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OrthoAtlanta, LLC

Insurance Verification Specialist

OrthoAtlanta, LLC, Atlanta, Georgia, United States, 30383

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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:

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

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

If you’re detail-driven, service-minded, and ready to make a difference in patients’ care journeys, we encourage you to apply today!

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