How to hire an insurance verification specialist

How to hire an insurance verification specialist, step by step

Here's a step-by-step insurance verification specialist hiring guide:

• Step 1: Identify your hiring needs
• Step 2: Create an ideal candidate profile
• Step 3: Make a budget
• Step 4: Write an insurance verification specialist job description
• Step 5: Post your job
• Step 6: Interview candidates
• Step 7: Send a job offer and onboard your new insurance verification specialist
• Step 8: Go through the hiring process checklist

What does an insurance verification specialist do?

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1. Identify your hiring needs

   Before you start hiring an insurance verification specialist, identify what type of worker you actually need. Certain positions might call for a full-time employee, while others can be done by a part-time worker or contractor.

   Determine employee vs contractor status

   Is the person you're thinking of hiring a US citizen or green card holder?

   Yes

   No

   An insurance verification specialist's background is also an important factor in determining whether they'll be a good fit for the position. For example, insurance verification specialists from different industries or fields will have radically different experiences and will bring different viewpoints to the role. You also need to consider the candidate's previous level of experience to make sure they'll be comfortable with the job's level of seniority.

   This list shows salaries for various types of insurance verification specialists.

   Type of Insurance Verification Specialist	Description	Hourly rate
   Insurance Verification Specialist	Insurance sales agents help insurance companies generate new business by contacting potential customers and selling one or more types of insurance. Insurance sales agents explain various insurance policies and help clients choose plans that suit them.	$13-17
   Life Insurance Agent	A life insurance agent is responsible for offering life insurance services for clients according to their needs and qualifications. Life insurance agents handle insurance claims of the beneficiaries, ensuring the accuracy of documents and account statements for verification... Show more	$18-47
   Insurance Producer	An insurance producer is responsible for selling and buying financial services and products for an insurance company. They negotiate issues regarding health, life insurance, and other properties... Show more	$21-44

   Show more

2. Create an ideal candidate profile

   Common skills:

   • Patients
   • Insurance Verification
   • Customer Service
   • Insurance Eligibility
   • Data Entry
   • Medical Terminology
   • Health Insurance
   • Medicaid
   • Phone Calls
   • Patient Insurance Coverage
   • Patient Accounts
   • Medical Procedures
   • Home Health
   • Insurance Carriers

   Check all skills

   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.
   • Provide medical record support in the absence of EMR: assist clinics and hospitals in obtaining medical records in appropriate format.
   • Document outbound communication from providers and veterans.

   More insurance verification specialist duties

3. Make a budget

   Including a salary range in your insurance verification specialist job description is a great way to entice the best and brightest candidates. An insurance verification specialist salary can vary based on several factors:

   • Location. For example, insurance verification specialists' average salary in new mexico is 39% less than in new hampshire.
   • Seniority. Entry-level insurance verification specialists earn 24% less than senior-level insurance verification specialists.
   • Certifications. An insurance verification specialist with a few certifications under their belt will likely demand a higher salary.
   • Company. Working for a prestigious company or an exciting start-up can make a huge difference in an insurance verification specialist's salary.

   Average insurance verification specialist salary

   $15.89hourly

   $33,043 yearly

   ---

   Entry-level insurance verification specialist salary

   $28,000 yearly salary

   Updated January 18, 2026

   Average insurance verification specialist salary by state

   Rank	State	Avg. salary	Hourly rate
   1	Wisconsin	$41,878	$20
   2	Minnesota	$36,414	$18
   3	Oregon	$36,136	$17
   4	Nebraska	$35,300	$17
   5	Colorado	$34,215	$16
   6	Michigan	$32,633	$16
   7	North Carolina	$31,969	$15
   8	California	$31,466	$15
   9	Illinois	$30,902	$15
   10	Arkansas	$30,730	$15
   11	South Carolina	$30,571	$15
   12	Maryland	$30,489	$15
   13	Arizona	$30,038	$14
   14	Kansas	$29,885	$14
   15	Texas	$29,538	$14
   16	Tennessee	$29,481	$14
   17	Florida	$29,296	$14
   18	Ohio	$29,146	$14
   19	Pennsylvania	$28,947	$14
   20	Georgia	$28,514	$14

   Average insurance verification specialist salary by company

   Company

   Rank	Company	Average salary	Hourly rate	Job openings
   1	St. Luke's Cataract & Laser Institute	$42,303	$20.34
   2	Oregon Health & Science University	$38,765	$18.64	3
   3	Medstar Health	$38,269	$18.40
   4	IBM	$37,881	$18.21	5
   5	University of Pennsylvania	$36,202	$17.40
   6	Novant Health	$36,047	$17.33	5
   7	Good Shepherd Rehabilitation Network	$35,689	$17.16
   8	Legacy Health	$35,602	$17.12	3
   9	Shriners Hospitals for Children	$35,510	$17.07	4
   10	Path Medical	$35,142	$16.90
   11	Therapy Resources Management	$34,619	$16.64
   12	LifeBridge Health	$34,536	$16.60
   13	Galveston County Health District	$34,529	$16.60
   14	Boulder Community Health	$34,514	$16.59	1
   15	Alliance Physical Therapy Partners	$34,501	$16.59
   16	Valley View Hospital	$34,496	$16.58	22
   17	CHI St. Luke's Health	$34,438	$16.56
   18	Family Health Centers of South West Florida	$34,362	$16.52	2
   19	USPI	$34,359	$16.52
   20	Houston Physicians Hospital	$34,270	$16.48

4. Writing an insurance verification specialist job description

   A good insurance verification specialist job description should include a few things:

   • Summary of the role
   • List of responsibilities
   • Required skills and experience

   Including a salary range and the first name of the hiring manager is also appreciated by candidates. Here's an example of an insurance verification specialist job description:

   Insurance verification specialist job description example

   Insurance Verification Specialist
   Pay: $18-21/hr (based on experience)
   Job Type: Full-time, Permanent
   Hours: M-F 8am-5pm
   Location: Onsite - Houston, TX 77030
   
   As an Insurance Verification Specialist, you will play a key role in setting the tone for a positive patient experience by working closely with patients and ordering physicians to ensure services requiring prior authorizations and pre-certifications are obtained when required by medical insurance companies. If you are wanting to make an impact on patients' lives by joining a successful healthcare group, apply today!
   
   A Day In the Life: Verify insurance eligibility and benefits for specialty services with payers (Commercial and Government) via accessing online payer portals, calling payers, and/or faxing requests. Accurately enter or update patient demographics, insurance coverage, and effective and termination dates in system. Utilize CPT and ICD-10 codes to obtain pre-certifications and prior authorizations for medical services (surgeries, diagnostic testing, etc.) when required by insurance. Calculate patient estimates based on the service schedule, contracted plan reimbursement allowances, benefits, and out of pocket thresholds. Compassionately provide insurance breakdowns to patients in regard to financial obligations, collect patient payments, and provide counselling. Interacts professionally with physicians, patients, patient’s family and co-workers.
   Requirements: One (1) to two (2) years of relevant insurance verification experience preferred Basic understandings of medical insurance benefits Able to read and understand medical documentation effectively Knowledge and understanding of In-network vs Out of Network, PPO, HMO Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
   
   #ZR4

   Copy this example

   

5. Post your job

   There are various strategies that you can use to find the right insurance verification specialist for your business:

   • Consider promoting from within or recruiting from your existing workforce.
   • Ask for referrals from friends, family members, and current employees.
   • Attend job fairs at local colleges to find candidates who meet your education requirements.
   • Use social media platforms like LinkedIn, Facebook, and Twitter to reach potential job candidates.

   Post your job online:

   • Post your insurance verification specialist job on Zippia to find and recruit insurance verification specialist candidates who meet your exact specifications.
   • Use field-specific websites.
   • Post a job on free websites.

6. Interview candidates

   Recruiting insurance verification specialists requires you to bring your A-game to the interview process. The first interview should introduce the company and the role to the candidate as much as they present their background experience and reasons for applying for the job. During later interviews, you can go into more detail about the technical details of the job and ask behavioral questions to gauge how they'd fit into your current company culture.

   Remember to include a few questions that allow candidates to expand on their strengths in their own words. Asking about their unique skills might reveal things you'd miss otherwise. At this point, good candidates can move on to the technical interview.

   The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

7. Send a job offer and onboard your new insurance verification specialist

   Once you've found the insurance verification specialist candidate you'd like to hire, it's time to write an offer letter. This should include an explicit job offer that includes the salary and the details of any other perks. Qualified candidates might be looking at multiple positions, so your offer must be competitive if you like the candidate. Also, be prepared for a negotiation stage, as candidates may way want to tweak the details of your initial offer. Once you've settled on these details, you can draft a contract to formalize your agreement.

   You should also follow up with applicants who don't get the job with an email letting them know that you've filled the position.

   After that, you can create an onboarding schedule for a new insurance verification specialist. Human Resources and the hiring manager should complete Employee Action Forms. Human Resources should also ensure that onboarding paperwork is completed, including I-9s, benefits enrollment, federal and state tax forms, etc., and that new employee files are created.

8. Go through the hiring process checklist

   • Determine employee type (full-time, part-time, contractor, etc.)
   • Submit a job requisition form to the HR department
   • Define job responsibilities and requirements
   • Establish budget and timeline
   • Determine hiring decision makers for the role
   • Write job description
   • Post job on job boards, company website, etc.
   • Promote the job internally
   • Process applications through applicant tracking system
   • Review resumes and cover letters
   • Shortlist candidates for screening
   • Hold phone/virtual interview screening with first round of candidates
   • Conduct in-person interviews with top candidates from first round
   • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
   • Conduct background checks on top candidates
   • Check references of top candidates
   • Consult with HR and hiring decision makers on job offer specifics
   • Extend offer to top candidate(s)
   • Receive formal job offer acceptance and signed employment contract
   • Inform other candidates that the position has been filled
   • Set and communicate onboarding schedule to new hire(s)
   • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)

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How much does it cost to hire an insurance verification specialist?