Insurance Verification Specialist

OrthoAtlanta, LLC; Atlanta (GA); On-site; USD 28,000 - 39,000; Full time

Benefits offered by this job

Pre-cert expertise

Patient interaction

Collaborative team

Job summary

OrthoAtlanta is seeking an Insurance Verification Specialist to ensure accurate pre-certifications and authorizations for radiology and outpatient procedures, on-site in Atlanta. You will enter details into the EMR, obtain cost estimates, and educate patients on their coverage and financial responsibilities.

With 5+ years in healthcare and expertise in medical insurance plans, you will coordinate referrals, support clinicians, and help prevent denials while maximizing reimbursement in a

Qualifications

• High School Diploma or equivalent.
• 5+ years of experience in a healthcare setting, preferably with insurance verification.
• 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.

Responsibilities

• Verify pre-certification, pre-authorization, and medical necessity requirements with insurers.
• Enter insurance and referral details into the EMR accurately.
• Obtain cost estimates and inform patients of financial responsibility prior to procedures.
• Coordinate referrals and schedule MRIs and follow-ups.
• Collaborate with physicians and staff to obtain documentation for authorizations.
• Educate patients on coverage, co-pays, deductibles, and referrals.
• Prioritize and manage referrals and scheduling requests.
• Serve as a resource for staff on plans, authorizations, and codes.
• Provide on-site clinic front-desk coverage when needed.

Skills

Insurance verification

Medical terminology

Multitasking

Communication skills

Education

High School Diploma or equivalent

Tools

Epic EMR

Job description

Locations: Atlanta, GA
Schedule: Full-time Hourly, On-site
Compensation: Competitive hourly rate + benefits
Perks: Pre-cert expertise, patient interaction, collaborative team environment

About OrthoAtlanta

Become part of OrthoAtlanta, one of 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

As an Insurance Verification Specialist at OrthoAtlanta, you'll play a key role in ensuring accurate and timely insurance processing for our patients. You will:

• Contact insurance companies to verify pre-certification, pre-authorization, and medical necessity requirements for radiology and other outpatient procedures
• Enter insurance and referral details into the EMR with accuracy
• Obtain cost estimates and communicate patient financial responsibility prior to procedures
• Coordinate referrals and schedule appointments for MRIs and follow-up visits
• Work closely with physicians and clinical staff to obtain necessary documentation to support authorizations
• Apply critical thinking to prevent insurance denials and maximize reimbursement
• Educate patients on their coverage, co-pays, deductibles, and referral expectations
• 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)
• 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 verification
• 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 skillsAbility 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?