Pediatric Insurance Verifier & Authorization Specialist

Children's Healthcare of Atlanta; Atlanta (GA); On-site; USD 42,000 - 59,000; Full time

Job summary

Children’s Healthcare of Atlanta is seeking an Insurance Verification Specialist to verify benefits, determine eligibility, and assist patients with financial programs. You will collaborate with Financial Counseling and PFS to resolve denied claims and streamline pre-certification processes.

The role requires at least one year of verification experience, strong medical terminology knowledge, and the ability to multitask in a fast-paced hospital setting in Atlanta.

Qualifications

• At least one year of insurance verification experience or one year in an associate insurance verifier role.
• Strong knowledge of medical terminology and patient billing concepts.
• Ability to multitask, prioritize, and adapt in a changing healthcare environment.
• Proficiency with Microsoft Office suite and data-entry systems.

Responsibilities

• Conducts in depth account review including denial management and clinical follow up.
• Interviews patients and family members to verify coverage and eligibility for financial programs.
• Coordinates verification of insurance benefits and communicates status to the team promptly.
• Provides clinical information to support pre-certification and communicates authorization delays or denials.

Skills

Insurance verification

Medical terminology

Multitask & problem-solve

MS Office (Word/Excel/Outlook)

Education

Bachelor's degree

High school diploma or equivalent

Tools

Microsoft Word/Excel/Outlook

Job description

Children’s Healthcare of Atlanta is seeking an Insurance Verification Specialist to verify benefits, determine eligibility, and assist patients with financial programs. You will collaborate with Financial Counseling and PFS to resolve denied claims and streamline pre-certification processes.

The role requires at least one year of verification experience, strong medical terminology knowledge, and the ability to multitask in a fast-paced hospital setting in Atlanta.