Insurance Authorization Specialist- Radiology

OrthoAtlanta, LLC; Atlanta (GA); On-site; USD 30,000 - 44,000; Full time

Job summary

OrthoAtlanta, LLC is seeking an Insurance Authorization Specialist for Radiology to manage insurance verifications, authorizations, and related documentation. The role requires collaboration with physicians and front desk staff to ensure timely approvals and accurate patient billing.

The ideal candidate has extensive healthcare insurance knowledge, EMR experience (Epic preferred), and the ability to multitask in a fast-paced outpatient setting.

Qualifications

• High School Diploma or equivalent.
• 5+ years of experience in a healthcare setting, preferably with insurance authorization.
• Strong knowledge of medical insurance plans, authorizations, and medical terminology.
• Experience with EMR systems (Epic preferred).
• Ability to multitask and maintain accuracy in a fast-paced environment.
• Excellent communication, critical thinking, and organizational skills.
• Ability to work independently and collaboratively across departments.

Responsibilities

• Contact insurance companies to verify pre-certification and pre-authorization requirements for MRI procedures.
• Enter insurance and referral details into the EMR with accuracy.
• Obtain cost estimates and communicate patient financial responsibility prior to procedures.
• Work with physicians and clinical staff to obtain documentation to support authorizations.
• Prevent insurance denials and maximize reimbursement by applying critical thinking.
• Prioritize and manage incoming referrals and scheduling requests.
• Serve as a resource for staff on insurance plans, authorizations, and procedural codes.
• Provide coverage at clinic front desks as needed (on-site coverage may be sporadic).
• Communicate clearly and compassionately with patients and staff.
• Understand insurance verification and referral coordination complexity.
• Be highly organized, deadline-driven, and self-motivated.

Skills

Insurance knowledge

Communication

Organization

Attention to detail

Education

High School Diploma

Tools

Epic EMR

Job description

Insurance Authorization Specialist- Radiology

About OrthoAtlanta

Become part of OrthoAtlanta, the largest independent physician-owned orthopedic and sports medicine practice in Georgia and contribute to our mission of providing comprehensive orthopedic care. At OrthoAtlanta, you'll be an integral member of a dedicated team of Healthcare Professionals committed to enhancing our patients' quality of life. We offer diverse career paths for talented individuals seeking professional growth and development within a supportive and rewarding work environment where your contributions will make a significant impact.

What You'll Do

As an Insurance Authorization Specialist at OrthoAtlanta, you'll play a key role in ensuring accurate and timely insurance processing for our patients. You will:

• Contact insurance companies to verify pre-certification, pre-authorization, and medical necessity requirements for MRI procedures
• Enter insurance and referral details into the EMR with accuracy
• Obtain cost estimates and communicate patient financial responsibility prior to procedures
• Work closely with physicians and clinical staff to obtain necessary documentation to support authorizations
• Apply critical thinking to prevent insurance denials and maximize reimbursement
• Prioritize and manage incoming referrals and scheduling requests
• Act as a key resource for staff on insurance plans, authorizations, and procedural codes
• Provide coverage at clinic front desks as needed (on-site coverage may be sporadic and unplanned)
• Excel in a detail-oriented role and enjoy solving administrative challenges
• Communicate clearly and compassionately with both patients and staff
• Understand the complexity of insurance verification and referral coordination
• Are highly organized, deadline-driven, and self-motivated
• Thrive in a dynamic, team-based medical office environment

What You’ll Need

• High School Diploma or equivalent
• 5+ years of experience in a healthcare setting, preferably with insurance authorization experience
• Strong knowledge of medical insurance plans, authorizations, and medical terminology
• Experience with EMR systems (Epic preferred)
• Ability to multitask and maintain accuracy in a fast-paced environment
• Excellent communication, critical thinking, and organizational skills
• Ability to work independently and collaboratively across departments

Why OrthoAtlanta?

• Be part of a respected and growing healthcare organization
• Collaborate with a supportive and experienced team
• Make a meaningful impact on patient care and access
• Enjoy opportunities for professional growth and development