Insurance Verification & Authorization Specialist

Radiology Ltd.; Tucson (AZ); On-site; USD 40,000 - 52,000; Full time

Benefits offered by this job

Medical benefits

Dental coverage

Vision coverage

Life insurance

401(k)

Paid time off

Disability insurance

Telemedicine

Team events

Bonuses

Job summary

Radiology Ltd. is seeking a full-time Verification Specialist to join our team at the Wilmot office in Tucson, AZ. This entry-level role verifies insurance eligibility, obtains authorizations, and determines patient financial responsibility for scheduled radiology exams.

Hours are Monday–Friday, 8 AM–5 PM; training is not remote. The ideal candidate has a high school diploma or GED and a willingness to learn ICD-10/CPT coding concepts, with opportunities for growth within the organization.

Qualifications

• High school diploma or GED required.
• Ability to pass a general skills test.
• General knowledge of ICD-10 and CPT coding.
• Prior authorization experience is helpful but not required.
• Medical terminology helpful but not required.

Responsibilities

• Review patient insurance coverage and eligibility.
• Validate referrals, pre-certification and/or prior authorizations via fax, online, or telephone for scheduled appointments.
• Communicate directly with patients, providers and/or their clinical staff.
• Document prior authorization information into the patient EMR to ensure accurate and timely claims filing.
• Comprehend and determine insurance deductible, co-insurance, co-payments, and out-of-pocket costs to provide patients their financial responsibilities prior to arrival.
• Assist administrative front desk with day-to-day operations, when necessary.
• Complete any additional job duties as assigned.

Skills

Skills test

Medical terminology

ICD-10 CPT coding

Education

High School Diploma or GED

Job description

Radiology Ltd. is seeking a full-time Verification Specialist to join our team at the Wilmot office in Tucson, AZ. This entry-level role verifies insurance eligibility, obtains authorizations, and determines patient financial responsibility for scheduled radiology exams.

Hours are Monday–Friday, 8 AM–5 PM; training is not remote. The ideal candidate has a high school diploma or GED and a willingness to learn ICD-10/CPT coding concepts, with opportunities for growth within the organization.