Insurance verification representative vs insurance representative

The differences between insurance verification representatives and insurance representatives can be seen in a few details. Each job has different responsibilities and duties. Additionally, an insurance representative has an average salary of $35,958, which is higher than the $32,706 average annual salary of an insurance verification representative.

The top three skills for an insurance verification representative include patients, insurance verification and customer service. The most important skills for an insurance representative are customer service, patients, and health insurance.

Insurance verification representative vs insurance representative overview

	Insurance Verification Representative	Insurance Representative
Yearly salary	$32,706	$35,958
Hourly rate	$15.72	$17.29
Growth rate	-4%	6%
Number of jobs	150,260	87,843
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 28%	Bachelor's Degree, 45%
Average age	40	46
Years of experience	4	-

What does an insurance verification representative do?

An insurance verification representative is responsible for ensuring the coverage of a patient's healthcare benefits by required procedures. Your duties will typically include updating patient information, verifying insurance coverage of patients, and arranging payment for medical services that are not covered under insurance. In addition, you will be checking eligibility and benefits for healthcare providers and explaining Medicare and CMS guidelines as needed. As an insurance verification representative, you are also expected to advise and discuss various financing options that best fit a patient's budget.

What does an insurance representative do?

An insurance representative serves as a client's point of contact in insurance companies. Their responsibilities include researching client opportunities, reaching out to potential clients to offer products and services, discussing terms and policies, providing detailed advice, and assisting in every procedure, ensuring convenience and client satisfaction. Aside from securing sales, an insurance representative may also process applications and claims while adhering to the company's policies and regulations. Furthermore, they may also perform clerical tasks such as handling calls and correspondence, arranging appointments, and maintaining records of all transactions.

Insurance verification representative vs insurance representative salary

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

	Insurance Verification Representative	Insurance Representative
Average salary	$32,706	$35,958
Salary range	Between $28,000 And $37,000	Between $29,000 And $44,000
Highest paying City	Charleston, WV	Lacey, WA
Highest paying state	Massachusetts	Washington
Best paying company	Student Conservation Association	Santander Bank
Best paying industry	Health Care	Finance

Differences between insurance verification representative and insurance representative education

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

	Insurance Verification Representative	Insurance Representative
Most common degree	Bachelor's Degree, 28%	Bachelor's Degree, 45%
Most common major	Business	Business
Most common college	Stanford University	University of Pennsylvania

Insurance verification representative vs insurance representative demographics

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

	Insurance Verification Representative	Insurance Representative
Average age	40	46
Gender ratio	Male, 15.1% Female, 84.9%	Male, 29.8% Female, 70.2%
Race ratio	Black or African American, 12.6% Unknown, 4.8% Hispanic or Latino, 22.0% Asian, 6.3% White, 53.8% American Indian and Alaska Native, 0.6%	Black or African American, 9.4% Unknown, 3.6% Hispanic or Latino, 16.1% Asian, 4.9% White, 65.9% American Indian and Alaska Native, 0.1%
LGBT Percentage	7%	7%

Differences between insurance verification representative and insurance representative duties and responsibilities

Insurance verification representative example 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.
Have knowledge in difference between HMO and PPO insurance.
Comply with HIPPA due to the nature of client information.

Insurance representative example responsibilities.

Cold-Cal to generate leads for individual life and disability insurance and annuities.
Confer with AAA members to discuss options and plans for the insurance needs of family and services provide.
Promote AAA insurance to current, former, and potentially new customers by providing quality and accurate product knowledge.
Assist field agents with Medicare applications, review Medicaid state system regarding eligibility.
Review medical web sites and Medicare inquiry system to determine eligibility for Medicaid and other insurance policies.
Facilitate communications between doctors, hospitals, third party insurance companies and patients to obtain and verify patient billing information.

Insurance verification representative vs insurance representative skills

Common insurance verification representative skills

Patients, 21%
Insurance Verification, 14%
Customer Service, 11%
Medical Terminology, 6%
Insurance Benefits, 4%
Insurance Eligibility, 4%

Common insurance representative skills

Customer Service, 18%
Patients, 16%
Health Insurance, 6%
Medicaid, 4%
Insurance Coverage, 4%
Data Entry, 4%

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Office and Administrative Industry
Insurance Verification Representative
Insurance Verification Representative vs Insurance Representative

Updated January 8, 2025

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