Insurance Verification Specialist

Job description

What You'll Do As an Insurance Verification Specialist at OrthoAtlanta, you'll play a key role in ensuring accurate and timely insurance processing for our patients. You will: 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) A Great Fit If You… Excel in a detail-oriented role and enjoy solving administrative challenges Communicate clearly and compassionately with both patients and staff Understand the complexity of insurance verification and referral coordination Are highly organized, deadline-driven, and self-motivated Thrive in a dynamic, team-based medical office environment What You’ll Need High School Diploma or equivalent 5+ years of experience in a healthcare setting, preferably with insurance verification Strong knowledge of medical insurance plans, authorizations, and medical terminology Experience with EMR systems (Epic preferred) Ability to multitask and maintain accuracy in a fast-paced environment Excellent communication, critical thinking, and organizational skills Ability to work independently and collaboratively across departments Why OrthoAtlanta? Be part of a respected and growing healthcare organization Collaborate with a supportive and experienced team Make a meaningful impact on patient care and access Enjoy opportunities for professional growth and development Are you ready to bring your expertise to a team committed to excellence in Orthopedics? Apply today and join a team that puts patients first! Locations: Atlanta, GA Schedule: Full-time Hourly, On-site Compensation: Competitive hourly rate + benefits Perks: Pre-cert expertise, patient interaction, collaborative team environment About OrthoAtlanta Become part of OrthoAtlanta, one of the largest independent physician-owned orthopedic and sports medicine practice in Georgia and contribute to our mission of providing comprehensive orthopedic care. At OrthoAtlanta, you'll be an integral member of a dedicated team of Healthcare Professionals committed to enhancing our patients' quality of life. We offer diverse career paths for talented individuals seeking professional growth and development within a supportive and rewarding work environment where your contributions will make a significant impact.