Insurance Verification & Authorization Specialist

North Knoxville Medical Center; Powell (TN); On-site; USD 22,000 - 30,000; Full time

Job summary

The North Knoxville Medical Center is seeking an Insurance Verification Representative to verify coverage for scheduled procedures, review benefits, and secure necessary authorizations to support timely reimbursement. You will collaborate with clinical and administrative teams to maintain accurate patient records and smooth billing.

This onsite role emphasizes attention to detail, strong communication with patients and insurers, and proficiency with billing or EMR systems to ensure seamless

Qualifications

• 0–2 years of experience in insurance verification or related healthcare role.

Responsibilities

• Verifies patient insurance information, including eligibility, benefits, and coverage limitations.
• Reviews scheduled services to determine necessary pre-certifications or authorizations.
• Coordinates with insurers to obtain authorizations and verifies prior approvals.
• Communicates insurance requirements and benefit information to patients.
• Enters and updates insurance data in patient records and billing systems.
• Identifies and resolves insurance discrepancies and works with other departments.
• Assists with resolving denied authorizations and facilitates appeals as required.
• Maintains regular and reliable attendance.
• Complies with policies and standards.

Skills

Attention to detail

Data entry

Communication

Time management

Healthcare terminology

Authorization processes

Tools

Billing software

EMR systems

Job description

The North Knoxville Medical Center is seeking an Insurance Verification Representative to verify coverage for scheduled procedures, review benefits, and secure necessary authorizations to support timely reimbursement. You will collaborate with clinical and administrative teams to maintain accurate patient records and smooth billing.

This onsite role emphasizes attention to detail, strong communication with patients and insurers, and proficiency with billing or EMR systems to ensure seamless