Pediatric Insurance Verification Specialist – Day Shift

Children's Healthcare of Atlanta; Atlanta (GA); On-site; USD 42,000 - 64,000; Full time

Job summary

Children’s Healthcare of Atlanta is seeking an Insurance Verification Specialist to coordinate verification of benefits and pre-certification for scheduled procedures. The role involves communicating with payors, families, and clinical teams to ensure coverage and eligibility.

Ideal candidates have experience in insurance verification, a basic understanding of medical terminology, and the ability to multitask effectively in a fast-paced hospital setting.

Qualifications

• Experience in insurance verification or related role.
• Familiarity with pre-certification processes and insurance benefits.
• Bachelor’s degree preferred and pediatric hospital experience is a plus.

Responsibilities

• Conduct in-depth account review including denial management and coordination with payors.
• Interview patients or families to verify coverage and eligibility for programs.
• Verify insurance benefits and communicate status to team members promptly.

Skills

Medical terminology

Multitasking

Clear communication

MS Office proficiency

Education

High school diploma or equivalent

Tools

Microsoft Word/Excel/Outlook

Job description

Children’s Healthcare of Atlanta is seeking an Insurance Verification Specialist to coordinate verification of benefits and pre-certification for scheduled procedures. The role involves communicating with payors, families, and clinical teams to ensure coverage and eligibility.

Ideal candidates have experience in insurance verification, a basic understanding of medical terminology, and the ability to multitask effectively in a fast-paced hospital setting.