Insurance verification representative vs patient service representative

The differences between insurance verification representatives and patient service representatives 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 verification representative and a patient service representative. Additionally, an insurance verification representative has an average salary of $32,706, which is higher than the $32,476 average annual salary of a patient service representative.

The top three skills for an insurance verification representative include patients, insurance verification and customer service. The most important skills for a patient service representative are patients, customer service, and excellent interpersonal.

Insurance verification representative vs patient service representative overview

	Insurance Verification Representative	Patient Service Representative
Yearly salary	$32,706	$32,476
Hourly rate	$15.72	$15.61
Growth rate	-4%	-4%
Number of jobs	150,260	165,920
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 28%	Bachelor's Degree, 32%
Average age	40	40
Years of experience	4	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 a patient service representative do?

A Patient Service Representative is responsible for coordinating with patients, ensuring accuracy and satisfaction at all times. The duties of a Patient Service Representative revolves around greeting and responding to patients, offering assistance in documentation, gathering and maintaining their personal information, and even communicating with the family or guardian. They also have to collect payments and process insurance details, obtain medical history, and even keep the patients updated in various aspects. Aside from this, it is crucial for a Representative coordinate with supervisors or personnel in-charge at all times.

Insurance verification representative vs patient service representative salary

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

	Insurance Verification Representative	Patient Service Representative
Average salary	$32,706	$32,476
Salary range	Between $28,000 And $37,000	Between $27,000 And $38,000
Highest paying City	Charleston, WV	Seattle, WA
Highest paying state	Massachusetts	Vermont
Best paying company	Student Conservation Association	University of California, Berkeley
Best paying industry	Health Care	Health Care

Differences between insurance verification representative and patient service representative education

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

	Insurance Verification Representative	Patient Service Representative
Most common degree	Bachelor's Degree, 28%	Bachelor's Degree, 32%
Most common major	Business	Business
Most common college	Stanford University	University of Pennsylvania

Insurance verification representative vs patient service representative demographics

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

	Insurance Verification Representative	Patient Service Representative
Average age	40	40
Gender ratio	Male, 15.1% Female, 84.9%	Male, 11.9% Female, 88.1%
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, 10.3% Unknown, 5.3% Hispanic or Latino, 21.5% Asian, 6.3% White, 55.7% American Indian and Alaska Native, 0.7%
LGBT Percentage	7%	7%

Differences between insurance verification representative and patient service 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.

Patient service representative example responsibilities.

Manage the daily release of charges to A/R.
Adhere with all state and federal regulations such as EMTALA and HIPPA requirements and appropriately collect co-payments and deductibles from patients.
Provide caring and compassion to elderly and developmentally disable patients.
Demonstrate respect, compassion and confidentiality for patients and family members.
Provide professional and accurate service to schedule patient appointments, check-in and verify insurance eligibility.
Provide quality customer service to patients and observe all protocols regarding HIPPA regulations to ensure patient confidentiality.

Insurance verification representative vs patient service 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 patient service representative skills

Patients, 20%
Customer Service, 12%
Excellent Interpersonal, 7%
Check-In, 7%
Patient Service, 6%
Excellent Organizational, 6%

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Insurance Verification Representative
Insurance Verification Representative vs Patient Service Representative

Updated January 8, 2025

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