Insurance Verification Specialist Jobs
Insurance Verification Specialist jobs are open across hospitals, physician groups, dental practices, and third-party billing companies, from entry-level to senior and lead roles, with specializations in prior authorization, benefits eligibility, and medical billing. See the openings below and apply to the ones that match your experience.
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Showing 5 of 162+ Insurance Verification Specialist jobs
Position Summary:
Reporting to the RCM Manager, this position will be responsible for the insurance verification of all patient appointments. This includes multiple specialties and the ability to triage complex cases and escalate requests in a timely manner. In addition, this role will also need to have extensive knowledge of benefit eligibility and coverage through multiple payers including Medicare and Medicaid, the ability to navigate multiple payer portals and websites, and a strong foundational knowledge of revenue cycle management. This position also requires integral communication with patients, insurance companies, department administrators, physicians, and other departmental staff to ensure the ideal patient experience across the health system. Supports the success of a high-performing shared services organization by helping to champion and drive the long-term Health System Shared Services vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized.
Responsibilities:
- Ensure all scheduled patients are financially cleared with health plans prior to the date of service to protect the financial well-being of the organization.
- Complete insurance verifications for all add-on and walk-in appointments across multiple specialties.
- Exception based, accurately calculates patient responsibility or patient liability estimate using appropriate tools and communicates financial responsibility to patient/guarantor based on insurance benefits as appropriate.
- Attempts to collect patient responsibility prior to the date of service when applicable.
- Obtains and/or verifies demographic, clinical, financial, and insurance information in the process of financially clearing patients for service delivery, including the entry of patient/guarantor information in the patient registration/accounting systems
- Performs activities that relate to financial clearance for multiple patient types (e.g., Inpatient Admissions, Diagnostic Outpatients, Ambulatory Surgery, Series accounts) communicate as needed with patients/ guarantors, and physicians/office staff in the deployment of key activities.
- Maintains knowledge of applicable Federal, State, and local laws and regulations, Standards of Conduct, as well as Health System policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
- Determines if the scheduled service (visit, procedure, admission) requires referral/authorization based on payer requirements
- Verifies if patient does not have authorization or a responsible payer within three business days prior to the date of service and follows.
- Reviews scheduled service (visit, procedure, admission) for benefit carveouts or benefit limitations.
- Clear and timely documentation of insurance verification activities and outcomes in multiple EHR and Practice Mgmt Systems.
- Respond to all inquiries from patients, physicians or departmental customers (both internal and external) within 1 business day of initial request.
- Obtain accurate insurance benefits for elective, urgent & emergent admissions and outpatient services if not completed prior to service or at time of service.
Education:
Associates degree preferred. Work experience may substitute degree (i.e., 2 years of experience for 1 year of education)
Knowledge:
· Advanced knowledge of medical and insurance terminology
· Advanced Knowledge and demonstrated proficiency in medical insurance plans, billing and regulations, and manage care plans.
· Strong ability to multi-task and work under pressure to meet deadlines.
· Medical insurance collections experience in a healthcare setting.
· Working knowledge of applicable Federal, State, and local laws and regulations desired
· Working knowledge of CPT and ICD-10 codes as they relate to financial clearance
· Able to obtain payer specific details, as necessary, to ensure accurate coordination of benefits.
· Experience working with multiple payer websites and portals.
Work Experience:
· Minimum 2-3 years of experience in healthcare revenue cycle, medical office, hospital, patient access or related experience
· Experience in behavioral health billing and/or collections preferred.
Banyan Health Systems provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Benefits:
✅ 100% Paid Health Insurance (Employee Base Plan)
✅ 100% Employer-Paid Basic Life Insurance
✅ Dental, Vision, Short-Term Disability (STD), Long-Term Disability (LTD), Secondary Health Insurance, and Other Voluntary Benefit Plans
✅ 403(b) Retirement Plan with Employer Matching
✅ Paid Time Off (PTO)
✅ Paid Holidays
✅ Tuition Reimbursement
✅ Student Loan Forgiveness Opportunities
✅ Employee Referral Bonus Program
✅ Potential HRSA Student Loan Repayment for eligible licensed positions*
✅ Opportunities for Career Growth and Professional Development
*Certain licensed positions working in qualifying outpatient settings may be eligible for the HRSA National Health Service Corps Loan Repayment Program. Eligibility is subject to HRSA requirements and position responsibilities and will be confirmed during the hiring process.
Banyan Health is an Equal Opportunity Employer committed to providing equal employment opportunities to all qualified applicants and employees. We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local laws.
Job Type: Full-time
Pay: $22.00 - $24.00 per hour
Work Location: Hybrid remote in Doral, FL 33126
Position Summary:
Reporting to the RCM Manager, this position will be responsible for the insurance verification of all patient appointments. This includes multiple specialties and the ability to triage complex cases and escalate requests in a timely manner. In addition, this role will also need to have extensive knowledge of benefit eligibility and coverage through multiple payers including Medicare and Medicaid, the ability to navigate multiple payer portals and websites, and a strong foundational knowledge of revenue cycle management. This position also requires integral communication with patients, insurance companies, department administrators, physicians, and other departmental staff to ensure the ideal patient experience across the health system. Supports the success of a high-performing shared services organization by helping to champion and drive the long-term Health System Shared Services vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized.
Responsibilities:
- Ensure all scheduled patients are financially cleared with health plans prior to the date of service to protect the financial well-being of the organization.
- Complete insurance verifications for all add-on and walk-in appointments across multiple specialties.
- Exception based, accurately calculates patient responsibility or patient liability estimate using appropriate tools and communicates financial responsibility to patient/guarantor based on insurance benefits as appropriate.
- Attempts to collect patient responsibility prior to the date of service when applicable.
- Obtains and/or verifies demographic, clinical, financial, and insurance information in the process of financially clearing patients for service delivery, including the entry of patient/guarantor information in the patient registration/accounting systems
- Performs activities that relate to financial clearance for multiple patient types (e.g., Inpatient Admissions, Diagnostic Outpatients, Ambulatory Surgery, Series accounts) communicate as needed with patients/ guarantors, and physicians/office staff in the deployment of key activities.
- Maintains knowledge of applicable Federal, State, and local laws and regulations, Standards of Conduct, as well as Health System policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
- Determines if the scheduled service (visit, procedure, admission) requires referral/authorization based on payer requirements
- Verifies if patient does not have authorization or a responsible payer within three business days prior to the date of service and follows.
- Reviews scheduled service (visit, procedure, admission) for benefit carveouts or benefit limitations.
- Clear and timely documentation of insurance verification activities and outcomes in multiple EHR and Practice Mgmt Systems.
- Respond to all inquiries from patients, physicians or departmental customers (both internal and external) within 1 business day of initial request.
- Obtain accurate insurance benefits for elective, urgent & emergent admissions and outpatient services if not completed prior to service or at time of service.
Education:
Associates degree preferred. Work experience may substitute degree (i.e., 2 years of experience for 1 year of education)
Knowledge:
· Advanced knowledge of medical and insurance terminology
· Advanced Knowledge and demonstrated proficiency in medical insurance plans, billing and regulations, and manage care plans.
· Strong ability to multi-task and work under pressure to meet deadlines.
· Medical insurance collections experience in a healthcare setting.
· Working knowledge of applicable Federal, State, and local laws and regulations desired
· Working knowledge of CPT and ICD-10 codes as they relate to financial clearance
· Able to obtain payer specific details, as necessary, to ensure accurate coordination of benefits.
· Experience working with multiple payer websites and portals.
Work Experience:
· Minimum 2-3 years of experience in healthcare revenue cycle, medical office, hospital, patient access or related experience
· Experience in behavioral health billing and/or collections preferred.
Banyan Health Systems provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Benefits:
✅ 100% Paid Health Insurance (Employee Base Plan)
✅ 100% Employer-Paid Basic Life Insurance
✅ Dental, Vision, Short-Term Disability (STD), Long-Term Disability (LTD), Secondary Health Insurance, and Other Voluntary Benefit Plans
✅ 403(b) Retirement Plan with Employer Matching
✅ Paid Time Off (PTO)
✅ Paid Holidays
✅ Tuition Reimbursement
✅ Student Loan Forgiveness Opportunities
✅ Employee Referral Bonus Program
✅ Potential HRSA Student Loan Repayment for eligible licensed positions*
✅ Opportunities for Career Growth and Professional Development
*Certain licensed positions working in qualifying outpatient settings may be eligible for the HRSA National Health Service Corps Loan Repayment Program. Eligibility is subject to HRSA requirements and position responsibilities and will be confirmed during the hiring process.
Banyan Health is an Equal Opportunity Employer committed to providing equal employment opportunities to all qualified applicants and employees. We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local laws.
Job Type: Full-time
Pay: $22.00 - $24.00 per hour
Work Location: Hybrid remote in Doral, FL 33126
See All 162+ Insurance Verification Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
Find JobsInsurance Verification Specialist Job Market
Who's Hiring
Top Industries Hiring
- Education
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in insurance verification specialist jobs.
- One to two years of experience in insurance verification or medical billing
- Working knowledge of ICD-10 and CPT coding conventions
- Experience with electronic health record systems such as Epic or Cerner
- Familiarity with Medicare, Medicaid, and commercial insurance payer portals
- Strong data entry accuracy and attention to detail in high-volume environments
- High school diploma or equivalent required, associate degree in health administration preferred
Tips for Your Insurance Verification Specialist Job Search
Tailor your resume for payer knowledge
List the specific insurance payers you've worked with, such as commercial carriers, Medicaid, or Medicare. Hiring managers scan for payer familiarity first, so naming them directly in your experience bullets puts you ahead of generic applicants.
Highlight your authorization denial rate
If you've tracked your prior authorization approval or denial resolution rates, include those outcomes in your resume. Concrete results tied to eligibility accuracy or denial reduction show employers you understand the revenue cycle impact of this role.
Apply early to roles that fit
Migrate Mate lists insurance verification specialist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Filter openings by practice specialty
Verification workflows differ significantly between orthopedics, behavioral health, oncology, and primary care. When searching for openings, target postings that match the specialty you know, since payer contracts and authorization requirements vary enough to matter in interviews.
Prepare for scenario-based interview questions
Interviewers often walk through a denial or eligibility discrepancy scenario and ask how you'd resolve it. Practice explaining your step-by-step process for contacting payers, documenting findings, and escalating when a claim is at risk.
Negotiate based on payer mix complexity
Roles handling multiple payers, out-of-network cases, or high-volume prior authorizations carry more complexity than single-payer positions. When discussing compensation, reference the breadth of your payer experience as a reason for a higher offer.
Insurance Verification Specialist Jobs: Frequently Asked Questions
Which companies are hiring the most insurance verification specialists?
The companies hiring the most insurance verification specialists right now include SCA Health, Baptist Hospitals of Southeast Texas, and United Surgical Partners, with the largest share of openings in Texas, Florida, and California, based on current listings on Migrate Mate as of November 2026. Health systems, large physician groups, and revenue cycle management firms consistently post the highest volume of openings.
How many insurance verification specialist jobs are remote?
About 19% of insurance verification specialist openings are fully remote or hybrid as of November 2026, reflecting the role's reliance on web-based payer portals and electronic health records rather than in-person tasks. Prior authorization and benefits eligibility functions tend to have the highest concentration of remote-eligible positions.
How do you become an insurance verification specialist?
Start by gaining a foundational understanding of medical terminology, ICD-10 and CPT coding, and how health insurance coverage works. Many candidates enter through medical billing or front-desk roles, then move into verification. Earning a certification in medical billing and coding strengthens your resume, and hands-on experience with payer portals and electronic health records is what most employers look for before hiring.
Can you get hired as an insurance verification specialist with little or no experience?
Yes, some employers hire candidates with no direct verification experience if they have customer service, data entry, or front-desk medical office backgrounds. Focusing on entry-level or trainee postings, demonstrating familiarity with health insurance terminology, and completing a short medical billing certificate course can all help you compete against more experienced applicants.
What does the insurance verification specialist interview process look like?
Most interviews start with a phone screen covering your familiarity with insurance payers and EHR systems, followed by an in-person or video interview with the billing or revenue cycle manager. Expect scenario questions about resolving eligibility discrepancies or handling a denied prior authorization. Some employers include a short skills assessment testing data entry accuracy or payer portal navigation.
Where can I find and apply to insurance verification specialist jobs?
You can find and apply to insurance verification specialist jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your payer experience and specialty background, then apply directly to each one that fits.
See All 162+ Insurance Verification Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
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