Post job

Verification specialist vs insurance verification specialist

The differences between verification specialists and insurance verification specialists can be seen in a few details. Each job has different responsibilities and duties. Additionally, an insurance verification specialist has an average salary of $33,043, which is higher than the $31,564 average annual salary of a verification specialist.

The top three skills for a verification specialist include customer service, patients and data entry. The most important skills for an insurance verification specialist are patients, insurance verification, and customer service.

Verification specialist vs insurance verification specialist overview

Verification SpecialistInsurance Verification Specialist
Yearly salary$31,564$33,043
Hourly rate$15.18$15.89
Growth rate7%6%
Number of jobs26,34871,688
Job satisfaction5-
Most common degreeBachelor's Degree, 37%Associate Degree, 27%
Average age4546
Years of experience6-

What does a verification specialist do?

The verification specialist's primary role is to make and take calls to employers for the purpose of verifying information stated by an applicant on his/her /her job application. They manage calls inbound/outbound for education, employment, reference, and licensing verification purposes. They also maintain and keep records of all calls handled to ensure all verifications made are followed upon on time. They communicate effectively and proficiently to all parties involved in attaining verification information. Moreover, they do monthly review to quality check all data gathered for verifications.

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.

Verification specialist vs insurance verification specialist salary

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

Verification SpecialistInsurance Verification Specialist
Average salary$31,564$33,043
Salary rangeBetween $24,000 And $41,000Between $28,000 And $37,000
Highest paying CitySan Jose, CAMadison, WI
Highest paying stateCaliforniaNew Hampshire
Best paying companyJacobs Engineering GroupSt. Luke's Cataract & Laser Institute
Best paying industryInsurancePharmaceutical

Differences between verification specialist and insurance verification specialist education

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

Verification SpecialistInsurance Verification Specialist
Most common degreeBachelor's Degree, 37%Associate Degree, 27%
Most common majorBusinessHealth Care Administration
Most common collegeUniversity of PennsylvaniaUniversity of Pennsylvania

Verification specialist vs insurance verification specialist demographics

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

Verification SpecialistInsurance Verification Specialist
Average age4546
Gender ratioMale, 23.9% Female, 76.1%Male, 11.4% Female, 88.6%
Race ratioBlack or African American, 11.2% Unknown, 3.7% Hispanic or Latino, 15.2% Asian, 7.3% White, 62.3% 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 Percentage9%7%

Differences between verification specialist and insurance verification specialist duties and responsibilities

Verification specialist example responsibilities.

  • Manage the TRICARE information program by presenting information utilizing available media, group presentations, or mailings.
  • Maintain confidentiality of all patient medical information adhering to HIPPA regulations and Medicare / Medicaid policies.
  • Verify primary insurance eligibility by phone with agents or online regarding Medicaid recipients and to determine payment responsibilities to providers.
  • Verify medical coverage and benefits to providers and members, review certain ICD9 and CPT codes.
  • Verify patient effective date of insurance, including CPT and diagnosis codes and general policy information.
  • Receive extensive training on insurance plans and types, HIPAA compliance, PatientPlus programming and other workplace relate topics.
  • Show more

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

Verification specialist vs insurance verification specialist skills

Common verification specialist skills
  • Customer Service, 23%
  • Patients, 18%
  • Data Entry, 13%
  • Insurance Verification, 4%
  • Medicaid, 4%
  • Verification Process, 3%
Common insurance verification specialist skills
  • Patients, 25%
  • Insurance Verification, 15%
  • Customer Service, 7%
  • Insurance Eligibility, 5%
  • Data Entry, 4%
  • Medical Terminology, 4%

Browse business and financial jobs