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 a 500-employee medical imaging organization providing World-Class Imaging to improve the health of all Southern Arizona. Radiology Ltd. is seeking a full time Verification Specialist to join our team. Hours are Monday- Friday 8 AM - 5 PM. This position is based at our Wilmot office on the east side of Tucson. Training is not remote.A Verification Specialist is responsible for verifying insurance eligibility, obtaining authorizations, and providing patient financial responsibility based on scheduled radiology exams.We are seeking individuals that are highly dependable, with a strong attention to detail. Thrive in a fast-paced environment while multi-tasking. Consistently provide error free work based on defined insurance authorization regulations and standards.What’s in it for you?We offer full benefits including medical, free dental, vision, life insurances, 401(k), paid time off, short- & long-term disability, telemed services as well as other work site benefits! We have employee events throughout the year for all staff including an annual family picnic, group hikes, walks and community service events. Annual bonuses and merit increases are part of our compensation package.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.Complete any additional job duties as assigned.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.About our Company:This entry level position has room to grow with our company. We have educational scholarships that are available for careers in medical imaging. If you are looking to make a difference and leverage your abilities – you belong at our company. As a partner company of U.S. Radiology Specialists we are the premier provider of diagnostic and interventional radiology services in Southern Arizona since 1933. Our company’s subspecialized, fellowship-trained experts in body imaging, breast imaging, interventional radiology, molecular imaging, musculoskeletal imaging, neuroradiology, and pediatric radiology utilize advanced technology to deliver high-quality expedient interpretations. Our radiologists are leaders in the medical community, participating and serving in leadership roles in local hospitals and regional medical societies.Apply now and join our team.Radiology Ltd. has been named one of the “Top 25 Connected Healthcare Facilities” in the nation by Health Imaging and IT. Our innovative web portals allow providers and patients to securely order exams and access reports and images.