Insurance Verification Clerk

United Surgical Partners International, Inc; Tucson (AZ); On-site; USD 36,000 - 45,000; Full time

Job 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 procedures.

Strong communication skills and experience with insurance verification are essential. The ideal candidate has 1–2 years of experience, knowledge of CPT/ICD-10 codes, and proficiency with EMR systems such as NextGen or Epic.

Qualifications

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

Responsibilities

• Verify patient insurance coverage and eligibility prior to procedures.
• Obtain pre-authorizations and pre-certifications from insurers.
• Confirm deductible, co-pay, co-insurance, and out-of-pocket amounts.
• Communicate financial responsibility to patients and collect payments as needed.
• Coordinate with schedulers, clinical staff, and billing to ensure accurate documentation.
• Enter insurance data into EMR accurately.
• Contact patients, insurers, and referring offices for follow-up.
• Resolve any insurance discrepancies before the date of service.
• Maintain thorough documentation of verification and authorization processes.
• Stay updated on insurance requirements and coverage policies.

Skills

Insurance verification

Medical billing

EMR proficiency

Bilingual (English/Spanish) preferred

Communication skills

Education

High school diploma or GED

Tools

EMR (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.

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.