Remote Insurance Verification & Authorization Pro

OrthoAtlanta, LLC; United States; Remote; USD 28,000 - 44,000; Full time

Benefits offered by this job

Pre-cert expertise

Patient interaction

Collaborative team environment

Job summary

OrthoAtlanta, LLC is seeking a detail-oriented Insurance Verification Specialist to join our remote healthcare team. You will verify pre-certifications, enter data into the EMR, and communicate patient financial responsibilities before procedures.

This role supports radiology and outpatient services, collaborates with physicians and staff, and educates patients on coverage while ensuring accurate scheduling and referrals. Remote work is available with flexible hours.

Qualifications

• High attention to detail and accuracy in administrative tasks.
• Clear and compassionate communication with patients and staff.
• Understanding of insurance verification processes and referral coordination.
• Highly organized, deadline-driven, and self-motivated.
• Ability to thrive in a dynamic, team-based medical office environment.

Responsibilities

• Contact insurance companies to verify pre-certification, pre-authorization, and medical necessity requirements for radiology and other outpatient procedures
• Enter insurance and referral details into the EMR with accuracy
• Obtain cost estimates and communicate patient financial responsibility prior to procedures
• Coordinate referrals and schedule appointments for MRIs and follow-up visits
• Work closely with physicians and clinical staff to obtain necessary documentation to support authorizations
• Apply critical thinking to prevent insurance denials and maximize reimbursement
• Educate patients on their coverage, co-pays, deductibles, and referral expectations
• Prioritize and manage incoming referrals and scheduling requests
• Act as a key resource for staff on insurance plans, authorizations, and procedural codes
• Provide coverage at clinic front desks as needed (on-site coverage may be sporadic and unplanned)

Job description

OrthoAtlanta, LLC is seeking a detail-oriented Insurance Verification Specialist to join our remote healthcare team. You will verify pre-certifications, enter data into the EMR, and communicate patient financial responsibilities before procedures.

This role supports radiology and outpatient services, collaborates with physicians and staff, and educates patients on coverage while ensuring accurate scheduling and referrals. Remote work is available with flexible hours.