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Insurance verifier vs authorization specialist

The differences between insurance verifiers and authorization specialists can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both an insurance verifier and an authorization specialist. Additionally, an authorization specialist has an average salary of $36,518, which is higher than the $33,450 average annual salary of an insurance verifier.

The top three skills for an insurance verifier include patients, insurance verification and medical terminology. The most important skills for an authorization specialist are patients, customer service, and insurance verification.

Insurance verifier vs authorization specialist overview

Insurance VerifierAuthorization Specialist
Yearly salary$33,450$36,518
Hourly rate$16.08$17.56
Growth rate-3%-4%
Number of jobs84,02371,831
Job satisfaction--
Most common degreeAssociate Degree, 25%Bachelor's Degree, 33%
Average age4440
Years of experience44

What does an insurance verifier do?

An insurance verifier specializes in dealing with the billing process and patient claims. As the process begins, insurance verifiers look into patient insurance information and verify treatments that their policies cover. They call the insurance companies and send proper documentation to verify pre-approval for the required procedure. Eventually, the insurance verifiers work with insurance companies to bill them for the procedure. Their tasks may also include communicating with patients about benefits, coverage, and care authorization, and liaising with patients and providers to communicate their needs and current state.

What does an authorization specialist do?

An authorization specialist is responsible for reviewing insurance claims and determining the necessary settlement for the clients and involved parties. Authorization specialists file documents and gather the required information for further investigation and analysis. They coordinate with the insurance agency and the medical institution and ensure that the correct communications are being sent out for reference. An authorization specialist must have excellent communication and organizational skills, especially in writing authorization requests and resolve claims timely and efficiently.

Insurance verifier vs authorization specialist salary

Insurance verifiers and authorization specialists have different pay scales, as shown below.

Insurance VerifierAuthorization Specialist
Average salary$33,450$36,518
Salary rangeBetween $27,000 And $40,000Between $28,000 And $47,000
Highest paying City-Milford, MA
Highest paying state-Massachusetts
Best paying company-Guidehouse
Best paying industry-Health Care

Differences between insurance verifier and authorization specialist education

There are a few differences between an insurance verifier and an authorization specialist in terms of educational background:

Insurance VerifierAuthorization Specialist
Most common degreeAssociate Degree, 25%Bachelor's Degree, 33%
Most common majorHealth Care AdministrationBusiness
Most common college-University of Pennsylvania

Insurance verifier vs authorization specialist demographics

Here are the differences between insurance verifiers' and authorization specialists' demographics:

Insurance VerifierAuthorization Specialist
Average age4440
Gender ratioMale, 10.5% Female, 89.5%Male, 15.4% Female, 84.6%
Race ratioBlack or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%Black or African American, 10.8% Unknown, 5.5% Hispanic or Latino, 22.6% Asian, 6.9% White, 53.6% American Indian and Alaska Native, 0.8%
LGBT Percentage11%7%

Differences between insurance verifier and authorization specialist duties and responsibilities

Insurance verifier example responsibilities.

  • Manage database by processing renewals and endorsements.
  • Verify eligibility for members who have Medicaid and Medicare.
  • Verify and process demographic information and insurance benefits to register inpatients, outpatients, short procedures, and emergency room patients.
  • Handle a substantial amount of Allstate customers, third party carriers, and others who need assistance to file a claim.

Authorization specialist example responsibilities.

  • Demonstrate knowledge of HIPAA by appropriately managing patient confidentiality.
  • Utilize CMS and InterQual criteria to establish authorizations for members requiring medical services for a Medicare advantage insurance company.
  • Build authorization, match ICD-10 codes with there procedure codes
  • Provide patients with patient registration forms in order to follow up on patient check-in and check-out utilizing a proprietary management system.
  • Obtain verification of insurance coverage and authorizations for clinical visits and surgical procedures for patients.
  • Perform all components of the office registration including arrival, check-in and future appointments.
  • Show more

Insurance verifier vs authorization specialist skills

Common insurance verifier skills
  • Patients, 25%
  • Insurance Verification, 9%
  • Medical Terminology, 9%
  • Customer Service, 7%
  • Data Entry, 5%
  • Insurance Eligibility, 4%
Common authorization specialist skills
  • Patients, 20%
  • Customer Service, 10%
  • Insurance Verification, 6%
  • Medical Terminology, 6%
  • Insurance Eligibility, 4%
  • Veterans, 4%

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