Pediatric Insurance Verification Specialist

10 Children's Healthcare of Atlanta, Inc.; United States; On-site; USD 52,000 - 76,000; Full time

Job summary

Children's Healthcare of Atlanta is seeking a Patient Access professional to authorize and pre-certify services, verify insurance benefits, and coordinate with Financial Counseling. The role focuses on ensuring compliance with prior authorization requirements and communicating status to patients and teams.

The ideal candidate has experience in healthcare patient access, strong knowledge of medical terminology, and proficient MS Office skills.

Qualifications

• One year of experience in a healthcare patient access role (registration, scheduling).
• Preferred Qualifications Bachelor's degree in a related field.
• High school diploma or equivalent required.

Responsibilities

• Interviews patients/families to secure insurance coverage and eligibility for programs.
• Verifies insurance benefits and determines eligibility; communicates status to team.
• Pre-certifies procedures and coordinates with providers and payers as needed.
• Monitors authorization issues and communicates status to patients and staff.
• Acts as liaison between clinical staff, patients, and insurance to relay updates.

Skills

Medical terminology

Multitasking

Communication skills

MS Office

Education

High school diploma or equivalent

Bachelor’s degree (preferred)

Tools

Availity

MMIS

Payer websites

Job description

Children's Healthcare of Atlanta is seeking a Patient Access professional to authorize and pre-certify services, verify insurance benefits, and coordinate with Financial Counseling. The role focuses on ensuring compliance with prior authorization requirements and communicating status to patients and teams.

The ideal candidate has experience in healthcare patient access, strong knowledge of medical terminology, and proficient MS Office skills.