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Insurance processor vs insurance verifier

The differences between insurance processors and insurance verifiers can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both an insurance processor and an insurance verifier. Additionally, an insurance verifier has an average salary of $33,450, which is higher than the $33,041 average annual salary of an insurance processor.

The top three skills for an insurance processor include data entry, customer service and phone calls. The most important skills for an insurance verifier are patients, insurance verification, and medical terminology.

Insurance processor vs insurance verifier overview

Insurance ProcessorInsurance Verifier
Yearly salary$33,041$33,450
Hourly rate$15.89$16.08
Growth rate-3%-3%
Number of jobs50,52384,023
Job satisfaction--
Most common degreeBachelor's Degree, 33%Associate Degree, 25%
Average age4444
Years of experience44

What does an insurance processor do?

Insurance Processors deal with the processing of insurance applications, amendments of policies, changes, and cancellations. An Insurance Processor works with the client to choose the best insurance package and advise them on how to maximize their benefits. Clients need to understand the insurance process by answering inquiries. It is also essential that an Insurance Processor work hand in hand with the client, guiding them through the process, explaining all crucial parts of the insurance to establish trust in you and the company.

What does an insurance verifier do?

An insurance verifier specializes in dealing with the billing process and patient claims. As the process begins, insurance verifiers look into patient insurance information and verify treatments that their policies cover. They call the insurance companies and send proper documentation to verify pre-approval for the required procedure. Eventually, the insurance verifiers work with insurance companies to bill them for the procedure. Their tasks may also include communicating with patients about benefits, coverage, and care authorization, and liaising with patients and providers to communicate their needs and current state.

Insurance processor vs insurance verifier salary

Insurance processors and insurance verifiers have different pay scales, as shown below.

Insurance ProcessorInsurance Verifier
Average salary$33,041$33,450
Salary rangeBetween $28,000 And $38,000Between $27,000 And $40,000
Highest paying CityLeawood, KS-
Highest paying stateConnecticut-
Best paying companyMoore County Hospital District-
Best paying industryFinance-

Differences between insurance processor and insurance verifier education

There are a few differences between an insurance processor and an insurance verifier in terms of educational background:

Insurance ProcessorInsurance Verifier
Most common degreeBachelor's Degree, 33%Associate Degree, 25%
Most common majorBusinessHealth Care Administration
Most common college--

Insurance processor vs insurance verifier demographics

Here are the differences between insurance processors' and insurance verifiers' demographics:

Insurance ProcessorInsurance Verifier
Average age4444
Gender ratioMale, 16.3% Female, 83.7%Male, 10.5% Female, 89.5%
Race ratioBlack or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage11%11%

Differences between insurance processor and insurance verifier duties and responsibilities

Insurance processor example responsibilities.

  • Manage database by processing renewals and endorsements.
  • Input and process all dental claims, through electronic and paper submission, to private insurance companies and Medicaid.
  • Maintain patient privacy and confidentiality complaint with HIPPA regulations.
  • Work directly with mortgage lenders and foreclosure attorneys to negotiate timely and cost effective repayment plans or modifications for delinquent loans.
  • Handle a substantial amount of Allstate customers, third party carriers, and others who need assistance to file a claim.

Insurance verifier example responsibilities.

  • Manage database by processing renewals and endorsements.
  • Verify eligibility for members who have Medicaid and Medicare.
  • Verify and process demographic information and insurance benefits to register inpatients, outpatients, short procedures, and emergency room patients.
  • Handle a substantial amount of Allstate customers, third party carriers, and others who need assistance to file a claim.

Insurance processor vs insurance verifier skills

Common insurance processor skills
  • Data Entry, 18%
  • Customer Service, 12%
  • Phone Calls, 9%
  • Outbound Calls, 9%
  • Insurance Claims, 6%
  • Insurance Coverage, 5%
Common insurance verifier skills
  • Patients, 25%
  • Insurance Verification, 9%
  • Medical Terminology, 9%
  • Customer Service, 7%
  • Data Entry, 5%
  • Insurance Eligibility, 4%

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