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Insurance Verification Specialist Job Description

What does an Insurance Verification Specialist do?

An Insurance Verification Specialist works in healthcare administration, responsible for verifying and processing patients’ insurance information and claims. They ensure that the patient’s insurance is valid and up-to-date, and that it covers the healthcare services required. They also liaise with insurance companies, patients, and healthcare providers to resolve any discrepancies and ensure claims are processed efficiently and accurately. They may also interact with patients to explain their insurance policies and answer related queries. An Insurance Verification Specialist plays a vital role in ensuring that patients receive the necessary insurance coverage for their healthcare expenses, thus contributing to a smooth healthcare experience.

Our Insurance Verification Specialist job description includes the Insurance Verification Specialist responsibilities, duties, skills, education, qualifications, and experience.

Insurance Verification Specialist Example


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If you need an example job description for an Insurance Verification Specialist download the one below, alternatively we have many other Banking and Insurance job description samples and a job description library with over 3000 job descriptions templates that you can download for free.

What does an Insurance Verification Specialist do?

The Insurance Verification Specialist is responsible for ensuring that all insurance coverage and authorizations are verified in a timely manner. The Insurance Verification Specialist will work closely with insurance companies, physicians, and other healthcare providers to ensure accurate and efficient verification of insurance. The Specialist must possess strong customer service skills, be able to multitask, and have a knowledge of medical terminology and coding. The Insurance Verification Specialist must be able to enter and review data quickly and accurately, and be able to communicate effectively with all stakeholders. The successful candidate will have a minimum of two years experience in insurance verification in a medical setting.

Insurance Verification Specialist Role Purpose

The purpose of an Insurance Verification Specialist is to verify the eligibility and coverage of insurance plans, ensuring that individuals and businesses are able to access the insurance coverage that they are entitled to. This role involves verifying the accuracy of insurance policy information, checking for discrepancies and updating the relevant databases, and managing the receipt and processing of claims and other documents. The Insurance Verification Specialist must also be able to provide customer service and support to all stakeholders, including clients, insurers and brokers, to ensure that the insurance coverage is appropriate and that all parties are aware of their responsibilities.

Insurance Verification Specialist Role

A Insurance Verification Specialist is responsible for verifying the insurance coverage of healthcare patients, ensuring that all required information is accurate and up to date. They review patient insurance policies, contact insurance companies to obtain authorization for services, communicate with healthcare providers and patients to obtain accurate information and update records. They also ensure that the necessary paperwork is completed and submitted properly.

Insurance Verification Specialist Duties

  • Verify insurance information of customers
  • Provide customer service to resolve insurance inquiries
  • Update customer information in databases
  • Process and review customer documents
  • Assist customers in completing required documents
  • Investigate and resolve customer complaints

Insurance Verification Specialist Requirements

  • Proficiency in medical insurance terminology
  • Excellent communication, customer service and problem-solving skills
  • High level of accuracy and attention to detail
  • Ability to work in a fast-paced environment
  • Computer literacy
  • Knowledge of CPT, HCPCS and ICD-10 codes

Insurance Verification Specialist Skills

  • Excellent communication skills
  • Attention to detail
  • Strong organizational skills
  • Ability to work independently

Insurance Verification Specialist Personal Traits

  • Excellent communication skills
  • Strong attention to detail
  • Analytical approach to problem solving
  • Organizational and time management skills
  • Ability to prioritize tasks

How to write an Insurance Verification Specialist Job Advert

Use our job advert template to write a job advert for posting on job sites and job boards. Our job advertising templates are carefully created to help you reach your audience and beat the competition to the best talent.

A job description informs the reader about a job, whereas a job advert’s main objective is to sell the job opportunity to attract as many suitable applicants possible. A job advert maybe the first touch-point a candidate has with your company so it is important to create a great impression.

Job Advertisements should enticing, so considering using short, exciting language which get the reader’s attention.

How to write an Insurance Verification Specialist Job Description

To write a job description, we recommend starting with a job description template from our job description library, which contains examples for 800+ positions and professions. Our job description examples include a job summary with duties and responsibilities and skills and requirements, which can be personalised for your job vacancy.

Job Description Advice - Guidance on How to Personalise an Insurance Verification Specialist Job Specification

The hiring process and recruiting new employees to fill your key roles requires a degree of personalisation if you are to attract the best employees in a competitive employment market. The right person for a crucial role or more senior roles will likely have other employers targeting them. As your job description will be the first point of contact, you need to nail your pitch and provide the best possible service.

Job Description Tips - Help on formatting an Insurance Verification Specialist Job Specification

When creating your bespoke description and advert, you should cover and promote these points:

Job title: This should accurately reflect the role and include keywords that top talent might be using to search for jobs.

Job duties: The day to day duties, such as administrative tasks, which vary depending on the company and inform the candidate if they can complete the role.

Technical skills: These are the hard skills required through training, such as proficiency with Microsoft Office.

Soft skills: These include the interpersonal skills and general abilities the right candidates will possess. For example, the competency to prioritise multiple tasks, handle customer queries and customer complaints, work alone, or build a good relationship with coworkers.

The company's culture: Highlighting your company culture and values ensures employees thrive and find outstanding job satisfaction. Candidates that are not the right fit won’t waste their time completing the application process, meaning you can focus on qualified individuals and hire in a more timely manner.

Career progression: Including the career path will entice candidates looking for career growth. 

Training and development programs: Smaller companies may need employees with previous experience or provide educational assistance over internal training offered by larger organisations with more significant resources. 

Employee benefits: Compensation and benefits often fail to appear in job ads and while you may want to hold your cards close to your chest, failing to include them is a mistake. Consider answering common questions, such as working hours and paid leave. Researching the average salary for the role in these early stages will ensure you don’t waste your interviewer’s and the candidate’s time.

Skill gaps: Your company may need to bring in new skills beyond those required to complete the key role and duties. Thinking on an organisational level can be beneficial when contemplating skills diversity.

Legal requirements: Ensure your job advert and description does not ask for inappropriate or discriminatory personal details, such as age, marital status, or religion.

How to Hire an Insurance Verification Specialist

Once you have selected your Job Description download it or convert it to a Job Advert. From here you can post/advertise your job across our network of job boards. If you wish to use the job description for a CV Template click through for advice and Convert to a CV

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