Insurance Authorization Specialist- Radiology

OrthoAtlanta; Atlanta (GA); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Professional growth opportunities

Collaborative team environment

Job summary

OrthoAtlanta is seeking a dedicated Insurance Authorization Specialist to join its Georgia-based orthopedic team. You will verify pre-certifications and authorizations, enter data into Epic EMR, and communicate patient financial responsibilities.

This role supports physicians and staff in obtaining necessary documentation to secure authorizations and maximize reimbursements. The ideal candidate has 5+ years in a healthcare setting with insurance authorization experience, strong insurance

Qualifications

• 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.

Responsibilities

• Verify pre-certification, pre-authorization, and medical necessity requirements for MRI procedures with insurance companies.
• Enter insurance and referral details into the EMR accurately.
• Obtain cost estimates and communicate patient financial responsibility prior to procedures.
• Collaborate with physicians and clinical staff to gather documentation to support authorizations.
• Prevent insurance denials and maximize reimbursement through critical thinking.
• Prioritize and manage referrals and scheduling requests.
• Serve as a resource for staff on insurance plans, authorizations, and codes.
• Provide on-site front-desk coverage as needed.

Skills

Insurance verification

EMR systems (Epic)

Communication skills

Multitasking

Education

High School Diploma or equivalent

Tools

Epic EMR

Job description

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.

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

• 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)

A Great Fit If You...

• 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

Are you ready to bring your expertise to a team committed to excellence in Orthopedics? Apply today and join a team that puts patients first!