Insurance Verification

Prestige Staffing; Atlanta (GA); Vor Ort; USD 27.552 - 33.062; Vollzeit

Zusammenfassung

Prestige Staffing is seeking an Insurance Verification Specialist in Atlanta, GA. This role involves verifying insurance coverage and authorization requirements for both physician and hospital services. Candidates must have at least 2 years of hands-on experience with insurance verification, strong Epic proficiency, and excellent communication skills. The position requires attention to detail, the ability to manage multiple verifications, and familiarity with various payer types.

Qualifikationen

• 2+ years of insurance verification experience in a healthcare setting.
• Ability to manage multiple verifications in a fast-paced environment.
• Demonstrated experience verifying for physician and hospital services.

Aufgaben

• Verify patient insurance eligibility, benefits, and coverage details.
• Use Epic to review patient accounts and document verification outcomes.
• Communicate with insurance carriers, patients, and provider offices.

Kenntnisse

Epic proficiency

Insurance verification

Attention to detail

Communication skills

Knowledge of payer types

Jobbeschreibung

Pay: $20-24/hr

Location: Atlanta, GA or Conyers, GA (Onsite)

Position Summary

The Insurance Verification Specialist is responsible for confirming and documenting insurance coverage and authorization requirements for both physician (professional) and hospital (facility) services. This role requires strong Epic proficiency and at least 2 years of hands‑on insurance verification experience, ensuring accurate benefit validation, eligibility checks, and timely communication with payers, patients, and internal clinical/revenue cycle teams.

Key Responsibilities

• Verify patient insurance eligibility, benefits, and coverage details for physician and hospital/facility services (e.g., outpatient, inpatient, procedures, imaging, dialysis/infusion where applicable).
• Use Epic to review patient accounts, update insurance information, and document verification outcomes and required follow‑ups.
• Confirm key benefit details, including (as applicable):
  • Effective dates, plan type, and network status (in/out of network)
  • Deductibles, copays, coinsurance, out‑of‑pocket maximums
  • Referral requirements and PCP designation rules
  • Coverage limitations, exclusions, and medical necessity rules
• Identify when prior authorizations / pre‑certifications are required and coordinate next steps with internal teams and/or payer portals.
• Communicate professionally with:
  • Insurance carriers (commercial, Medicare, Medicaid, managed care)
  • Patients and families regarding coverage, financial responsibility, and next steps
  • Provider offices, hospital departments, and scheduling teams to prevent delays in care
• Ensure all verification data is complete, accurate, and entered timely to support clean billing and reduce denials.
• Support denial prevention by proactively resolving coverage discrepancies before services are rendered.

Required Qualifications

• 2+ years of insurance verification experience (healthcare setting required).
• Demonstrated experience verifying for both physician/professional and hospital/facility services.
• Epic experience required (eligibility/coverage review and documentation).
• Strong knowledge of payer types and plan structures: HMO/PPO, Medicare, Medicaid, and commercial plans.
• Ability to interpret insurance responses and explain benefits/financial responsibility clearly.
• Strong attention to detail, follow‑through, and ability to manage multiple verifications in a fast‑paced environment.

Preferred Qualifications

• Experience in a specialty practice environment (e.g., nephrology/dialysis) and/or working closely with hospital-based services.
• Familiarity with payer portals and electronic verification tools.
• Prior authorization / pre‑cert experience.