Insurance Verifier
Proco LLC•Marietta, GA
•Onsite
About The Position
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. This position offers significant growth potential for professionals interested in revenue cycle management, healthcare finance, and insurance operations.
Requirements
- 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
Nice To Haves
- 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
Responsibilities
- 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
- 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
- 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
- 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
Benefits
- Competitive hourly compensation
- Performance-based bonus potential
- Comprehensive benefits package
- Professional development opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
