Insurance Verification Specialist

Insurance Verification Specialist

Presented by Symbiotic Services, LLC

Position Overview

Symbiotic Services is seeking an experienced, detail-oriented Insurance Verification Specialist for a confidential client in the specialty healthcare industry in the Atlanta, GA area.

This position will be responsible for verifying patient insurance eligibility, confirming coverage and benefits, identifying potential coverage issues, and helping prevent claim denials before medical services are provided.

The ideal candidate has extensive experience navigating commercial and government insurance plans, strong investigative skills, and the ability to independently resolve complex eligibility and benefits questions.

This is an on-site, temporary opportunity expected to last approximately 6–12 weeks, with the potential to transition into a permanent position.

Key Responsibilities

• Verify patient insurance eligibility, coverage, and benefits before scheduled appointments and medical services.
  
  


• Review commercial insurance, Affordable Care Act (ACA) marketplace plans, Medicare, Medicaid, and other government-sponsored insurance programs.
  
  


• Confirm premium payment status, coverage effective dates, termination dates, and applicable grace periods, particularly for ACA marketplace plans.
  
  


• Identify potential coverage gaps, eligibility discrepancies, and financial risks before services are rendered.
  
  


• Utilize electronic eligibility verification systems, insurance carrier websites, and payer portals to obtain accurate coverage information.
  
  


• Contact insurance companies directly when electronic verification results are incomplete, unclear, or inconsistent.
  
  


• Investigate and resolve complex insurance issues involving secondary coverage, coordination of benefits, policy changes, terminations, and out-of-network benefits.
  
  


• Accurately document verification findings and coverage details in the practice management system.
  
  


• Communicate insurance discrepancies and coverage concerns to authorization, scheduling, billing, and financial counseling teams.
  
  


• Assist with year-end insurance transitions, annual policy renewals, and new-year benefits verification.
  
  


• Communicate professionally with patients and internal staff regarding insurance coverage, eligibility, and benefits.
  
  


• Maintain accuracy, confidentiality, and compliance with applicable healthcare privacy requirements.
  
  

Requirements

Required Qualifications

• Proven experience in medical insurance verification, eligibility determination, or patient access within a physician practice, hospital, or healthcare billing environment.
  
  


• Strong knowledge of commercial health insurance, ACA marketplace coverage, Medicare, Medicaid, and other government insurance programs.
  
  


• Understanding of insurance premium requirements, grace periods, coverage limitations, and eligibility guidelines.
  
  


• Proficiency with electronic insurance verification tools, payer portals, and practice management systems.
  
  


• Experience investigating and resolving complex insurance eligibility and benefits discrepancies.
  
  


• Strong attention to detail, accuracy, and documentation skills.
  
  


• Excellent analytical, problem-solving, and organizational abilities.
  
  


• Effective communication and customer service skills when interacting with insurance carriers, patients, and healthcare staff.
  
  


• Ability to work independently, manage multiple priorities, and meet deadlines in a high-volume environment.
  
  


• Availability to begin work promptly and complete training within the required timeframe.
  
  

Preferred Qualifications

• Previous insurance verification experience in oncology, infusion services, or another specialty healthcare environment.
  
  


• Experience using athenahealth or comparable electronic health record (EHR) and practice management systems.
  
  


• Familiarity with medical prior authorization processes and insurance approval requirements.
  
  


• Experience handling complex insurance benefits and coordination of benefits.
  
  


• Background supporting year-end insurance verification and annual benefits renewal processes.
  
  

Ideal Candidate Profile

The successful candidate will demonstrate:

• Investigative Mindset: Proactively researches coverage discrepancies and follows through until accurate insurance information is obtained.
  
  


• Initiative and Ownership: Takes responsibility for assigned work and independently identifies potential issues before they become problems.
  
  


• Attention to Detail: Maintains a high level of accuracy when reviewing eligibility, benefits, and insurance documentation.
  
  


• Adaptability: Works effectively in a changing healthcare environment with evolving procedures and priorities.
  
  


• Resourcefulness: Quickly learns new systems, navigates payer requirements, and independently resolves complex challenges.
  
  


• Team Collaboration: Communicates clearly and works closely with clinical, administrative, and revenue cycle teams.
  
  


• Compassion and Professionalism: Understands the importance of accurate insurance information for patients and families navigating complex medical care.
  
  

Work Environment

• On-site position in the Atlanta, GA area.
  
  


• Fast-paced specialty healthcare practice environment.
  
  


• Regular collaboration with patient access, scheduling, authorization, billing, and administrative teams.
  
  


• High-volume insurance verification responsibilities requiring accuracy, efficiency, and independent problem-solving.
  
  


• Standard business hours; specific schedule to be confirmed.
  
  

Compensation & Benefits

• Employment Type: Temporary assignment, approximately 6–12 weeks.
  
  


• Permanent Placement Potential: Opportunity for conversion to a permanent position based on business needs and performance.
  
  


• Benefits: Details to be provided during the recruitment process.
  
  

Apply Today

Symbiotic Services is actively seeking qualified Insurance Verification Specialists who are experienced in navigating complex insurance plans, identifying coverage discrepancies, and ensuring accurate patient eligibility verification.

If you are a detail-oriented healthcare professional with strong insurance knowledge, investigative abilities, and a commitment to supporting patients and healthcare teams, we encourage you to apply.

Symbiotic Services is recruiting on behalf of a confidential client. Compensation, assignment duration, permanent placement potential, and other employment details are subject to final confirmation.