What are the responsibilities and job description for the Insurance Verification Specialist position at OrthoAtlanta?
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, 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.
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:
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, 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.
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)
- 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
- 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
- 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