Insurance Authorization Specialist- Radiology

What You'll Do

As an Insurance Authorization Specialist at OrthoAtlanta, you'll play a key role in ensuring accurate and timely insurance processing for our patients. You will:

• Contact insurance companies to verify pre-certification, pre-authorization, and medical necessity requirements for MRI procedures
• Enter insurance and referral details into the EMR with accuracy
• Obtain cost estimates and communicate patient financial responsibility prior to procedures
• Work closely with physicians and clinical staff to obtain necessary documentation to support authorizations
• Apply critical thinking to prevent insurance denials and maximize reimbursement
• Prioritize and manage incoming referrals and scheduling requests
• Act as a key resource for staff on insurance plans, authorizations, and procedural codes
• Provide coverage at clinic front desks as needed (on-site coverage may be sporadic and unplanned)

A Great Fit If You

• Excel in a detail-oriented role and enjoy solving administrative challenges
• Communicate clearly and compassionately with both patients and staff
• Understand the complexity of insurance verification and referral coordination
• Are highly organized, deadline-driven, and self-motivated
• Thrive in a dynamic, team-based medical office environment

What You'll Need

• High School Diploma or equivalent
• 5+ years of experience in a healthcare setting, preferably with insurance authorization experience
• Strong knowledge of medical insurance plans, authorizations, and medical terminology
• Experience with EMR systems (Epic preferred)
• Ability to multitask and maintain accuracy in a fast-paced environment
• Excellent communication, critical thinking, and organizational skills
• Ability to work independently and collaboratively across departments