Pediatric Insurance Verification & Pre-Auth Specialist

10 Children's Healthcare of Atlanta, Inc.; United States; On-site; USD 42,000 - 64,000; Full time

Job summary

Children’s Healthcare of Atlanta is seeking an Insurance Verifier to authorize and pre-certify services by coordinating verification of benefits and communicating eligibility to families. The role involves collaboration with Financial Counseling, Patient Financial Services, and providers to ensure timely authorizations and accurate pre-certifications for scheduled procedures.

The ideal candidate has at least one year of verification experience, a high school diploma, and strong knowledge of

Qualifications

• Working knowledge of basic medical terminology.
• Ability to multitask and problem-solve.
• Ability to work independently in a changing environment and handle stressful situations.
• Must be able to speak and write clearly to convey messages.

Responsibilities

• Conducts in-depth account review including denial management and clinical follow up.
• Interviews patients/families to secure insurance coverage and eligibility.
• Verifies benefits and communicates status of verification/authorization to the team.
• Provides clinical information to insurers with justification for procedures.
• Monitors authorization status and coordinates with physicians' offices.

Skills

Medical terminology

Multitasking

Independent work

Clear communication

Microsoft Office

Travel as needed

Education

High school diploma or equivalent

Bachelor's degree

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Children’s Healthcare of Atlanta is seeking an Insurance Verifier to authorize and pre-certify services by coordinating verification of benefits and communicating eligibility to families. The role involves collaboration with Financial Counseling, Patient Financial Services, and providers to ensure timely authorizations and accurate pre-certifications for scheduled procedures.

The ideal candidate has at least one year of verification experience, a high school diploma, and strong knowledge of