Insurance Verification Specialist

Posted 2 Days Ago
Be an Early Applicant
Atlanta, GA, USA
In-Office
Senior level
Healthtech • Sports
The Role
Verifies insurance coverage, pre-certification, authorizations, medical necessity, referrals, and patient financial responsibility for outpatient procedures. Enters accurate insurance information into the EMR, coordinates imaging and follow-up scheduling, supports authorization documentation, prevents denials, educates patients, and assists front-desk operations. The role requires strong knowledge of insurance plans, medical terminology, authorizations, and healthcare office procedures.
Summary Generated by Built In

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.

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!

Skills Required

  • 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
Am I A Good Fit?
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The Company
519 Employees
Year Founded: 2002

What We Do

OrthoAtlanta is a physician-owned orthopedic and sports medicine practice serving Georgia and the Southeast. It provides comprehensive musculoskeletal care, including surgical and nonsurgical treatment, sports medicine, rehabilitation, physical therapy, pain management, imaging, and outpatient surgery. Its clinicians treat injuries and conditions affecting muscles, joints, bones, and the spine through an integrated patient-care model for patients throughout Georgia and the region.

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