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What is an insurance verification representative and how to become one
For patients, there is little more devastating than getting a massive medical bill because a necessary procedure was not covered by insurance. A hardworking insurance verification specialist helps to prevent these nasty surprises by confirming insurance coverage for patients.
Before a medical treatment, an insurance verification specialist works with patients to ensure that the procedures they need are covered by their insurance plans. If necessary, they also help patients come up with payment plans, find alternative financial assistance, and understand why insurance policies do not cover some procedures.
Becoming an insurance verification specialist requires a lot of skills. They need to have compassionate communication skills as they meet with patients during sensitive times. They also need to have excellent organizational and data entry skills to keep track of patient data and medical codes. Finally, since insurance verification specialists spend lots of time on the phone with insurance companies, patience is a must.
Avg. Salary $32,706
Avg. Salary $59,228
Growth rate -4%
Growth rate 0.3%
American Indian and Alaska Native 0.57%
Asian 6.33%
Black or African American 12.56%
Hispanic or Latino 21.96%
Unknown 4.76%
White 53.83%
Genderfemale 84.91%
male 15.09%
Age - 39American Indian and Alaska Native 3.00%
Asian 7.00%
Black or African American 14.00%
Hispanic or Latino 19.00%
White 57.00%
Genderfemale 47.00%
male 53.00%
Age - 39Stress level is high
7.1 - high
Complexity level is challenging
7 - challenging
Work life balance is good
6.4 - fair
Insurance verification representative career paths
Key steps to become an insurance verification representative
Explore insurance verification representative education requirements
Start to develop specific insurance verification representative skills
Skills Percentages Patients 21.07% Insurance Verification 14.00% Customer Service 10.52% Medical Terminology 6.05% Insurance Benefits 4.23% Complete relevant insurance verification representative training and internships
Accountants spend an average of 1-3 months on post-employment, on-the-job training. New insurance verification representatives learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as an insurance verification representative based on U.S. Bureau of Labor Statistics data and data from real insurance verification representative resumes.Research insurance verification representative duties and responsibilities
- Coach, evaluate and performance manage MSRs to ensure timely and accurate service to clients.
- Practice confidentiality while handling patients' medical information with use of the HIPAA law.
- Verify Medicare, Medicaid, other government agencies and private insurance for new patients to determine their individualize eligibility and benefits.
- Verify HMO referrals and treatment plans are authorize.
Prepare your insurance verification representative resume
When your background is strong enough, you can start writing your insurance verification representative resume.
You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on an insurance verification representative resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.
Choose from 10+ customizable insurance verification representative resume templates
Build a professional insurance verification representative resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your insurance verification representative resume.
Apply for insurance verification representative jobs
Now it's time to start searching for an insurance verification representative job. Consider the tips below for a successful job search:
- Browse job boards for relevant postings
- Consult your professional network
- Reach out to companies you're interested in working for directly
- Watch out for job scams
How did you land your first insurance verification representative job
Are you an insurance verification representative?
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Average insurance verification representative salary
The average insurance verification representative salary in the United States is $32,706 per year or $16 per hour. Insurance verification representative salaries range between $28,000 and $37,000 per year.
What am I worth?
How do insurance verification representatives rate their job?
Insurance verification representative reviews
Putting that patient/customet first and directing (directions) that person to their Doctors office and setting or cancelling their appointments, just helping people.
There's nothing to dislike.
Sitting for long periods
I like building relations with other companies, keeping customers satisfied and growing in all areas,
Updated January 8, 2025
