Patient Access & Insurance Verification Specialist

Paycom - ATS; Tucson (AZ); On-site; USD 23,000 - 30,000; Full time

Benefits offered by this job

Full benefits including medical

Free dental insurance

Vision insurance

Life insurance

401(k)

Paid time off

Short-term disability

Long-term disability

Telemedicine services

Job summary

Radiology Ltd. is seeking a full-time Verification Specialist to join our team in Tucson, AZ.

This position supports verifying insurance eligibility, obtaining referrals and authorizations, and communicating financial responsibilities to patients before exams. Based at our Wilmot office on the east side of Tucson, the role involves interacting with patients and clinical staff, reviewing coverage, and documenting authorization details to ensure accurate claims filing.

Qualifications

• A high school diploma or GED is required.
• Must be able 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; correct and update in our system when necessary.
• Validate and obtain 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

ICD-10 coding

CPT coding

Prior authorization

Medical terminology

General skills test

Education

High school diploma or GED

Job description

Radiology Ltd. is seeking a full-time Verification Specialist to join our team in Tucson, AZ.

This position supports verifying insurance eligibility, obtaining referrals and authorizations, and communicating financial responsibilities to patients before exams. Based at our Wilmot office on the east side of Tucson, the role involves interacting with patients and clinical staff, reviewing coverage, and documenting authorization details to ensure accurate claims filing.