Insurance verification representative vs representative

The differences between insurance verification representatives and representatives can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become an insurance verification representative, becoming a representative takes usually requires 6-12 months. Additionally, a representative has an average salary of $36,023, 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 representative are cleanliness, patients, and customer issues.

Insurance verification representative vs representative overview

	Insurance Verification Representative	Representative
Yearly salary	$32,706	$36,023
Hourly rate	$15.72	$17.32
Growth rate	-4%	-4%
Number of jobs	150,260	252,761
Job satisfaction	-	5
Most common degree	Bachelor's Degree, 28%	Bachelor's Degree, 53%
Average age	40	40
Years of experience	4	12

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 representative do?

Representatives are lawmakers who represent the people in a specific district. They run for office to represent their districts in their hometown or their current place of living. Representatives are usually charismatic and good communicators. These characteristics are especially important during campaign and election periods. Representatives should be able to capture the hearts of the voters through their planned projects and advocacies. They are then elected by their constituents. Upon election, representatives author bills that will eventually be passed into law should it be approved by the majority of the congress. They also vote on the passage of bills authored by other representatives. They also participate in discussions and debates regarding different bills, issues, and laws. Representatives are expected to vote according to their conscience and in consideration of the voice of their constituents.

Insurance verification representative vs representative salary

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

	Insurance Verification Representative	Representative
Average salary	$32,706	$36,023
Salary range	Between $28,000 And $37,000	Between $23,000 And $55,000
Highest paying City	Charleston, WV	Washington, DC
Highest paying state	Massachusetts	New York
Best paying company	Student Conservation Association	Google
Best paying industry	Health Care	Transportation

Differences between insurance verification representative and representative education

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

	Insurance Verification Representative	Representative
Most common degree	Bachelor's Degree, 28%	Bachelor's Degree, 53%
Most common major	Business	Business
Most common college	Stanford University	-

Insurance verification representative vs representative demographics

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

	Insurance Verification Representative	Representative
Average age	40	40
Gender ratio	Male, 15.1% Female, 84.9%	Male, 41.8% Female, 58.2%
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, 11.0% Unknown, 5.4% Hispanic or Latino, 20.9% Asian, 7.5% White, 54.4% American Indian and Alaska Native, 0.7%
LGBT Percentage	7%	7%

Differences between insurance verification representative and 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.

Representative example responsibilities.

Manage fitting rooms and recover the department, while providing exceptional customer service and offering rewards and POS options.
Manage physical portfolio with necessary derivatives to mitigate risk within company guidelines.
Conduct telephone sales and interviews, compile and enter information into database, manage documents and insure customer satisfaction.
Review EOB denials, appeals and/or rebilling as appropriate.
Certify of all requirements, policies, and procedures, including MSB.
Take inbound phone calls from member and providers explaining the EOB denial and payments

Insurance verification representative vs 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 representative skills

Cleanliness, 20%
Patients, 11%
Customer Issues, 10%
Customer Service, 10%
Data Entry, 6%
Outbound Calls, 3%

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Insurance Verification Representative
Insurance Verification Representative vs Representative

Updated January 8, 2025

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