Insurance Verifier Salary
Insurance Verifiers in the United States are largely women. The group as a whole has a nationwide average of $14.55 per hour for pay. Experience level and the particular city each impact pay for this group, with the former having the largest influence. Although a fair number have medical coverage and the greater part have dental coverage, just over one in five claim no health benefits at all. Job satisfaction is reported as high by the vast majority of workers. Figures cited in this summary are based on replies to PayScale's salary questionnaire.
Job Description for Insurance Verifier
The insurance industry is arguably as important to the modern health care system as the actual health care provider complex, and both consist of many different people doing many different jobs to make it function. An insurance verifier is an employee of a hospital or practice who specializes in dealing with patient claims and the billing process as it relates to claims.Read More...
The insurance verification process begins with the visit, as the insurance verifier will go over patient insurance information and verify in advance the procedures/treatments that their policies will cover. They then call insurance companies and send the proper documentation to verify pre-approvals for procedures which require them. Afterwards, the insurance verifier will work with the insurance company to bill them for procedures and negotiate any billing disputes.
Due to the importance of accuracy in medical insurance documentation, insurance verifiers must have strong attention to detail and the ability to work at a fast pace. Strong communications skills are important to facilitate patient interactions and communications with insurance company representatives. An insurance verifier may need no more than a high school diploma or equivalent, though some employers seek applicants with at least some post-secondary medical education. Working knowledge of medical coding is also a plus, as are familiarity with computer systems and high typing speed.
Insurance Verifier Tasks
- Monitor and verify insurance information for individual patients and procedures.
- Communicate with patients about co-pays, benefits, coverage, and care authorization.
- Enter data, create reports and validate individual and cross-patient information.
- Liaise with patient, insurer, and provider to communicate needs and current state.
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Pay by Experience Level for Insurance Verifier
Median of all compensation (including tips, bonus, and overtime) by years of experience.
For many Insurance Verifiers, extensive experience does not lead to significantly more money. Someone who has worked for fewer than five years earns around $29K on average. Individuals with five to 10 years of experience don't get much more, though; the average income in this group is $31K. Insurance Verifiers who work for 10 to 20 years in their occupation tend to earn about $33K. As Insurance Verifiers reach more than two decades on the job, compensation remains commensurate with experience; the average pay in this group is $38K.
Pay Difference by Location
With a pay rate for Insurance Verifiers that is 13 percent greater than the national average, Houston offers a comfortable salary for those in this profession. Insurance Verifiers will also find cushy salaries in Atlanta (+11 percent), Miami (+2 percent), Chicago (+2 percent), and Los Angeles (+2 percent). Dallas is home to the smallest salaries in the field, lagging the national average by 5 percent.
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