AICA Orthopedics, P.C.
Description
AICA Orthopedics - Driving Revenue Performance Through Verification Excellence- About AICA Orthopedics For 25 years, AICA Orthopedics has been a leader in integrated orthopedic care across metro Atlanta. With 21 locations and a state-of-the‑art surgery center, we’re a growing team of 400+ professionals committed to exceptional patient care. We’re transforming healthcare delivery through our multidisciplinary approach that brings together orthopedic surgeons, neurologists, chiropractors, physical therapists, and pain management experts under one roof.
Position Overview The Insurance Verifier plays a critical role in AICA Orthopedics’ financial performance by ensuring maximum appropriate reimbursement for patient services. As the frontline of our revenue cycle, you’ll directly impact our practice’s financial health by optimizing insurance verification processes, identifying all available payment sources, and establishing clear pathways to payment for services rendered.
Position Impact As an Insurance Verifier, you’ll drive financial results by:
Maximizing revenue capture
through comprehensive verification of all potential payment sources
Reducing claim denials
through accurate pre-service verification and documentation
Accelerating cash flow
by identifying and addressing coverage issues before service delivery
Improving patient financial experience
through clear communication about coverage and benefits
Supporting practice growth
by enabling informed decisions about treatment authorization
Revenue Optimization
Achieve or exceed monthly verification targets that support departmental collection goals
Identify and secure all available payment sources, prioritizing Med Pay and Major Medical
Document and communicate coverage details that ensure clean claims submission
Proactively identify and resolve potential reimbursement obstacles before they affect collections
Verification Accuracy & Efficiency
Maintain high accuracy rates in benefit verification and documentation
Process 35+ patient accounts daily with thorough verification
Complete 25+ productive carrier and patient communications daily
Ensure all verification information is properly documented in case management and practice management systems
Communication & Collaboration
Provide timely alerts to clinical and corporate staff regarding coverage limitations
Partner with MP and MM teams to optimize billing of applicable policies
Deliver clear explanations to patients regarding financial responsibilities
Process Improvement
Identify opportunities to streamline verification workflows
Contribute ideas to enhance team performance and productivity
Adapt quickly to evolving payer requirements and internal processes
Help develop best practices for personal injury and medical benefits verification
Qualifications For Success
Required:
High School diploma (college coursework a plus)
2+ years of experience in insurance verification
Proficiency with MS Office, Excel, and Outlook
Strong communication skills with patients, insurance carriers, and internal teams
Results-oriented mindset with focus on measurable outcomes
Detail-oriented approach with strong organizational abilities
Ability to multitask in a fast-paced environment while maintaining accuracy
Preferred:
Experience with NextGen Practice Management
Knowledge of medical billing terminology and processes
Previous experience in orthopedic or multi‑specialty medical practices
Understanding of personal injury insurance and claims processes
Understanding of health insurance and claims processes
Growth & Development Opportunities
Career Advancement:
Pathway to senior verification specialist, team lead, or broader revenue cycle management roles
Skill Development:
Ongoing training in insurance processes, healthcare reimbursement, and emerging payment models
Performance Recognition:
Regular feedback and rewards for exceeding verification and collection targets
Cross‑Functional Exposure:
Interaction with billing, collections, and clinical operations teams
What Sets Our Top Performers Apart
Take ownership of verification metrics and their impact on overall collections
Approach each account with thoroughness and attention to detail
Develop effective relationships with insurance representatives and attorney offices
Anticipate potential coverage issues and proactively address them
Balance efficiency with accuracy to maximize both productivity and revenue
Compensation & Benefits
Competitive hourly compensation
Performance‑based bonus potential
Comprehensive benefits package
Professional development opportunities
Work Environment
40 hours per week with occasional extended hours to meet deadlines
Fast‑paced, metrics‑driven environment with clear performance expectations
Collaborative team setting with opportunities to contribute to process improvement
Physical demands include frequent sitting, use of computer & phone systems, and occasional document handling
Join our team and make a measurable impact on our organization's financial success while building valuable expertise in healthcare revenue cycle management! AICA Orthopedics is an equal opportunity employer and values diversity in our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Requirements
Required:
High School diploma (college coursework a plus)
2+ years of experience in insurance verification
Proficiency with MS Office, Excel, and Outlook
Strong communication skills with patients, insurance carriers, and internal teams
Results-oriented mindset with focus on measurable outcomes
Detail-oriented approach with strong organizational abilities
Ability to multitask in a fast‑paced environment while maintaining accuracy
Preferred:
Experience with NextGen Practice Management
Knowledge of medical billing terminology and processes
Previous experience in orthopedic or multi‑specialty medical practices
Understanding of personal injury insurance and claims processes
Understanding of health insurance and claims processes
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AICA Orthopedics - Driving Revenue Performance Through Verification Excellence- About AICA Orthopedics For 25 years, AICA Orthopedics has been a leader in integrated orthopedic care across metro Atlanta. With 21 locations and a state-of-the‑art surgery center, we’re a growing team of 400+ professionals committed to exceptional patient care. We’re transforming healthcare delivery through our multidisciplinary approach that brings together orthopedic surgeons, neurologists, chiropractors, physical therapists, and pain management experts under one roof.
Position Overview The Insurance Verifier plays a critical role in AICA Orthopedics’ financial performance by ensuring maximum appropriate reimbursement for patient services. As the frontline of our revenue cycle, you’ll directly impact our practice’s financial health by optimizing insurance verification processes, identifying all available payment sources, and establishing clear pathways to payment for services rendered.
Position Impact As an Insurance Verifier, you’ll drive financial results by:
Maximizing revenue capture
through comprehensive verification of all potential payment sources
Reducing claim denials
through accurate pre-service verification and documentation
Accelerating cash flow
by identifying and addressing coverage issues before service delivery
Improving patient financial experience
through clear communication about coverage and benefits
Supporting practice growth
by enabling informed decisions about treatment authorization
Revenue Optimization
Achieve or exceed monthly verification targets that support departmental collection goals
Identify and secure all available payment sources, prioritizing Med Pay and Major Medical
Document and communicate coverage details that ensure clean claims submission
Proactively identify and resolve potential reimbursement obstacles before they affect collections
Verification Accuracy & Efficiency
Maintain high accuracy rates in benefit verification and documentation
Process 35+ patient accounts daily with thorough verification
Complete 25+ productive carrier and patient communications daily
Ensure all verification information is properly documented in case management and practice management systems
Communication & Collaboration
Provide timely alerts to clinical and corporate staff regarding coverage limitations
Partner with MP and MM teams to optimize billing of applicable policies
Deliver clear explanations to patients regarding financial responsibilities
Process Improvement
Identify opportunities to streamline verification workflows
Contribute ideas to enhance team performance and productivity
Adapt quickly to evolving payer requirements and internal processes
Help develop best practices for personal injury and medical benefits verification
Qualifications For Success
Required:
High School diploma (college coursework a plus)
2+ years of experience in insurance verification
Proficiency with MS Office, Excel, and Outlook
Strong communication skills with patients, insurance carriers, and internal teams
Results-oriented mindset with focus on measurable outcomes
Detail-oriented approach with strong organizational abilities
Ability to multitask in a fast-paced environment while maintaining accuracy
Preferred:
Experience with NextGen Practice Management
Knowledge of medical billing terminology and processes
Previous experience in orthopedic or multi‑specialty medical practices
Understanding of personal injury insurance and claims processes
Understanding of health insurance and claims processes
Growth & Development Opportunities
Career Advancement:
Pathway to senior verification specialist, team lead, or broader revenue cycle management roles
Skill Development:
Ongoing training in insurance processes, healthcare reimbursement, and emerging payment models
Performance Recognition:
Regular feedback and rewards for exceeding verification and collection targets
Cross‑Functional Exposure:
Interaction with billing, collections, and clinical operations teams
What Sets Our Top Performers Apart
Take ownership of verification metrics and their impact on overall collections
Approach each account with thoroughness and attention to detail
Develop effective relationships with insurance representatives and attorney offices
Anticipate potential coverage issues and proactively address them
Balance efficiency with accuracy to maximize both productivity and revenue
Compensation & Benefits
Competitive hourly compensation
Performance‑based bonus potential
Comprehensive benefits package
Professional development opportunities
Work Environment
40 hours per week with occasional extended hours to meet deadlines
Fast‑paced, metrics‑driven environment with clear performance expectations
Collaborative team setting with opportunities to contribute to process improvement
Physical demands include frequent sitting, use of computer & phone systems, and occasional document handling
Join our team and make a measurable impact on our organization's financial success while building valuable expertise in healthcare revenue cycle management! AICA Orthopedics is an equal opportunity employer and values diversity in our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Requirements
Required:
High School diploma (college coursework a plus)
2+ years of experience in insurance verification
Proficiency with MS Office, Excel, and Outlook
Strong communication skills with patients, insurance carriers, and internal teams
Results-oriented mindset with focus on measurable outcomes
Detail-oriented approach with strong organizational abilities
Ability to multitask in a fast‑paced environment while maintaining accuracy
Preferred:
Experience with NextGen Practice Management
Knowledge of medical billing terminology and processes
Previous experience in orthopedic or multi‑specialty medical practices
Understanding of personal injury insurance and claims processes
Understanding of health insurance and claims processes
#J-18808-Ljbffr