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Become An Insurance Verification Representative

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Working As An Insurance Verification Representative

  • Interacting With Computers
  • Evaluating Information to Determine Compliance with Standards
  • Communicating with Supervisors, Peers, or Subordinates
  • Documenting/Recording Information
  • Getting Information
  • Mostly Sitting

  • Repetitive

  • $37,530

    Average Salary

What Does An Insurance Verification Representative Do At Kforce

* Provide general support in the collection and verification of data and information; ensuring data accuracy and integrity
* Support the maintenance of appropriate billing systems within the assigned function(s)
* Review, investigate and resolve outstanding claims in coordination with cross-divisional teams and/or vendors to obtain the best financial results on behalf of the company
* Assist with various projects as assigned by direct supervisor
* Additional responsibilities may include focus on one or more departments or locations

What Does An Insurance Verification Representative Do At Robert Half

* Receive and send written business correspondence via telephone e-mail
* Organize and route incoming telephone calls
* Give exceptional customer service in a timely fashion
* Be a part of business development by by actively cross-selling and referring customers
* OfficeTeam is the world's leader in professional staffing for office support jobs, focusing exclusively on the temporary and temporary-to-full-time placement of professionals in the administrative field.
* We are faster at finding you work because of the depth of our client network.
* Specifically, our professional staffing managers connect with thousands of hiring managers in North America every week to find your office support job opportunities.
* We evaluate all of our OfficeTeam temporaries' skills and match them with the needs of top employers in their area.
* Apply for this job now or contact us today at 888
* for additional information.
* All applicants applying for U
* S. job openings must be authorized to work in the United States.
* All applicants applying for Canadian job openings must be authorized to work in Canada.
* OfficeTeam.
* A Robert Half Company.
* An Equal Opportunity Employer M/F/Disability/Veterans.
* By clicking 'Apply Now' you are agreeing to Robert Half Terms of Use.
* Req ID:
* Functional Role:
* Administrative
* Medical
* Country:
* State:
* PA
* City:
* Pittsburgh
* Postal Code:
* Compensation:* $14.60 to $16
* per hour

What Does An Insurance Verification Representative Do At HCA, Hospital Corporation of America

* Responsible for timely and accurate pre-registration and insurance verification.
* Accurately interprets managed care contracts.
* Perform pre-registration and insurance verification within 24 hours of receipt of reservation/notification for both inpatient and outpatient services
* Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information therein
* Contact physician to resolve issues regarding prior authorization or referral forms
* Assign Iplans accurately
* Perform electronic eligibility confirmation when applicable and document results
* Research Patient Visit History to ensure compliance with payor specific payment window rules
* Complete Medicare Secondary Payor Questionnaire as applicable for retention in Abstracting module
* Calculate patient cost share and be prepared to collect via phone or make payment arrangement
* Contact patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment
* Receive and record payments from patient for services scheduled.
* Utilize appropriate communication system to facilitate communication with hospital gatekeeper
* Perform insurance verification and pre-certification follow up for prior day’s walk in admissions/registrations and account status changes by assigned facility
* Communicate with hospital based Case Manager as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues
* Utilize Meditech account notes and Collections System account notes as appropriate to cut and paste benefit and pre-authorization information and to document key information
* Meet/exceed performance expectations and complete work within the required time frames
* Implement and follow system downtime procedures when necessary
* Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
* Other duties as assigned

What Does An Insurance Verification Representative Do At Catholic Health Initiatives

* Ensure insurance coverage by telephone.
* Resolve any issues with coverage and escalates complicated issues to manager.
* Interview patients and completes all paperwork necessary to ensure the admitting process is efficient and all clinic and regulatory policies are in compliance.
* Coordinate with clinical staff to obtain charge information for all patients.
* Code procedures performed and diagnosis on charge.
* Assign appropriate ICD
* CPT and HCPCS code(s) to accurately support the need and documentation for each service.
* Coordinate copies of medical documentation with physician charges to support billing to third-party payers.
* Identify physician services provided, but not accurately documented in the medical record.
* Resolve routine patient billing inquiries and problems.
* Perform other duties as assigned

What Does An Insurance Verification Representative Do At Napa Anesthesia

* Answering call from patients with billing inquiries, insurance carriers, and transferring outside call to appropriate departments
* Providing insurance carriers with requested documentation
* Processing credit card payments and arranging payment plans
* Updating and maintaining account demographics

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How To Become An Insurance Verification Representative

A high school diploma or equivalent is typically required for most financial clerk jobs. These workers usually learn their duties through on-the-job training.


Financial clerks typically need a high school diploma or equivalent to enter the occupation. Employers of brokerage clerks may prefer candidates who have taken some college courses in business or economics and, in some cases, require a 2- or 4-year college degree.


Most financial clerks learn how to do their job duties through on-the-job training. Some formal technical training also may be necessary; for example, gaming cage workers may need training in specific gaming regulations and procedures.


Financial clerks can advance to related occupations in finance. For example, a loan interviewer or clerk can become a loan officer, and a brokerage clerk can become a securities, commodities, or financial services sales agent, after obtaining the required education and license.

Important Qualities

Communication skills. Financial clerks should have good communication skills so that they can explain policies and procedures to colleagues and customers.

Math skills. The job duties of financial clerks, including calculating charges and checking credit scores, require basic math skills.

Organizational skills. Strong organizational skills are important for financial clerks because they must be able to find files quickly and efficiently.

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Insurance Verification Representative jobs

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Insurance Verification Representative Demographics


  • Female

  • Male

  • Unknown



  • White

  • Hispanic or Latino

  • Asian

  • Unknown

  • Black or African American

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Languages Spoken

  • Spanish

  • Portuguese

  • Khmer

  • Vietnamese

  • German

  • Romanian

  • French

  • Carrier

  • Russian

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Insurance Verification Representative

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Insurance Verification Representative Education

Insurance Verification Representative

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Top Skills for An Insurance Verification Representative


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Top Insurance Verification Representative Skills

  1. Insurance Companies
  2. Insurance Eligibility
  3. Customer Service Skills
You can check out examples of real life uses of top skills on resumes here:
  • Managed manage care contracts ensuring correct reimbursement from insurance companies.
  • Verified insurance eligibility and benefits for patients requiring surgical procedures.
  • Promoted to Manager of Insurance Verification and lastly promoted in addition to Director of Scheduling Call Center.
  • Answer questions regarding type of equipment patient was getting Complied with state and federal laws pertaining to Medicaid /Medicare guidelines
  • Completed all paperwork and data entry accurately and timely.

Top Insurance Verification Representative Employers

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Insurance Verification Representative Videos

Inside Credit Unions | Working at Pacific Marine Credit Union