Insurance Verification & Authorization Specialist

Actalent; Atlanta (GA); Presencial; USD 22.000 - 31.000; Tempo integral

Resumo da vaga

Actalent is seeking an Insurance Verification Coordinator for a contract-to-hire role in Atlanta, GA. You will verify insurance eligibility and benefits, prepare prior authorizations, and support patients, providers, and payors while maintaining accurate documentation.

The role emphasizes high-volume, detail-oriented insurance workflows, COB coordination, and clear communication with payors. Schedule is typical business hours with remote-friendly options in some cases.

Qualificações

• 1 year of medical billing or insurance verification experience or a bachelors degree in a related field as a substitute for experience.
• Hands-on experience obtaining insurance benefits directly from health plans and clearly communicating those benefits to patients.
• Experience submitting prior authorizations directly to payors, including gathering clinical documentation and following up as needed.

Responsabilidades

• Obtain and verify insurance eligibility and benefits for services and medications, and document complete and accurate information in the system.
• Perform prior authorizations as required by each payor, including gathering and submitting all necessary documentation by collaborating with physician offices and insurance companies.
• Collect and record relevant clinical information, such as lab values and diagnosis codes, to support coverage and authorization decisions.
• Determine each patients financial responsibility based on insurance coverage, including copays, coinsurance, and deductibles.
• Configure and maintain coordination of benefits information on every referral to ensure correct primary and secondary billing.
• Ensure assignments of benefits are obtained and on file for Medicare claims, in alignment with payor requirements.

Conhecimentos

Insurance verification

Prior authorization

Medical billing

Data entry

Customer service

Communication

Attention to detail

Problem resolution

Formação

High school diploma

Bachelor's degree preferred

Descrição da vaga

Actalent is seeking an Insurance Verification Coordinator for a contract-to-hire role in Atlanta, GA. You will verify insurance eligibility and benefits, prepare prior authorizations, and support patients, providers, and payors while maintaining accurate documentation.

The role emphasizes high-volume, detail-oriented insurance workflows, COB coordination, and clear communication with payors. Schedule is typical business hours with remote-friendly options in some cases.