Insurance Verification Specialist

Symbiotic Services•Sandy Springs, GA

19h•Onsite

About The Position

Symbiotic Services, LLC is recruiting an experienced, detail-oriented Insurance Verification Specialist for a confidential specialty healthcare client in the Atlanta, Georgia area. This is an on-site temporary assignment expected to last approximately 6–12 weeks, with potential conversion to a permanent position based on business needs and performance. The specialist verifies patient insurance eligibility, coverage, and benefits before medical services are provided; identifies coverage issues and financial risks; and helps prevent claim denials. The role involves working with commercial and government insurance plans, researching complex eligibility questions, documenting findings, and communicating with patients and internal teams. The work takes place in a fast-paced, high-volume specialty practice, with regular collaboration across patient access, scheduling, authorization, billing, and administrative teams. Standard business hours apply, though the specific schedule is to be confirmed. Benefit details will be provided during recruitment.

Requirements

Proven experience in medical insurance verification, eligibility determination, or patient access within a physician practice, hospital, or healthcare billing environment.
Strong knowledge of commercial health insurance, ACA marketplace coverage, Medicare, Medicaid, and other government insurance programs.
Understanding of insurance premium requirements, grace periods, coverage limitations, and eligibility guidelines.
Proficiency with electronic insurance verification tools, payer portals, and practice management systems.
Experience investigating and resolving complex insurance eligibility and benefits discrepancies.
Strong attention to detail, accuracy, and documentation skills.
Excellent analytical, problem-solving, and organizational abilities.
Effective communication and customer service skills when interacting with insurance carriers, patients, and healthcare staff.
Ability to work independently, manage multiple priorities, and meet deadlines in a high-volume environment.
Availability to begin work promptly and complete training within the required timeframe.

Nice To Haves

Previous insurance verification experience in oncology, infusion services, or another specialty healthcare environment.
Experience using athenahealth or comparable electronic health record (EHR) and practice management systems.
Familiarity with medical prior authorization processes and insurance approval requirements.
Experience handling complex insurance benefits and coordination of benefits.
Background supporting year-end insurance verification and annual benefits renewal processes.

Responsibilities

Verify patient insurance eligibility, coverage, and benefits before scheduled appointments and medical services.
Review commercial insurance, ACA marketplace plans, Medicare, Medicaid, and other government-sponsored insurance programs.
Confirm premium payment status, coverage effective and termination dates, and applicable grace periods, particularly for ACA marketplace plans.
Identify potential coverage gaps, eligibility discrepancies, and financial risks before services are rendered.
Use electronic eligibility verification systems, insurance carrier websites, and payer portals to obtain accurate coverage information.
Contact insurance companies when electronic verification results are incomplete, unclear, or inconsistent.
Investigate and resolve complex insurance issues involving secondary coverage, coordination of benefits, policy changes, terminations, and out-of-network benefits.
Accurately document verification findings and coverage details in the practice management system.
Communicate insurance discrepancies and coverage concerns to authorization, scheduling, billing, and financial counseling teams.
Assist with year-end insurance transitions, annual policy renewals, and new-year benefits verification.
Communicate professionally with patients and internal staff about insurance coverage, eligibility, and benefits.
Maintain accuracy, confidentiality, and compliance with applicable healthcare privacy requirements.