Insurance Verifier

AICA Orthopedics, P.C.•Marietta, GA

23h

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.

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

Maximizing revenue capture through comprehensive verification of all potential payment sources
Reducing claim denials through accurate pre-service verification and documentation
Accelerating cash flow by identifying and addressing coverage issues before service delivery
Improving patient financial experience through clear communication about coverage and benefits
Supporting practice growth by enabling informed decisions about treatment authorization
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