Insurance Verification Specialist — Impact Patient Care

Tennessee Orthopaedic Alliance; Clarksville (TN); On-site; USD 36,000 - 45,000; Full time

Job summary

Tennessee Orthopaedic Alliance is seeking an Insurance Verification Specialist to ensure accurate benefit verification for patients across our Middle Tennessee locations. You will work with providers and staff to confirm coverage, referrals, and authorizations, maintaining precise records and effective communication with patients and insurers.

The role supports TOA’s mission to deliver high-quality orthopaedic care while following established procedures and employment policies, including

Qualifications

• High school diploma required.
• 2-4 years of experience in insurance verification preferred.
• Experience reading and understanding payer eligibility electronic returns.
• Ability to differentiate between plans, copay, deductible and coinsurance.
• Requires accuracy, attention to detail, following directions and organization.
• TOA is an equal opportunity employer with drug screens and background checks.

Responsibilities

• Uses the Workflow Daily Appointment Report as a primary source for insurance verification.
• Adheres to best practices in day-to-day follow-up per VOI Manual.
• Calls patients and families, insurers and facility staff to verify information.
• Resolves coverage, referrals and precertification issues; escalates complex items to manager.
• Enters and verifies insurance data, updating records as needed.

Skills

Insurance verification

Payer eligibility

Attention to detail

Documentation

Communication

Education

High school diploma

Job description

Tennessee Orthopaedic Alliance is seeking an Insurance Verification Specialist to ensure accurate benefit verification for patients across our Middle Tennessee locations. You will work with providers and staff to confirm coverage, referrals, and authorizations, maintaining precise records and effective communication with patients and insurers.

The role supports TOA’s mission to deliver high-quality orthopaedic care while following established procedures and employment policies, including