Lead Patient Access & Insurance Verification

Tucson Medical Center; Tucson (AZ); On-site; USD 52,000 - 72,000; Full time

Job summary

Tucson Medical Center is seeking a Patient Access Representative II – Insurance Verification to expertly verify coverage, obtain authorizations, and support financial clearance for complex cases. You will partner with clinical teams to ensure accurate coding and payer compliance.

This role serves as a resource for junior staff, mentors teammates, and drives efficient workflows using EHR systems and payer portals. Excellent communication and attention to detail are essential.

Qualifications

• Two years of experience in a healthcare setting focusing on insurance verification or patient access.
• Strong knowledge of payer requirements and HIPAA compliance.

Responsibilities

• Verify insurance eligibility and benefits for complex and high-priority cases using payer portals and electronic tools.
• Obtain and document prior authorizations, including peer-to-peer requests and escalations.
• Coordinate with clinical departments and physician offices to ensure accurate procedure and diagnosis coding.
• Provide mentorship and training to Patient Access Representative I staff.
• Assist in resolving escalated patient inquiries and insurance issues.
• Ensure accurate and complete patient registration and financial documentation.
• Collect co-pays, deductibles, and outstanding balances; establish and monitor payment plans.
• Maintain compliance with HIPAA, organizational policies, and payer regulations.
• Participate in quality improvement initiatives and workflow optimization projects.
• Performs related duties as assigned.

Skills

Insurance terminology

Customer service

Attention to detail

Mentoring

Tools

EHR systems

Payer verification tools

Microsoft Office

Job description

Tucson Medical Center is seeking a Patient Access Representative II – Insurance Verification to expertly verify coverage, obtain authorizations, and support financial clearance for complex cases. You will partner with clinical teams to ensure accurate coding and payer compliance.

This role serves as a resource for junior staff, mentors teammates, and drives efficient workflows using EHR systems and payer portals. Excellent communication and attention to detail are essential.