Children's Healthcare of Atlanta · 2 days ago
Insurance Verifier
Atlanta, GA
Full-time
Onsite
Entry Level
1+ years expChildren's Healthcare of Atlanta is one of the nation’s leading children’s hospitals. They are seeking an Insurance Verifier to authorize and pre-certify services by coordinating activities required for verification and authorization of insurance benefits while collaborating with various departments to ensure quality service and safe patient care.
ChildrenHealth CareNon Profit
Responsibilities
Conducts in depth account review including but not limited to, denial management, clinical follow up, and acts as a liaison between clinical stakeholders and payor representation
Interviews patients and/or family members to secure insurance coverage, eligibility, and qualification for various financial programs
Coordinates and performs verification of insurance benefits by contacting insurance provider and determining eligibility of coverage and communicates status of verification/authorization process with appropriate team members in a timely and efficient manner
Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of pre-certification process
Confirms referring physician and/or servicing physician has obtained notification/confirmation of prior authorization as needed from insurance company for all scheduled healthcare procedures within assigned department/area
Contacts referring physicians and or/patients to discuss rescheduling of procedures due to incomplete/partial authorizations
Acts as liaison between clinical staff, patients, referring physician’s office, and insurance by informing patients and families of any possible changes, updates, responses or follow up. Discussion points may include the following: authorization delays, authorization denials, pending status, answering questions regarding status changes, offering assistance, providing follow up steps for financial support and relaying/documenting messages pertaining to authorization of procedure/service
Monitors patients on schedule, ensuring that eligibility and authorization information has been entered into data entry systems
Pre-screens doctor’s orders (scripts) received for new patients to ensure completeness/appropriateness of scheduled appointment
Collaborates with Patient Financial Services (PFS) department to provide all related information regarding denied claims
Monitors insurance authorization issues to identify trends and participates in process improvement initiatives
Responds to all inquiries related to authorization/pre-certification issues
Develops and maintains knowledge in medical terminology, billing and insurance guidelines to ensure Children’s remains compliant with all regulatory expectations
Qualification
Required
At least one year of insurance verification experience
High school diploma or equivalent
Working knowledge of basic medical terminology
Demonstrated ability to multitask and problem-solve
Ability to work independently in a changing environment and handle stressful situations
Must be able to speak and write in a clear and concise manner to convey messages
Proficient in Microsoft Word/Excel/Outlook
May require travel within Metro Atlanta as needed
Preferred
Bachelor's degree
Experience in a pediatric hospital
Company
Children's Healthcare of Atlanta
Children’s Healthcare of Atlanta is a non-profit private foundation that focuses on healthcare for children.
10001+ employees
H1B Sponsorship
Children's Healthcare of Atlanta has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (4)
2023 (5)
2021 (1)
Funding
Current Stage
Late StageTotal Funding
$5.12MKey Investors
Hyundai Hope On Wheels
2025-12-03Series Unknown· $0.37M
2023-08-25Grant· $0.12M
2022-09-27Grant· $0.3M
Leadership Team
Frank Grogan
Endpoint Engineering Team Lead - Mobility
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