Physician specialist vs insurance verification specialist

The differences between physician specialists and insurance verification specialists can be seen in a few details. Each job has different responsibilities and duties. Additionally, a physician specialist has an average salary of $210,219, which is higher than the $33,043 average annual salary of an insurance verification specialist.

The top three skills for a physician specialist include patients, patient care and surgery. The most important skills for an insurance verification specialist are patients, insurance verification, and customer service.

Physician specialist vs insurance verification specialist overview

	Physician Specialist	Insurance Verification Specialist
Yearly salary	$210,219	$33,043
Hourly rate	$101.07	$15.89
Growth rate	-8%	6%
Number of jobs	63,020	71,688
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 42%	Associate Degree, 27%
Average age	49	46
Years of experience	2	-

What does a physician specialist do?

A Physician Specialist is a doctor who specializes in a particular field of medicine, such as pediatrics, urology, psychiatry, and more. Their responsibilities revolve around studying the patients' medical history, conducting assessments and evaluations, developing care and treatment plans, prescribing medication, and helping patients understand their conditions and symptoms. In some cases, a Physician Specialist may recommend patients to undergo surgeries and other procedures. Moreover, aside from treating and diagnosing medical conditions, a Physician Specialist maintains an active communication line with nurses and technicians for a smooth and efficient workflow.

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.

Physician specialist vs insurance verification specialist salary

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

	Physician Specialist	Insurance Verification Specialist
Average salary	$210,219	$33,043
Salary range	Between $111,000 And $396,000	Between $28,000 And $37,000
Highest paying City	Bradenton, FL	Madison, WI
Highest paying state	Delaware	New Hampshire
Best paying company	Saint Luke's Health System	St. Luke's Cataract & Laser Institute
Best paying industry	Health Care	Pharmaceutical

Differences between physician specialist and insurance verification specialist education

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

	Physician Specialist	Insurance Verification Specialist
Most common degree	Bachelor's Degree, 42%	Associate Degree, 27%
Most common major	Business	Health Care Administration
Most common college	-	University of Pennsylvania

Physician specialist vs insurance verification specialist demographics

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

	Physician Specialist	Insurance Verification Specialist
Average age	49	46
Gender ratio	Male, 25.0% Female, 75.0%	Male, 11.4% Female, 88.6%
Race ratio	Black or African American, 9.6% Unknown, 3.8% Hispanic or Latino, 12.0% Asian, 3.8% White, 70.6% American Indian and Alaska Native, 0.4%	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 Percentage	9%	7%

Differences between physician specialist and insurance verification specialist duties and responsibilities

Physician specialist example responsibilities.

Manage providers' office and call schedules, outlook calendars and assist with surgery scheduling.
Generate referral letters for physicians, manage and sort medical documents within the EHR system, and assist with e-prescribing.
Review complete ultrasound and non-stress testing reports and assign appropriate ICD-10 and CPT codes.
Train in AllScripts EMR system.
Retrieve medical records from EMR and save to flash drive.
File written letters of appeal on claims deny by the Medicaid.

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.

Physician specialist vs insurance verification specialist skills

Common physician specialist skills

Patients, 39%
Patient Care, 23%
Surgery, 18%
Internal Medicine, 3%
Excellent Interpersonal, 2%
Patient Registration, 2%

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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Physician Specialist
Physician Specialist vs Insurance Verification Specialist

Updated January 8, 2025

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