Senior Insurance Verification & Authorization Specialist

Tucson Medical Center; Tucson (AZ); On-site; USD 42,000 - 60,000; Full time

Job summary

Tucson Medical Center is seeking a Patient Access Rep II - Insurance Verification to join our team in Tucson, AZ. This role advances insurance verification, authorizations, and financial clearance for complex cases, serving as a resource for junior staff and ensuring accurate patient access workflows.

The position requires healthcare experience, strong payer knowledge, and proficiency with EHR systems and payer tools.

Qualifications

• Two years of experience in healthcare with insurance verification or patient access.
• CHAA or related certification preferred.
• Advanced knowledge of insurance plans and healthcare billing practices.
• Strong communication and de-escalation skills.

Responsibilities

• Verify insurance eligibility and benefits for complex cases using payer portals.
• Obtain and document prior authorizations and escalations.
• Coordinate with clinical departments to ensure accurate coding.
• Mentor and train Patient Access Representative I staff.
• Assist in resolving escalated patient inquiries and insurance issues.
• Ensure accurate patient registration and financial documentation.
• Collect co-pays, deductibles, and payments; monitor plans.
• Maintain HIPAA compliance and payer regulations.
• Participate in quality improvement initiatives and workflow optimization.
• Perform related duties as assigned.

Skills

Insurance verification

Customer service

EHR systems

Multitasking

Attention to detail

Mentoring

Tools

Microsoft Office Suite

Payer verification tools

EHR systems

Job description

Tucson Medical Center is seeking a Patient Access Rep II - Insurance Verification to join our team in Tucson, AZ. This role advances insurance verification, authorizations, and financial clearance for complex cases, serving as a resource for junior staff and ensuring accurate patient access workflows.

The position requires healthcare experience, strong payer knowledge, and proficiency with EHR systems and payer tools.