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.

What Does an Insurance Verification Specialist Do

There are certain skills that many insurance verification specialists have in order to accomplish their responsibilities. By taking a look through resumes, we were able to narrow down the most common skills for a person in this position. We discovered that a lot of resumes listed initiative, self-confidence and analytical skills.

Learn more about what an Insurance Verification Specialist does

How To Become an Insurance Verification Specialist

If you're interested in becoming an insurance verification specialist, one of the first things to consider is how much education you need. We've determined that 23.4% of insurance verification specialists have a bachelor's degree. In terms of higher education levels, we found that 2.4% of insurance verification specialists have master's degrees. Even though some insurance verification specialists have a college degree, it's possible to become one with only a high school degree or GED.

Learn More About How To Become an Insurance Verification Specialist
Top Insurance Verification Specialist Jobs Near You

Insurance Verification Specialist Career Paths

Average Salary for an Insurance Verification Specialist

Insurance Verification Specialists in America make an average salary of $33,043 per year or $16 per hour. The top 10 percent makes over $37,000 per year, while the bottom 10 percent under $28,000 per year.
Average Insurance Verification Specialist Salary
$33,043 Yearly
$15.89 hourly

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Roles and Types of Insurance Verification Specialist

The role of an insurance verification specialist includes a wide range of responsibilities. These responsibilities can vary based on an individual's specific job, company, or industry.Here are some general insurance verification specialist responsibilities:

  • Develop and cultivate liaison with insurance companies, health maintenance organizations, managed care contract companies
  • Processing insurance verification requests by calling insurance companies
  • Provide high level of customer service while handling a high call volume this is an inbound call center environment where the selected candidate will be responsible for completing all member needs

There are several types of insurance verification specialist, including:

Insurance Agent

Role:

Well, insurance agents are salespeople, they have a very specific industry that they work in. Sometimes they may only sell one type of insurance, but many sell lots of different insurances. This includes car, rental and health.

While, you can get a job as an insurance agent with just a high school degree, many agents have a bachelor's degree. In addition, you need to be licensed in the state where you'll be working. But the learning doesn't stop there. Insurance agent learn a lot through their on-the-job training. Here's to learning something new every day!

  • Average Salary: $51,936
  • Degree: Bachelor's Degree

Life Insurance Agent

Role:

Just like security agents, FBI agents, and real estate agents, there are life insurance agents as well. Having a professional who knows the insurance industry in the sophisticated world of life insurance is excellent. People usually have life insurance agents enjoy the most suitable and best deals available. Find a dedicated agent to find yourself a reasonable amount of time and money.

Life insurance agents sell life insurances to people and a wide range of companies. They suggest life insurance that suits their qualifications, needs, and interests. For that, these licensed professionals ask a number of questions related to you and your life. Life insurance agents also discuss available alternatives and options and consider the long-term financial objectives and goals of the client.

Life insurance agents earn $52.07 per hour by working with different life insurance agencies. To become a life insurance agent, you need to have a bachelor's or associate's degree in business or insurance. You will also need a license for a specific line of authority and decide the type of insurance you want to sell.

  • Average Salary: $62,552
  • Degree: Bachelor's Degree

Insurance Clerk

Role:

An insurance clerk deals with insurance applications, reinstatements, modifications, and cancellations. They work alongside insurance agents and communicate with policyholders to keep the insurance information updated and accurate.

Keeping the records timely is essential for both the insurance company and the policyholders. This makes the role of the insurance clerk crucial in the determination of the validity of coverage and the extent of insurance benefits. They must correctly transfer information to databases and worksheets.

They may act as customer service representatives to find new clients. This task necessitates communication skills to gather information from clients, inquire about their insurance claims, and answer client queries. Math and problem-solving skills are needed qualities to be an efficient insurance clerk since they may review bills and other financial documents. They should also know how to utilize computer applications to input and organize data.

Pursuing a career as an insurance clerk requires a bachelor's degree in accounting, business administration, or a related field. Prior work experience is a huge advantage. People working in this position earn $14.26 an hour, which amounts to an annual salary of $29,655.

  • Average Salary: $33,089
  • Degree: High School Diploma

States With The Most Insurance Verification Specialist Jobs

Mouse over a state to see the number of active insurance verification specialist jobs in each state. The darker areas on the map show where insurance verification specialists earn the highest salaries across all 50 states.

Average Salary: Job Openings:

Number Of Insurance Verification Specialist Jobs By State

RankStateNumber of JobsAverage Salary
1California2,530$31,665
2Texas2,447$29,525
3Florida1,966$29,184
4Illinois1,412$30,707
5New York1,236$37,479
6Pennsylvania1,176$29,339
7North Carolina1,029$31,865
8Ohio1,020$29,730
9Georgia992$28,443
10Washington828$40,869
11Massachusetts819$40,253
12Arizona813$30,014
13Michigan812$32,677
14Virginia751$28,891
15Tennessee744$29,434
16Indiana711$32,588
17Minnesota690$36,481
18New Jersey669$34,214
19Colorado658$34,136
20Louisiana594$29,479
21Missouri592$29,942
22Wisconsin590$42,171
23Oregon541$36,111
24Iowa530$31,746
25Maryland516$30,429
26Alabama496$38,323
27South Carolina425$30,446
28Kentucky391$30,091
29Utah354$27,222
30Oklahoma345$27,633
31Arkansas341$30,719
32Kansas330$29,810
33Mississippi296$31,212
34Connecticut266$34,482
35Idaho265$30,581
36Nebraska253$35,268
37Nevada251$26,389
38New Mexico199$25,971
39Maine192$38,258
40South Dakota182$40,900
41West Virginia167$26,787
42Montana159$36,922
43North Dakota158$40,935
44New Hampshire158$42,720
45Delaware153$32,587
46Alaska147$42,398
47Rhode Island137$38,704
48Hawaii130$29,628
49Vermont125$36,882
50Wyoming93$36,142

Insurance Verification Specialist Education

Insurance Verification Specialist Majors

20.8 %

Insurance Verification Specialist Degrees

Associate

26.7 %

Bachelors

23.4 %

High School Diploma

20.2 %

Top Colleges for Insurance Verification Specialists

1. University of Pennsylvania

Philadelphia, PA • Private

In-State Tuition

$55,584

Enrollment

10,764

2. Howard University

Washington, DC • Private

In-State Tuition

$26,756

Enrollment

6,166

3. Northwestern University

Evanston, IL • Private

In-State Tuition

$54,568

Enrollment

8,451

4. Stanford University

Stanford, CA • Private

In-State Tuition

$51,354

Enrollment

7,083

5. Boston University

Boston, MA • Private

In-State Tuition

$53,948

Enrollment

17,238

6. New York University

New York, NY • Private

In-State Tuition

$51,828

Enrollment

26,339

7. Maria College of Albany

Albany, NY • Private

In-State Tuition

$15,140

Enrollment

876

8. University of Minnesota - Twin Cities

Minneapolis, MN • Private

In-State Tuition

$14,760

Enrollment

31,451

9. University of Virginia

Charlottesville, VA • Private

In-State Tuition

$17,653

Enrollment

16,405

10. Ohio State University

Columbus, OH • Private

In-State Tuition

$10,726

Enrollment

45,769

Top Skills For an Insurance Verification Specialist

The skills section on your resume can be almost as important as the experience section, so you want it to be an accurate portrayal of what you can do. Luckily, we've found all of the skills you'll need so even if you don't have these skills yet, you know what you need to work on. Out of all the resumes we looked through, 25.1% of insurance verification specialists listed patients on their resume, but soft skills such as initiative and self-confidence are important as well.

Choose From 10+ Customizable Insurance Verification Specialist Resume templates

Zippia allows you to choose from different easy-to-use Insurance Verification Specialist templates, and provides you with expert advice. Using the templates, you can rest assured that the structure and format of your Insurance Verification Specialist resume is top notch. Choose a template with the colors, fonts & text sizes that are appropriate for your industry.

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Insurance Verification Specialist diversity

Insurance Verification Specialist Gender Distribution

Female
Female
89%
Male
Male
11%

After extensive research and analysis, Zippia's data science team found that:

  • Among insurance verification specialists, 88.6% of them are women, while 11.4% are men.

  • The most common race/ethnicity among insurance verification specialists is White, which makes up 66.1% of all insurance verification specialists.

  • The most common foreign language among insurance verification specialists is Spanish at 78.6%.

Online Courses For Insurance Verification Specialist That You May Like

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Best States For an Insurance Verification Specialist

Some places are better than others when it comes to starting a career as an insurance verification specialist. The best states for people in this position are New Hampshire, Alaska, Wisconsin, and North Dakota. Insurance verification specialists make the most in New Hampshire with an average salary of $42,720. Whereas in Alaska and Wisconsin, they would average $42,398 and $42,171, respectively. While insurance verification specialists would only make an average of $40,935 in North Dakota, you would still make more there than in the rest of the country. We determined these as the best states based on job availability and pay. By finding the median salary, cost of living, and using the Bureau of Labor Statistics' Location Quotient, we narrowed down our list of states to these four.

1. South Dakota

Total Insurance Verification Specialist Jobs: 182
Highest 10% Earn:
$47,000
Location Quotient:
1.58

2. Alaska

Total Insurance Verification Specialist Jobs: 147
Highest 10% Earn:
$47,000
Location Quotient:
1.63

3. North Dakota

Total Insurance Verification Specialist Jobs: 158
Highest 10% Earn:
$47,000
Location Quotient:
1.58
Full List Of Best States For Insurance Verification Specialists

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Top Insurance Verification Specialist Employers

Most Common Employers For Insurance Verification Specialist

RankCompanyAverage SalaryHourly RateJob Openings
1Medtronic$41,167$19.7921
2ATI Physical Therapy$37,690$18.1227
3McKesson$36,798$17.6934
4Henry Ford Health System$34,613$16.6414
5Datamatics$34,598$16.6318
6CCS Medical$34,206$16.4515
7Liberty Medical Center$34,165$16.4336
8HMS Holdings$34,072$16.3850
9SCA Health$34,030$16.3616
10R1 RCM$33,249$15.9926

Insurance Verification Specialist Videos

Becoming an Insurance Verification Specialist FAQs

Is Accident And Health Insurance A Good Career Path?

Yes, accident and health insurance is a good career path. This career path provides many different job opportunities for those that pursue it.

Recent graduates with relevant degrees are very likely to find careers in this field, as there is a high demand for professionals in the insurance industry.

In addition to the wealth of job opportunities, careers in accident and health insurance offer a lot of job security and chances for professional growth and development.

Here are some descriptions of top jobs in this field and their average annual salaries:

  • Insurance Billing Specialist

These insurance professionals provide billing services for insurance firms. They might also be found in hospitals and other medical facilities that handle medical insurance billing.

Common tasks include counseling patients, developing bills, confirming patient details, managing insurance claims, answering billing questions, and making sure the required amount of money for medical insurance is paid by the patient.

This role earns an average annual salary of $30,000 per year.

  • Coding Specialist

Coding specialists deal with the creation of medical codes that contain an overview of a patient's records and medical visits. These are used by medical billers when they submit claims to health insurance companies.

Codes that a specialist uses contain information on a patient's symptoms, diagnosis, therapies, prescribed medications, surgeries, and other medical procedures.

They most often work with doctors, nurses, medical assistants, and other medical billers to make sure a patient's visit overview, and other important information, is accurately translated to avoid discrepancies that result in insurance problems.

Coding specialists earn an average salary of $60,097 per year.

  • Insurance Benefits Advisor

Insurance benefits advisors meet with clients who want to sign new, or update, current insurance policies. They help clients learn about their options with specific insurance plans.

They work for accident and healthcare companies, and alongside other insurance professionals.

They earn salaries that average around $55,000 per year.

  • Medical biller

Medical billers, also referred to as medical coders, translate medical-based paperwork into medical codes that are used to create invoices for insurance claims. Medical billers act as the middle professional between insurance companies, healthcare providers, and patients.

They usually have a good amount of knowledge about health insurance and specific medical services and procedures. Common tasks include going over patient bills, setting up payment options and plans, and appealing dismissed insurance claims.

These professionals make an average annual salary of $46,660 per year.

  • Insurance Underwriter

Insurance underwriters are in charge of revising insurance requests in an attempt to evaluate certain risks. They scrutinize different forms of insurance data when trying to determine risks, and when evaluating requests from clients.

These insurance professionals also evaluate premiums and coverage amounts to determine the most appropriate policies for insurance holders.

Insurance underwriters can make salaries of up to $130,000 per year, while most in the field average around $115,959 per year.

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