Insurance Authorization & Verification Expert

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

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