Senior Insurance Verification & Patient Access Lead

Tucson Medical Center; Tucson, Northern (AZ, KY); Hybrid; USD 30,000 - 39,000; Part time

Job summary

Tucson Medical Center is seeking a Patient Access Rep II – Insurance Verification to support advanced verification, obtain prior authorizations, and drive financial clearance for patients. The role acts as a resource for junior staff and mentors others while ensuring payer requirements are met and patient communication remains clear.

The ideal candidate has healthcare insurance verification experience, strong communication skills, proficiency with EHR systems, and a detail-oriented approach in a

Qualifications

• Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access.
• CHAA or related certification preferred.

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

EHR systems

Time management

Data accuracy

Leadership

Tools

Microsoft Office Suite

Payer verification tools

Job description

Tucson Medical Center is seeking a Patient Access Rep II – Insurance Verification to support advanced verification, obtain prior authorizations, and drive financial clearance for patients. The role acts as a resource for junior staff and mentors others while ensuring payer requirements are met and patient communication remains clear.

The ideal candidate has healthcare insurance verification experience, strong communication skills, proficiency with EHR systems, and a detail-oriented approach in a