Insurance Verification Clerk

United Surgical Partners International; Tucson (AZ); On-site; USD 35,000 - 52,000; Full time

Job summary

Camp Lowell Surgery Center is seeking an Insurance Verifier to join our front-office team. The role ensures accurate insurance information, verifies benefits, and obtains necessary authorizations before scheduled procedures. Strong communication and medical billing knowledge are essential.

Ideal candidates have 1–2 years in insurance verification or medical billing, familiarity with EMR systems, and the ability to prevent delays or denials. Bilingual English/Spanish is a plus but not required.

Qualifications

• High school diploma or GED required.
• 1–2 years of experience in insurance verification or medical billing, preferably in a surgical or outpatient setting.
• Knowledge of major insurance carriers including Medicare, Medicaid, and commercial plans.
• Strong medical terminology, CPT, and ICD-10 knowledge.
• Excellent communication and customer service skills.
• Ability to multitask and prioritize in a fast-paced environment.
• Proficiency with EMR and scheduling systems (NextGen, Epic or similar).
• Bilingual English/Spanish preferred, but not required.

Responsibilities

• Verify patient insurance coverage and eligibility prior to scheduled procedures.
• Obtain pre-authorizations and pre-certifications from insurers.
• Confirm patient benefits including deductible, co-pay, and out-of-pocket amounts.
• Communicate financial responsibility to patients and collect or arrange payments.
• Coordinate with schedulers, clinical staff, and billing to ensure timely submission.
• Input insurance data into the EMR system accurately.
• Contact patients, insurers, and referring offices for clarification or follow-up.
• Identify and resolve insurance-related discrepancies before the date of service.
• Maintain documentation of verification and authorization processes.
• Stay updated on insurance requirements and changes in coverage policies.

Skills

Insurance verification

Medical terminology

EMR/scheduling systems

Communication skills

Bilingual English/Spanish

Education

High school diploma or GED

Tools

EMR systems

NextGen/Epic

Job description

Position Summary:

Camp Lowell Surgery Center is seeking a detail-oriented Insurance Verifier to join our front-office team. This role is essential in ensuring patients' insurance information is accurate, benefits are verified, and authorizations are obtained prior to scheduled surgical procedures. The ideal candidate will have strong communication skills, experience with insurance verification, and a proactive approach to preventing billing delays or denials.

Key Responsibilities:

• Verify patient insurance coverage and eligibility prior to scheduled procedures.

• Obtain necessary pre-authorizations and pre-certifications from insurance companies.

• Confirm patient benefits including deductible, co-pay, co-insurance, and out-of-pocket amounts.

• Communicate financial responsibility to patients and collect or arrange for payments as needed.

• Coordinate with schedulers, clinical staff, and billing department to ensure accurate documentation and timely submission.

• Accurately input insurance data into the electronic medical records (EMR) system.

• Contact patients, insurance companies, and referring offices as needed for clarification or follow-up.

• Identify and resolve any insurance-related discrepancies prior to the date of service.

• Maintain thorough documentation of verification and authorization processes.

• Stay up to date on insurance requirements and changes in coverage policies.

Required Skills:

Qualifications:

• High school diploma or GED required.

• Minimum of 1–2 years of experience in insurance verification or medical billing, preferably in a surgical or outpatient setting.

• Knowledge of major insurance carriers, including Medicare, Medicaid, and commercial plans.

• Strong understanding of medical terminology, CPT, and ICD-10 codes.

• Excellent communication and customer service skills.

• Ability to multitask and prioritize in a fast-paced environment.

• Proficiency with EMR and scheduling systems (experience with systems such as NextGen, Epic, or similar is a plus).

• Bilingual (English/Spanish) preferred, but not required.