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Become An Insurance Verification Specialist

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Working As An Insurance Verification Specialist

  • Processing Information
  • Interacting With Computers
  • Getting Information
  • Performing Administrative Activities
  • Communicating with Supervisors, Peers, or Subordinates
  • Mostly Sitting

  • Repetitive

  • $35,050

    Average Salary

What Does An Insurance Verification Specialist Do At Amerisourcebergen Corporation

* Provides intake services and
* setup for all new patients Verify benefits on both pharmacy and major
* medical plan Review clinical documents for prior
* authorization/ pre-certification submission purposes Initiate, complete (when allowable) and
* tirelessly pursue Prior Authorization approval from insurance carriers and
* offer to go above and beyond to assist and support our MDO practices
* whenever possible Coordinates the patient's care with physician
* offices, nurses, pharmacists and patients.
* Performs accurate and timely insurance
* verification, both major medical and pharmacy benefits.
* Coordinates prescription deliveries and
* refills for patients.
* Works with home health nursing visits and maintenance
* of a patient census throughout the course of their therapy.
* Supports other team members in the healthcare
* team.
* Ensures a continuous quality improvement
* customer service approach by proactively identifying areas of improvement
* and communicating those ideas to the healthcare team.
* Maintains current documentation related to the
* patients drug therapy and pharmacy care plan.
* Flag issues that need to be
* addressed.
* Coordinates responses and resolutions to
* issues with appropriate internal and external parties.
* Nurture/foster strong supporting relationship
* with every physician’s offices.
* Actively participates in roundtable
* discussions with Pharmacists, Nursing Services and Pharmacy Care
* Coordinators to review cases and related drug therapy and pharmacy care
* plan issues.
* Maintains and promotes positive and
* professional working relationships with associates and management.
* Performs related duties as assigned.
* Total Rewards
* Compensation for this position includes base salary plus bonus,
* depending on company financial results and individual performance.
* Our commitment to our associates includes
* offering benefit programs that are comprehensive, competitive and will meet the
* needs of our associates.
* Some
* of our benefits include:
* Healthcare for associates and their families, including eligible
* domestic partners Paid time off, including vacations and holidays Paid sick time off Paid volunteer time off Life insurance and disability protection Retirement benefits
* We
* take a balanced approach to the benefits we provide.
* Many benefits are
* company-paid, while others are available through associate contribution.
* Specific benefit offerings can vary by
* location

What Does An Insurance Verification Specialist Do At Health Plus Management

* Responsible for verifying patient insurance coverage to ensure necessary visits/procedures are covered by the payer.
* Obtain all necessary authorizations for recommended treatment per payer requirements; this may include requests for diagnostic testing/surgical procedures.
* File appeals, if necessary, for authorization requests that are initially denied.
* Responsible for entering accurate data to ensure that the patients’ benefit and authorization information is updated in the organization’s practice management system and verify that existing information is correct.
* Work with patients to explain coverage amounts provided by their insurance policy and discuss financial obligations and payment options when necessary.
* Assist billing department with insurance questions or issues.
* Perform other duties as assigned.
* Requirements

What Does An Insurance Verification Specialist Do At HCA, Hospital Corporation of America

* Responsible for various business office functions, including: billing, cash posting, chart preparation, cash posting, collections, insurance verification, medical records, patient registration, and scheduling.
* Responsible for performing registration functions of patient admissions, including reviewing all information with patient, completing appropriate forms, and copying appropriate insurance cards and photo identification.
* Performs insurance pre-certification, verification, and interviews patients prior to surgery.
* Verifies and obtains all patient eligibility, authorizations, benefits, and claim information with insurance companies.
* Reviews the insurance contract profiles in AdvantX and manages reimbursement process.
* Works with electronic billing vendor to resolve any e-billing issues, denied claims, etc
* Processes all insurance claims in clearinghouse (GHN).
* Performs collections, reconciliation, and follow up activities timely on all accounts
* Negotiates payment plans on self pay accounts utilizing established policies regarding Settlement Discounts.
* Schedules patient surgical procedures and maintaining the surgery schedule

What Does An Insurance Verification Specialist Do At U.S. Physical Therapy and OPR Management Services, Inc.

* Responsible for verifying patient insurance coverage to ensure therapy treatment is covered for new patients 48 hours prior to appointment as well as assist front office with add-ons.
* Understand and articulate information to treating provider as needed
* Enter data such as insurance information into patient account
* Job requires extensive time on phone and provider websites daily.
* Sitting for long periods of time
* Be a valuable resource to Front Office Staff and patients
* Protect PHI and follow HIPPA regulations
* We offer a competitive total compensation package including hourly wage as well as a comprehensive benefits package including medical, dental, disability, life and a 401(k) plan, in addition to other outstanding benefits such as Paid Time Off.
* A valid driver's license is required and any employment offers are contingent upon a clear background check.
* Please apply online to be considered with salary history.
* We are an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
* ID: 2017

What Does An Insurance Verification Specialist Do At Texas Physical Therapy Specialists

* Contributes to the company by verifying benefits for scheduled patients.
* The Insurance Coordinator interacts with several schedulers to obtain necessary patient information within several separate physical therapy offices.
* The Insurance Coordinator also determines the details of the patient's physical therapy benefits to include, co-pays, deductibles, max number of physical therapy visits per year, and prior authorizations needed.
* compensation:
* hr depending on education and/or experience.
* Performs insurance pre-authorization, verification, and documents information accordingly.
* Verifies all patient eligibility, authorizations, benefits, claim information with insurance companies, and 3rd party payers prior to the patient's initial physical therapy visit.
* Communicates verification information with appropriate personnel for preparation for the patient's initial visit.
* Identifies all patient accounts accurately based on what PPO, HMO, or other Managed Care Organizations the patient’s insurance plan might fall under.
* Contacts physical therapy office with updates on benefit verification information, requests additional information, insurance cards.
* Accurately completes data entry necessary including authorizations and benefits.
* Compiles and collects accurate list of contracted and uncontracted insurances
* Communicates with Billing team as needed to clarify contractual agreements if differing from insurance

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How To Become An Insurance Verification Specialist

A high school diploma or equivalent is typically required for most financial clerk jobs. These workers usually learn their duties through on-the-job training.


Financial clerks typically need a high school diploma or equivalent to enter the occupation. Employers of brokerage clerks may prefer candidates who have taken some college courses in business or economics and, in some cases, require a 2- or 4-year college degree.


Most financial clerks learn how to do their job duties through on-the-job training. Some formal technical training also may be necessary; for example, gaming cage workers may need training in specific gaming regulations and procedures.


Financial clerks can advance to related occupations in finance. For example, a loan interviewer or clerk can become a loan officer, and a brokerage clerk can become a securities, commodities, or financial services sales agent, after obtaining the required education and license.

Important Qualities

Communication skills. Financial clerks should have good communication skills so that they can explain policies and procedures to colleagues and customers.

Math skills. The job duties of financial clerks, including calculating charges and checking credit scores, require basic math skills.

Organizational skills. Strong organizational skills are important for financial clerks because they must be able to find files quickly and efficiently.

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Insurance Verification Specialist jobs

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Insurance Verification Specialist Career Paths

Insurance Verification Specialist
Insurance Specialist Accounts Receivable Specialist
Accounts Receivable Manager
6 Yearsyrs
Office Administrator Paralegal Office Manager
Administrative Manager
6 Yearsyrs
Collections Specialist Legal Assistant Administrative Coordinator
Administrative Supervisor
5 Yearsyrs
Specialist Account Manager Billing Specialist
Billing Manager
7 Yearsyrs
Office Administrator Accounts Payable Clerk Billing Specialist
Billing Supervisor
6 Yearsyrs
Finance Counselor Business Office Manager
Business Office Director
8 Yearsyrs
Accounts Receivable Specialist Account Manager Billing Specialist
Business Office Manager
8 Yearsyrs
Collections Specialist Billing Specialist Claims Representative
Claims Supervisor
7 Yearsyrs
Insurance Specialist Specialist Case Manager
Clinical Manager
8 Yearsyrs
Scheduler Scheduling Coordinator Billing Specialist
Medical Billing Manager
6 Yearsyrs
Collector Legal Assistant Medical Transcriptionist
Medical Office Manager
5 Yearsyrs
Accounts Receivable Specialist Accounts Receivable Manager
Office Manager
5 Yearsyrs
Finance Counselor Supervisor, Patient Access
Patient Care Manager
9 Yearsyrs
Medical Coder PRN Nurse Manager
Patient Services Manager
8 Yearsyrs
Scheduler Operations Manager Business Manager
Practice Administrator
10 Yearsyrs
Specialist Service Manager Office Manager
Practice Manager
9 Yearsyrs
Medical Coder Senior Consultant Practice Manager
Revenue Manager
8 Yearsyrs
Collector Sales Consultant Senior Sales Representative
Senior Representative
5 Yearsyrs
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Insurance Verification Specialist Demographics


  • Female

  • Male

  • Unknown



  • White

  • Hispanic or Latino

  • Asian

  • Unknown

  • Black or African American

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Languages Spoken

  • Spanish

  • French

  • Urdu

  • Arabic

  • Hindi

  • German

  • Carrier

  • Slovak

  • Dakota

  • Navajo

  • Thai

  • Czech

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Insurance Verification Specialist

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Insurance Verification Specialist Education

Insurance Verification Specialist

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Top Skills for An Insurance Verification Specialist


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Top Insurance Verification Specialist Skills

  1. Private Insurance Companies
  2. Insurance Verification
  3. Patient Insurance Coverage
You can check out examples of real life uses of top skills on resumes here:
  • Called private insurance companies, Medicare and Medicaid to obtain benefit information and Determining insurance compatibility with Health care provider.
  • Cross trained in other functions within the same department as back up for insurance verification.
  • Retrieve, analyze and apply patient insurance coverage from all major insurance providers and government providers accurately.
  • Obtain the necessary authorizations and compliance for the patients' medical procedures.
  • Work with team to deliver consistent level of superior customer service.

Top Insurance Verification Specialist Employers

Insurance Verification Specialist Videos

How to get insurance verification in less than 60 seconds

Eligibility Verification