Insurance Verification Specialist

Insurance Verification Specialist

Company: GI Care for Kids

Location: Atlanta, GA

Salary: $50,000.00-$55,000.00

The Insurance verification specialist is responsible for obtaining insurance information for all scheduled patients, ensuring the most accurate and up‑to‑date insurance data is maintained, and coordinating with other departments to verify information.

• Re-verify insurance information currently in the system to determine active coverage.
• Verify insurance information for each scheduled patient using EPIC and insurance provider websites.
• Prioritize incoming verification requests according to urgency.
• Contact patients to discuss insurance changes and updates based on verification information obtained.
• Communicate self‑pay policy and out‑of‑pocket expense to patients with no insurance or those out of network.
• Remain 72 hours ahead in verification of scheduled appointments.
• Notify the infusion authorization team of any new/updated insurance for infusion patients immediately after verification.
• Check appointments daily to ensure verification is completed for all patients added to the schedule within the 72‑hour window.
• Update accounts with the most accurate and up‑to‑date insurance information, including specialist copays.
• Address any and all issues and discrepancies relating to insurance coverage.
• Communicate professionally with staff and patients.
• Communicate with scheduling and front desk regarding insurance‑related issues.
• Inform the billing team that Medicaid patients have maxed out yearly office visits.
• Ensure accurate insurance data is entered on the account.
• Ensure primary and secondary coverage status is current in registration.
• Respond to all insurance‑related questions and inquiries.
• Respond to all emails, staff messages, and voicemails within a 24‑hour period.

• High School Diploma or equivalent.
• Experience with insurance provider portals and Availity is a plus.
• Knowledge of medical billing systems, particularly Epic, is a plus.
• Excellent organizational and analytical skills.
• Strong customer‑service orientation.
• Detail‑oriented, effective team player, productive, dependable.
• Excellent verbal and written skills.
• Strong time‑management skills.
• Works well under firm deadlines; results orientated.
• Can perform multiple tasks effectively.

• Frequent sitting, grasping, and speaking.
• Occasional reaching, bending, and stooping.
• Frequent use of computer, keyboard, copy/fax machine, and phone.
• Possible exposure to infectious specimens or airborne pathogens.
• May require wearing personal protective equipment (PPE).
• Work environment usually quiet to moderate noise level.
• Fast‑paced environment with occasional high‑pressure real‑time verification cases.
• Work hours subject to office needs to ensure coverage during all operation hours.

• Entry level

• Full‑time

• Other

• Medical Practices