Radiology Insurance Verification & Authorization Specialist

Paycom; Tucson, Northern (AZ, KY); Hybrid; USD 36,000 - 48,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k)

Paid time off

Short/long-term disability

Telemedicine

Annual bonuses

Merit increases

Job summary

Radiology Ltd. in Tucson, AZ is seeking a full-time Verification Specialist to join our team. Hours are Monday–Friday 8 AM–5 PM at the Wilmot office on the east side of Tucson.

This entry-level role focuses on insurance eligibility verification, obtaining authorizations, and communicating with patients and providers to determine financial responsibilities prior to radiology exams. Ideal candidates are dependable with high attention to detail, capable of multi-tasking in a fast-paced environment,

Qualifications

• Review patient insurance coverage and eligibility.
• Validate and obtain referrals, pre-certification and/or prior authorizations.
• 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.

Responsibilities

• Review patient insurance coverage and eligibility; correcting and updating 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.

Skills

Insurance verification

Pre-certification

Authorizations

EMR documentation

Patient communication

ICD-10 knowledge

CPT coding

Medical terminology

Education

High School Diploma

Job description

Radiology Ltd. in Tucson, AZ is seeking a full-time Verification Specialist to join our team. Hours are Monday–Friday 8 AM–5 PM at the Wilmot office on the east side of Tucson.

This entry-level role focuses on insurance eligibility verification, obtaining authorizations, and communicating with patients and providers to determine financial responsibilities prior to radiology exams. Ideal candidates are dependable with high attention to detail, capable of multi-tasking in a fast-paced environment,