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Health Insurance Verification Jobs in Georgia (NOW HIRING)

Minimum of two years of experience in precertification, prior authorization, revenue cycle, insurance verification, or healthcare collections. * Physician or professional-fee billing experience ...

Minimum of two years of experience in precertification, prior authorization, revenue cycle, insurance verification, or healthcare collections. * Physician or professional-fee billing experience ...

Patient Access Rep, I

Athens, GA · On-site

$16.75 - $21.25/hr

Performs outpatient & / or inpatient registration & insurance verification functions; collects ... Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions ...

Showing results 21-40

Health Insurance Verification information

Is it hard to learn health insurance verification?

Health Insurance Verification is a role that involves understanding insurance policies, patient information, and verification procedures. It typically requires attention to detail, familiarity with insurance systems, and sometimes certification, but many find it manageable with proper training and practice.

What are the key skills and qualifications needed to thrive in health insurance verification, and why are they important?

Success in Health Insurance Verification requires knowledge of insurance policies, benefits, and medical billing, often supported by experience in healthcare administration or a related field. Familiarity with health information systems, patient management software, and insurance portals is typically necessary. Attention to detail, strong organizational skills, and effective communication set top performers apart in this role. These skills ensure accurate verification, prevent billing errors, and facilitate smooth patient access to care.

What are some common challenges faced in a health insurance verification role, and how can they be managed?

Professionals in Health Insurance Verification often encounter challenges such as navigating complex insurance policies, managing frequent changes in coverage, and communicating effectively with both patients and insurance representatives. Staying organized and keeping up-to-date with policy changes are crucial for success. Building strong relationships with healthcare providers and insurance contacts can help resolve verification issues more efficiently, and leveraging electronic health record (EHR) systems can streamline the verification process.

What skills do you need to be a health insurance verification specialist?

A health insurance verification specialist needs strong attention to detail, excellent communication skills, and familiarity with insurance policies and billing procedures. Proficiency in using electronic health record (EHR) systems and basic computer skills are also essential for verifying coverage and processing information efficiently.

What is health insurance verification?

Health insurance verification is the process of confirming a patient's health insurance coverage and benefits before medical services are provided. This step ensures that the patient’s policy is active, determines what services are covered, and identifies any co-pays, deductibles, or pre-authorization requirements. Accurate insurance verification helps prevent billing issues and unexpected costs for both the patient and the healthcare provider. It is typically performed by healthcare administrative staff or billing specialists.

What is the difference between Health Insurance Verification vs Insurance Claims Specialist?

AspectHealth Insurance VerificationInsurance Claims Specialist
Primary RoleVerify patient insurance coverage and eligibilityProcess and manage insurance claims for reimbursement
Work EnvironmentHealthcare facilities, insurance companies, medical officesInsurance companies, healthcare providers, billing departments
Required CredentialsHigh school diploma, knowledge of insurance policiesHigh school diploma, billing or coding certifications often preferred

Health Insurance Verification focuses on confirming patient coverage before services, while Insurance Claims Specialists handle the processing of claims after services are provided. Both roles are essential in healthcare billing but differ in their specific functions and timing within the revenue cycle.

Infographic showing various Health Insurance Verification job openings in Georgia as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Pre-Certification Specialist Lead

United Musculoskeletal Partners

Atlanta, GA • On-site

$16.75 - $20.50/hr

Full-time

Re-posted 20 days ago


Job description

Description

SUMMARY

The Pre-Certification Specialist Lead oversees the daily operations of the Patient Access team, ensuring efficient and accurate patient registration, scheduling, insurance verification, and authorization processes. This role is responsible for supervising Pre-Certification Specialist team, providing training, monitoring performance, and maintaining compliance with organizational policies and regulatory requirements. The supervisor ensures exceptional customer service and fosters a positive work environment.


ESSENTIAL DUTIES AND RESPONSIBILITIES (Other duties may be assigned)


Leadership & Supervision

Directly supervises Pre-Certification Specialists, including hiring, onboarding, scheduling, and

performance evaluations.

Monitors daily workflows to ensure timely and accurate completion of patient access functions.

Provides coaching and feedback to staff to maintain high standards of service and productivity.


Training & Development

Implements training programs for staff in all areas: Check-in/out, Chart Auditing, Call Center, Scheduling,

Insurance Verification, and Authorization submission.

Ensures staff competency and compliance with organizational policies and procedures.


Operational Oversight

Maintains adherence to HIPAA and other regulatory requirements.

Reviews and audits patient access processes for accuracy and efficiency.

Collaborates with other departments to resolve issues and improve workflows.


Customer Service

Promotes a culture of excellent patient service by modeling and reinforcing positive behaviors.

Handles escalated patient concerns and resolves issues promptly and professionally.


Reporting & Compliance

Prepares and analyzes reports related to patient access performance metrics.

Ensures compliance with organizational standards and payer requirements.


Other Duties

Participates in departmental meetings and organizational initiatives.

Performs other related duties as assigned.

Requirements

 QUALIFICATIONS


Education:

High school diploma or equivalent required; Associate's or Bachelor's degree preferred.


Experience:

Minimum 2-3 years of experience in patient access or healthcare registration.

Prior supervisory or leadership experience preferred.


Skills:

Strong leadership and team-building skills.

Excellent communication and interpersonal abilities.

Proficiency in scheduling systems, insurance verification, and authorization processes.

Proficient in leveraging technology to optimize workflows, ensure data accuracy, and support

efficient patient access operations

Ability to manage multiple priorities in a fast-paced environment.


Core Competencies

Customer Service Excellence

Attention to Detail

Problem-Solving

Compliance and Confidentiality

Team Leadership

Use of Technology


PHYSICAL DEMANDS

Hearing: Adequate to perform job duties in person and over the telephone.

Speaking: Must be able to clearly communicate in person and over the telephone.

Vision: Visual acuity adequate to perform job duties, including visual examination of patient (if applicable) and reading information from printed sources and computer screens.

Other: Adequate physical ability includes sufficient manual dexterity to perform the requisite job duties. Job duties may require bending, reaching, repetitive hand movements, standing, walking, squatting, sitting and occasional heavy lifting, pushing and pulling.


WORK ENVIORNMENT

Work environment is typical of an office setting. Work may be fast-paced and intense at times. Interaction with others is constant and interruptions may occur. Schedule requires flexibility to occasionally include evenings, early mornings, and weekends.

The above describes the general content of and requirements for the performance of this position. It is not intended to be an all-inclusive statement of the duties, responsibilities, and requirements of the position.