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What is an insurance verification specialist and how to become one
Insurance verification specialists are healthcare professionals who make sure patients are properly insured before they are admitted into the hospital. You are to contact the patient's insurance company and confirm if the patient's insurance covers the medical care services to be provided by the hospital.
Some other duties of an insurance verification specialist include explaining insurance coverages to patients, verifying or updating patient information, filling out billing documentation, and keeping records. Also, you will be required to help patients figure out ways to pay for services not covered by their insurance company and provide or advise them on different financing options to pay for the medical care.
A high school diploma or a bachelor's degree in a related field is needed to get this job. You must also have working experience with insurance companies, must be detail-oriented, and be able to focus and work well with others. Annually, you will make an average of $32,845 or $16 every hour.
Avg. Salary $33,043
Avg. Salary $59,228
Growth rate 6%
Growth rate 0.3%
American Indian and Alaska Native 0.15%
Asian 4.89%
Black or African American 9.35%
Hispanic or Latino 16.00%
Unknown 3.56%
White 66.06%
Genderfemale 88.61%
male 11.39%
Age - 46American Indian and Alaska Native 3.00%
Asian 7.00%
Black or African American 14.00%
Hispanic or Latino 19.00%
White 57.00%
Genderfemale 47.00%
male 53.00%
Age - 46Stress level is high
7.1 - high
Complexity level is advanced
7 - challenging
Work life balance is fair
6.4 - fair
Insurance verification specialist career paths
Key steps to become an insurance verification specialist
Explore insurance verification specialist education requirements
Start to develop specific insurance verification specialist skills
Skills Percentages Patients 25.14% Insurance Verification 14.51% Customer Service 7.09% Insurance Eligibility 5.23% Data Entry 4.28% Complete relevant insurance verification specialist training and internships
Accountants spend an average of 6-12 months on post-employment, on-the-job training. New insurance verification specialists learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as an insurance verification specialist based on U.S. Bureau of Labor Statistics data and data from real insurance verification specialist resumes.Gain additional insurance verification specialist certifications
More About CertificationsInsurance verification specialist certifications can show employers you have a baseline of knowledge expected for the position. Certifications can also make you a more competitive candidate. Even if employers don't require a specific insurance verification specialist certification, having one may help you stand out relative to other applicants.
The most common certifications for insurance verification specialists include Certified Billing and Coding Specialist (CBCS) and Certified Medical Administrative Assistant (CMAA).
Research insurance verification specialist duties and responsibilities
- Check CPT and ICD-10 codes with LCD and policies from multiple insurance companies to make sure procedures will be paid.
- Support the patient privacy/confidentiality policies and regulations under HIPAA for patients and their medical records.
- Confirm correct charges base on HCPCS codes.
- Assist callers as well with questions about their benefits, terms and conditions of medical plans, appeals and grievances.
Prepare your insurance verification specialist resume
When your background is strong enough, you can start writing your insurance verification specialist resume.
You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on an insurance verification specialist resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.
Choose from 10+ customizable insurance verification specialist resume templates
Build a professional insurance verification specialist resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your insurance verification specialist resume.
Apply for insurance verification specialist jobs
Now it's time to start searching for an insurance verification specialist job. Consider the tips below for a successful job search:
- Browse job boards for relevant postings
- Consult your professional network
- Reach out to companies you're interested in working for directly
- Watch out for job scams
How did you land your first insurance verification specialist job
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Average insurance verification specialist salary
The average insurance verification specialist salary in the United States is $33,043 per year or $16 per hour. Insurance verification specialist salaries range between $28,000 and $37,000 per year.
What am I worth?
How do insurance verification specialists rate their job?
Insurance verification specialist reviews
There is no need to work in shift, especially evening or midnight shifts, disclaimer: i transitioned from the hospitality industry to insurance industry. Now i work 8-5 mostly and day off on weekends. And it has been great so far! I can finally sleep at nights now definitely!
Pay is too low especially in my country. And as we are a small firm, so career progression is super narrow. And regardless of how long i work there, pay will still be low.
There's nothing to dislike.
Meeting new people and working with other healthcare specialist
Sitting for long periods
Insurance verification specialist FAQs
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Updated January 8, 2025
