TN look for?

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What cities near Springfield, TN are hiring for Work From Home Insurance Verification jobs?

Cities near Springfield, TN with the most Work From Home Insurance Verification job openings:

Work From Home Insurance Verification jobs near you
Infographic showing various Work From Home Insurance Verification job openings in Springfield, TN as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $37,064 per year, or $17.8 per hour.

Senior Strategic Medicare Product Manager - Work From Home

Nashville, TN • Remote

Health Care Service Corporation
Outpatient Health Care • 10K+ employees
Learn more about Health Care Service Corporationexternal

$102K - $184K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 6 days ago

Key responsibilities

  • Lead cross-functional teams to identify product opportunities in emerging markets and support the development, execution, and management of Medicare Advantage product strategies.

  • Drive the development process from inception to product launch, including market expansion initiatives and supporting new Medicare product launches.

  • Provide leadership and analysis to ensure new products are clearly defined and that leadership has the necessary information to make strategic decisions.

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryThis market lead position is responsible for leading cross-functional teams in identifying product opportunities in new and complex emerging markets and supporting the development, execution, and ongoing management of Medicare Advantage product strategies. Leads the development process from inception to product launch for new products, spearheading market expansion initiatives and supporting the launch of new Medicare products. Works to ensure that new products are clearly defined and that HCSC leadership has the necessary information (e.g., proformas, financial analysis, competitive intelligence, market assessments, and internal capabilities assessments) to make informed go/no-go decisions and strategic investments. This role drives differentiated product design by integrating member engagement insights, clinical data, and competitive intelligence; collaborates with market, finance, actuarial, digital experience, and other cross-functional partners to develop multi-year product roadmaps and performance benchmarks; serves as a product lead on digital transformation initiatives; supports health equity strategies; cultivates key vendor relationships

Required Job Qualifications:

  • Bachelor degree in Business or Health Administration and 6 years experience in health care, health insurance, or strategic consulting environment OR 11 years experience in health care, health insurance, or strategic consulting
  • Experience leading and mentoring other staff.
  • Experience in managed care product development, benefits consulting or project management.
  • Experience working with corporate leadership, interfacing and communicating at all levels of the organization.
  • Experience managing multiple complex priorities and a heavy workload.
  • Organizational skills and detail-oriented.
  • Verbal and written communication skills.


Preferred Job Qualifications:

  • Experience developing and presenting to internal and external clients
  • Health insurance or healthcare industry experience
  • Previous responsibility for the management of a product or product line, including development of products from inception to launch, and product introduction and monitoring for success or need for reengineering.

  • Experience leading cross-functional projects and managing stakeholder relationships, including influencing decision-making, aligning priorities, and driving execution across multiple teams and organizational levels.

  • 3+ years experience in Medicare Advantage Bid with an understanding of MA economics and bid requirements

  • Proven analytical and strategic abilities in decision making and problem solving

  • Strong understanding of Medicare Advantage Star Ratings and quality programs, including the relationship between Stars performance, member outcomes, regulatory requirements, quality bonus payments, and product growth strategies.

  • Excel experience necessary.

Work From Home: This is a fully remote position, available in the US only, not limited to the posted location.

Sponsorship: Sponsorship is not available.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$102,000.00 - $184,300.00

Exact compensation may vary based on skills, experience, and location.

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