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!