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Insurance Eligibility Verification Jobs in Georgia

Verifies insurance eligibility, obtains PCP referrals and authorizations for each insurance the patient has in advance of every appointment and documents communication with insurance companies in the ...

Verifies insurance eligibility, obtains PCP referrals and authorizations for each insurance the patient has in advance of every appointment and documents communication with insurance companies in the ...

Verifies insurance eligibility, obtains PCP referrals and authorizations for each insurance the patient has in advance of every appointment and documents communication with insurance companies in the ...

Verifies insurance eligibility, obtains PCP referrals and authorizations for each insurance the patient has in advance of every appointment and documents communication with insurance companies in the ...

Showing results 21-40

Insurance Eligibility Verification information

See Georgia salary details

$10

$15

$22

How much do insurance eligibility verification jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for insurance eligibility verification in Georgia is $15.93, according to ZipRecruiter salary data. Most workers in this role earn between $13.80 and $17.07 per hour, depending on experience, location, and employer.

What is an insurance eligibility verification?

An Insurance Eligibility Verification job involves reviewing and confirming a patient's insurance coverage and benefits before medical services are provided. Responsibilities include contacting insurance companies, verifying policy details, checking co-pays, deductibles, and coverage limits, and updating patient records accordingly. This role helps prevent billing issues and ensures healthcare providers receive proper reimbursement. Strong attention to detail, communication skills, and knowledge of insurance policies are essential for success in this position.

What are the key skills and qualifications needed for insurance eligibility verification?

Strong attention to detail, knowledge of insurance policies and terminology, and experience in healthcare or insurance administration are core requirements for an Insurance Eligibility Verification role. Familiarity with insurance verification software, electronic health records (EHR) systems, and payor portals is often needed, while certifications such as Certified Revenue Cycle Representative (CRCR) can be beneficial. Exceptional communication, organizational skills, and the ability to problem-solve under time constraints will help someone excel in this position. Mastery of these skills ensures accurate benefit verification, timely patient care, and efficient interaction with both patients and insurance providers.

What are some typical challenges faced in an insurance eligibility verification role?

One common challenge in Insurance Eligibility Verification is navigating the complexities of various insurance plans and keeping up with frequent policy changes. The role often requires resolving discrepancies between patient information and insurance records, which can involve significant research and communication with both patients and insurers. Additionally, working under tight deadlines to confirm eligibility before scheduled procedures is a frequent aspect of the job. However, mastering these challenges can build valuable expertise and open up further advancement opportunities in healthcare administration or revenue cycle management.

What are popular job titles related to Insurance Eligibility Verification jobs in Georgia?

For Insurance Eligibility Verification jobs in Georgia, the most frequently searched job titles are:

Infographic showing various Insurance Eligibility Verification job openings in Georgia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $33,139 per year, or $15.9 per hour.

Full-time

Medical

Re-posted 2 days ago


Children's Healthcare Of Atlanta rating

7.5

Company rating: 7.5 out of 10

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Job description

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).
Work Shift
Day
Work Day(s)
Monday-Friday
Shift Start Time
8:00 AM
Shift End Time
4:30 PM
Worker Sub-Type
Regular
Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's.
Job Description
Authorizes and pre-certifies services by coordinating and performing activities required for verification and authorization of insurance benefits. Proactively identifies resources available for families if health plan does not include coverage for services. Coordinates counseling services with Financial Counseling and ensures the standards of Surprise Billing is communicated. Collaborates with Patient Financial Services (PFS) and Managed Care department regarding denied claims. May initiate and perform revenue cycle activities required for pre-registration. Works collaboratively with team members to provide quality service that ensures delivery of safe patient care and services.
Experience
  • At least one year of insurance verification experience or one year in an associate insurance verifier role

Preferred Qualifications
  • Bachelor's degree
  • Experience in a pediatric hospital

Education
  • High school diploma or equivalent

Certification Summary
  • No professional certifications required

Knowledge, Skills, and Abilities
  • 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

Job 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.

Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.
Primary Location Address
1575 Northeast Expy NE
Job Family
Patient Access

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