Verification 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

# Verification SpecialistWilmot Administration - Tucson, AZ 85711## OverviewPosition TypeFull TimeJob ShiftDaysEducation LevelHigh SchoolCategoryInsurance## 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.## Qualifications**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.***