Do you have an interest in health and medicine, have a keen eye for details, and enjoy helping people? Then a job as a Verification Representative might be an excellent career for you.
Medical Verification Representatives interact with customers — usually via incoming or outgoing phone calls — to answer their insurance-related questions, and verify and assist in authorizing their claims. They also can help in overall billing or payment processing as well as performing administrative duties.
Verification Representatives work in physician’s offices and other health care and wellness facilities.
Typical Duties and Responsibilities
- Listen and respond to patient inquiries and concerns regarding health plan benefits, account status, payment history, and medical services
- Maintain contact with health plan and medical group representatives
- Provide information about products and services
- Take orders, calculate charges, and process billing or payments
- Review or make changes to customer accounts
- Record details of customer contacts and actions taken
Education and Background
This position requires a high school diploma or the equivalent.
Skills and Proficiencies
- Understanding of medical terminology, insurance collections, and billing
- Strong written and verbal communication
- Ability to think independently
- Excellent interpersonal skills
- Ability to recognize and manage priorities
According to Payscale the median annual salary of a Verification Representative with
1 Year of Experience:
- Orlando, Florida: $40,000
- Tampa, Florida: $36,000
- Jacksonville, Florida: $49,000
- Miami, Florida: $40,000
- Atlanta, Georgia: $35,000
- Chicago, Illinois: $45,000
- Houston, Texas: $52,000
- Los Angeles, California: $45,000
- New York City, New York: $55,000
- Seattle, Washington: $47,000
- Overall: $46,000
5 Years of Experience:
- Orlando, Florida: $54,000
- Tampa, Florida: $50,000
- Jacksonville, Florida: $55,000
- Miami, Florida: $50,000
- Atlanta, Georgia: $50,000
- Chicago, Illinois: $60,000
- Houston, Texas: $61,000
- Los Angeles, California: $65,000
- New York City, New York: $60,000
- Seattle, Washington: $55,000
- Overall: $58,000
Similar Job Titles
The career path for a Verification Representative starts by obtaining a high school diploma or GED. While not always necessary to start, employers often prefer candidates that have earned certification through a professional organization like the American Medical Billing Association.
The health care industry is increasing in size year after year. More people are accessing health care services and making insurance claims for those services, which creates a growing need for Verification Representatives and people working in the health care billing field.
One reason for this is the aging population in the United States. Older people typically need more medical services than young people. As the oversized baby-boom generation ages, the demand for health care services generally increases across the board.
According to the U.S. Bureau of Labor Statistics, the job outlook for Medical Records and Health Information Specialists (which typically includes Verification Representatives) is bright, with 11 percent job growth projected through 2028.
The typical work hours for a Verification Representative are from 9 a.m. to 5 p.m. Monday through Friday in an office setting.
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