Insurance Verification Specialist

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