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Insurance follow up representative vs insurance verification specialist

The differences between insurance follow up representatives and insurance verification specialists can be seen in a few details. Each job has different responsibilities and duties. Additionally, an insurance verification specialist has an average salary of $33,043, which is higher than the $33,022 average annual salary of an insurance follow up representative.

The top three skills for an insurance follow up representative include patients, customer service and medical billing. The most important skills for an insurance verification specialist are patients, insurance verification, and customer service.

Insurance follow up representative vs insurance verification specialist overview

Insurance Follow Up RepresentativeInsurance Verification Specialist
Yearly salary$33,022$33,043
Hourly rate$15.88$15.89
Growth rate6%6%
Number of jobs57,03471,688
Job satisfaction5-
Most common degreeAssociate Degree, 28%Associate Degree, 27%
Average age4646
Years of experience--

What does an insurance follow up representative do?

Insurance Follow Up Representatives are responsible for processing and bringing claim resolution to outstanding medical insurance accounts for a healthcare organization. Their duties include managing status account updates, assessing the course of action for accounts, conducting outbound calls, handling incoming calls, and processing correspondences with relevant parties involved. They also perform reconciliation, issue escalation to team leaders, and ensure compliance with company policies and regulations.

What does an insurance verification specialist do?

An insurance verification specialist is responsible for confirming a patient's insurance details and eligibility to receive medical care services. Insurance verification specialists review the insurance documents of the patients, including its coverage and limitations, and escalate concerns to the supervisor for immediate resolution. They process paperwork accordingly upon coordinating with the patients and attending health professionals. An insurance verification specialist must have excellent communication and organizational skills, finishing administrative tasks efficiently under minimal supervision.

Insurance follow up representative vs insurance verification specialist salary

Insurance follow up representatives and insurance verification specialists have different pay scales, as shown below.

Insurance Follow Up RepresentativeInsurance Verification Specialist
Average salary$33,022$33,043
Salary rangeBetween $26,000 And $41,000Between $28,000 And $37,000
Highest paying City-Madison, WI
Highest paying state-New Hampshire
Best paying company-St. Luke's Cataract & Laser Institute
Best paying industry-Pharmaceutical

Differences between insurance follow up representative and insurance verification specialist education

There are a few differences between an insurance follow up representative and an insurance verification specialist in terms of educational background:

Insurance Follow Up RepresentativeInsurance Verification Specialist
Most common degreeAssociate Degree, 28%Associate Degree, 27%
Most common majorHealth Care AdministrationHealth Care Administration
Most common collegeUniversity of PennsylvaniaUniversity of Pennsylvania

Insurance follow up representative vs insurance verification specialist demographics

Here are the differences between insurance follow up representatives' and insurance verification specialists' demographics:

Insurance Follow Up RepresentativeInsurance Verification Specialist
Average age4646
Gender ratioMale, 11.3% Female, 88.7%Male, 11.4% Female, 88.6%
Race ratioBlack or African American, 9.2% Unknown, 3.6% Hispanic or Latino, 15.7% Asian, 4.8% White, 66.5% American Indian and Alaska Native, 0.1%Black or African American, 9.3% Unknown, 3.6% Hispanic or Latino, 16.0% Asian, 4.9% White, 66.1% American Indian and Alaska Native, 0.1%
LGBT Percentage7%7%

Differences between insurance follow up representative and insurance verification specialist duties and responsibilities

Insurance follow up representative example responsibilities.

  • Conduct analysis/research and lead dispute resolutions in appeals processes.
  • Cold-Cal to generate leads for individual life and disability insurance and annuities.
  • Network with various patient accounts financial officers of several medical centers and hospitals to certify uninsure patients for Medicaid.
  • Study ICD-9 and ICD-10 to gain further knowledge of the new changes coming within the coding.
  • Maintain all HIPPA rules, regulations and guidelines.
  • Apply all HIPPA rules and regulations to all accounts.
  • Show more

Insurance verification specialist example responsibilities.

  • Check CPT and ICD-10 codes with LCD and policies from multiple insurance companies to make sure procedures will be paid.
  • Support the patient privacy/confidentiality policies and regulations under HIPAA for patients and their medical records.
  • Confirm correct charges base on HCPCS codes.
  • Assist callers as well with questions about their benefits, terms and conditions of medical plans, appeals and grievances.
  • Provide medical record support in the absence of EMR: assist clinics and hospitals in obtaining medical records in appropriate format.
  • Document outbound communication from providers and veterans.
  • Show more

Insurance follow up representative vs insurance verification specialist skills

Common insurance follow up representative skills
  • Patients, 17%
  • Customer Service, 10%
  • Medical Billing, 7%
  • Patient Accounts, 7%
  • Phone Calls, 6%
  • Appeals, 6%
Common insurance verification specialist skills
  • Patients, 25%
  • Insurance Verification, 15%
  • Customer Service, 7%
  • Insurance Eligibility, 5%
  • Data Entry, 4%
  • Medical Terminology, 4%