Orthopedic Insurance Verifications Specialist

TOA; Clarksville (TN); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Paid Time Off

401(k) with company match

Job summary

Tennessee Orthopaedic Alliance (TOA) is seeking an Insurance Verification Specialist to support our Middle Tennessee clinics. The role focuses on verifying patient insurance, managing referrals and precertifications, and ensuring accuracy of insurance data in our systems.

Candidates should have 2–4 years of insurance verification experience, strong attention to detail, and the ability to follow established procedures. TOA offers competitive benefits and a collaborative work environment.

Qualifications

• High school diploma required.
• 2-4 years of experience in insurance verification preferred.
• Experience reading payer eligibility electronic returns and differentiating plans, copay, deductible, coinsurance.
• Ability to meet daily site verification expectations.
• Must be accurate, detail oriented, and able to organize and prioritize tasks.

Responsibilities

• Verify insurance coverage and eligibility for patients at the site.
• Resolve coverage, referrals, and precertification issues with supervision as needed.
• Enter and correct insurance information in the system; coordinate with collections if rebilling is required.
• Communicate with patients, families, and insurance companies to obtain necessary information.
• Adhere to procedures in VOI Training/Procedure Manual and follow established workflows.

Skills

Attention to detail

Organizational skills

Communication

Insurance verification

Payer eligibility interpretation

Education

High school diploma

Tools

Insurance verification software

VOI Training/Procedure Manual

Job description

Tennessee Orthopaedic Alliance (TOA) is seeking an Insurance Verification Specialist to support our Middle Tennessee clinics. The role focuses on verifying patient insurance, managing referrals and precertifications, and ensuring accuracy of insurance data in our systems.

Candidates should have 2–4 years of insurance verification experience, strong attention to detail, and the ability to follow established procedures. TOA offers competitive benefits and a collaborative work environment.