Insurance verification representative vs registration specialist

The differences between insurance verification representatives and registration specialists 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 specialist. Additionally, an insurance verification representative has an average salary of $32,706, which is higher than the $30,422 average annual salary of a registration specialist.

The top three skills for an insurance verification representative include patients, insurance verification and customer service. The most important skills for a registration specialist are patients, customer service, and medical terminology.

Insurance verification representative vs registration specialist overview

	Insurance Verification Representative	Registration Specialist
Yearly salary	$32,706	$30,422
Hourly rate	$15.72	$14.63
Growth rate	-4%	-4%
Number of jobs	150,260	79,118
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 28%	Bachelor's Degree, 38%
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 registration specialist do?

A registration specialist is responsible for managing patient information, including the verification of their insurance details and medical treatment schedules. Registration specialists assign admission rooms and processing payments for discharge. They also assist patients with the completion of medical forms by helping them fill-out papers with the most accurate information. A registration specialist performs administrative and clerical duties as needed, requiring them to have excellent data management skills to process information and provide the highest quality care services for the patients.

Insurance verification representative vs registration specialist salary

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

	Insurance Verification Representative	Registration Specialist
Average salary	$32,706	$30,422
Salary range	Between $28,000 And $37,000	Between $23,000 And $40,000
Highest paying City	Charleston, WV	Boston, MA
Highest paying state	Massachusetts	Massachusetts
Best paying company	Student Conservation Association	Deloitte
Best paying industry	Health Care	Health Care

Differences between insurance verification representative and registration specialist education

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

	Insurance Verification Representative	Registration Specialist
Most common degree	Bachelor's Degree, 28%	Bachelor's Degree, 38%
Most common major	Business	Business
Most common college	Stanford University	University of Pennsylvania

Insurance verification representative vs registration specialist demographics

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

	Insurance Verification Representative	Registration Specialist
Average age	40	40
Gender ratio	Male, 15.1% Female, 84.9%	Male, 14.5% Female, 85.5%
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, 10.7% Unknown, 5.1% Hispanic or Latino, 18.0% Asian, 6.0% White, 59.5% American Indian and Alaska Native, 0.7%
LGBT Percentage	7%	7%

Differences between insurance verification representative and registration specialist 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.

Registration specialist example responsibilities.

Attain and authenticate patient insurance information, counsel patients on changes in insurance policies, verify patient demographics.
Help patients through the registration and admitting processes and also contribute to the PBX department.
Input data entries for insurance billing; adding CPT codes and diagnosis from face sheets as patients arrive.
Act as hospital PBX operator.
Complete all charge entry, enter all CPT and ICD-9 codes for billing for multiple doctors each day.
Enter patient information and verify information according to HIPAA regulations.

Insurance verification representative vs registration specialist 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 specialist skills

Patients, 25%
Customer Service, 14%
Medical Terminology, 8%
Patient Registration, 5%
Insurance Verification, 4%
Data Entry, 4%

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Insurance Verification Representative
Insurance Verification Representative vs Registration Specialist

Updated January 8, 2025

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