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Insurance verifier vs insurance verification specialist

The differences between insurance verifiers and insurance verification specialists can be seen in a few details. Each job has different responsibilities and duties. Additionally, an insurance verifier has an average salary of $33,450, which is higher than the $33,043 average annual salary of an insurance verification specialist.

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

Insurance verifier vs insurance verification specialist overview

Insurance VerifierInsurance Verification Specialist
Yearly salary$33,450$33,043
Hourly rate$16.08$15.89
Growth rate-3%6%
Number of jobs84,02371,688
Job satisfaction--
Most common degreeAssociate Degree, 25%Associate Degree, 27%
Average age4446
Years of experience4-

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 insurance verification specialist do?

An insurance verification specialist is responsible for confirming a patient's insurance details and eligibility to receive medical care services. Insurance verification specialists review the insurance documents of the patients, including its coverage and limitations, and escalate concerns to the supervisor for immediate resolution. They process paperwork accordingly upon coordinating with the patients and attending health professionals. An insurance verification specialist must have excellent communication and organizational skills, finishing administrative tasks efficiently under minimal supervision.

Insurance verifier vs insurance verification specialist salary

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

Insurance VerifierInsurance Verification Specialist
Average salary$33,450$33,043
Salary rangeBetween $27,000 And $40,000Between $28,000 And $37,000
Highest paying City-Madison, WI
Highest paying state-New Hampshire
Best paying company-St. Luke's Cataract & Laser Institute
Best paying industry-Pharmaceutical

Differences between insurance verifier and insurance verification specialist education

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

Insurance VerifierInsurance Verification Specialist
Most common degreeAssociate Degree, 25%Associate Degree, 27%
Most common majorHealth Care AdministrationHealth Care Administration
Most common college-University of Pennsylvania

Insurance verifier vs insurance verification specialist demographics

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

Insurance VerifierInsurance Verification Specialist
Average age4446
Gender ratioMale, 10.5% Female, 89.5%Male, 11.4% Female, 88.6%
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, 9.3% Unknown, 3.6% Hispanic or Latino, 16.0% Asian, 4.9% White, 66.1% American Indian and Alaska Native, 0.1%
LGBT Percentage11%7%

Differences between insurance verifier and insurance verification 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.

Insurance verification specialist example 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.
  • Show more

Insurance verifier vs insurance verification specialist skills

Common insurance verifier skills
  • Patients, 25%
  • Insurance Verification, 9%
  • Medical Terminology, 9%
  • Customer Service, 7%
  • Data Entry, 5%
  • Insurance Eligibility, 4%
Common insurance verification specialist skills
  • Patients, 25%
  • Insurance Verification, 15%
  • Customer Service, 7%
  • Insurance Eligibility, 5%
  • Data Entry, 4%
  • Medical Terminology, 4%

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