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Insurance verification representative vs registration representative

The differences between insurance verification representatives and registration 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 registration representative. Additionally, a registration representative has an average salary of $34,021, 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 a registration representative are patients, medical terminology, and patient care.

Insurance verification representative vs registration representative overview

Insurance Verification RepresentativeRegistration Representative
Yearly salary$32,706$34,021
Hourly rate$15.72$16.36
Growth rate-4%-4%
Number of jobs150,260118,803
Job satisfaction--
Most common degreeBachelor's Degree, 28%Bachelor's Degree, 35%
Average age4040
Years of experience44

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 registration representative do?

In medical facilities, a registration representative serves as the patients' first point of contact in clinics and hospitals. They primarily greet patients, identify their needs, gather personal and medical information, and assist them in filling out forms. They must also handle admission and discharge procedures, process payments, arrange payment plans, and collect insurance information. Furthermore, as a registered representative, it is essential to maintain an active communication line with staff for a smooth and efficient workflow.

Insurance verification representative vs registration representative salary

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

Insurance Verification RepresentativeRegistration Representative
Average salary$32,706$34,021
Salary rangeBetween $28,000 And $37,000Between $26,000 And $42,000
Highest paying CityCharleston, WVBoston, MA
Highest paying stateMassachusettsMassachusetts
Best paying companyStudent Conservation AssociationUMass Memorial Health
Best paying industryHealth CareHealth Care

Differences between insurance verification representative and registration representative education

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

Insurance Verification RepresentativeRegistration Representative
Most common degreeBachelor's Degree, 28%Bachelor's Degree, 35%
Most common majorBusinessBusiness
Most common collegeStanford UniversityUniversity of Pennsylvania

Insurance verification representative vs registration representative demographics

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

Insurance Verification RepresentativeRegistration Representative
Average age4040
Gender ratioMale, 15.1% Female, 84.9%Male, 13.9% Female, 86.1%
Race ratioBlack 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, 11.6% Unknown, 4.9% Hispanic or Latino, 21.3% Asian, 6.4% White, 55.2% American Indian and Alaska Native, 0.6%
LGBT Percentage7%7%

Differences between insurance verification representative and registration 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.
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Registration representative example responsibilities.

  • Work with third party payer requirements including Medicare, Medicaid (AHCCCS), manage care plans, and commercial plans.
  • Manage and update demographic and insurance information, including authorizations and referrals, while demonstrating HIPPA confidentiality regulations.
  • Verify eligibility and insurance benefits for patients, including Medicare, Medicaid, private insurance and workers' compensation.
  • Maintain patient privacy in accordance with HIPAA with a high level of professionalism, compassion, productivity, and accuracy.
  • Maintain proficient level of knowledge regarding Medicare requirements, HIPAA compliance and reimbursement criteria.
  • Complete registration process for inpatients, outpatients, and emergency patients accurately and efficiently in accordance with policies and procedures.
  • Show more

Insurance verification representative vs registration 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 registration representative skills
  • Patients, 25%
  • Medical Terminology, 10%
  • Patient Care, 6%
  • Customer Service, 6%
  • Health Insurance, 5%
  • Patient Registration, 4%

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