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Patient Access Representative I – Insurance Verification

United States, Tucson · Job Posted December 23, 2025
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Job Description

The Patient Access Representative I – Insurance Verification is responsible for verifying insurance eligibility, securing authorizations, and ensuring accurate patient registration to support timely and complete reimbursement. This role serves as a key liaison between patients, providers, and payors, ensuring a seamless financial clearance process prior to service delivery.

Job Responsibility

  • Verify insurance eligibility and benefits using electronic tools and payer portals
  • Obtain prior authorizations and document approvals in the registration system
  • Collect co-pays, deductibles, and outstanding balances
  • establish payment plans when needed
  • Explain insurance coverage, financial responsibility, and available financial assistance to patients
  • Register patients accurately, ensuring all demographic and insurance data is complete
  • Coordinate with clinical departments and physician offices to confirm procedure details and scheduling needs
  • Respond to patient inquiries regarding insurance, billing, and scheduling
  • Maintain accurate documentation of all verification and authorization activities
  • Reconcile daily cash drawer and ensure compliance with financial policies
  • Adhere to HIPAA and organizational confidentiality standards
  • Performs related duties as assigned

Requirements

  • One (1) year of experience in a healthcare setting preferred, especially in insurance verification or scheduling
  • Knowledge of insurance plans, medical terminology, and healthcare billing practices
  • Strong communication and customer service skills
  • Proficiency in EHR systems and payer verification tools
  • Ability to multitask in a fast-paced environment
  • Attention to detail and accuracy in data entry
  • Basic computer and office equipment proficiency

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