Patient Access Representative I – Insurance Verification Job at Tucson Medical Center (Tucson)

Patient Access Services Representative

The TMCOne Pulmonary specializes in Pulmonary and Sleep Medicine where each pati...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High School diploma or General Education Degree (GED)
completion of vocational medical office training desired, or an equivalent combination of relevant education and experience
preferred one (1) year of medical office and/or hospital experience to include healthcare eligibility and benefit analysis or scheduling experience for diagnostic testing and/or surgery
some positions may require certification as a Medical Assistant (CMA)
knowledge of office management practices, including billing and scheduling within healthcare
knowledge of basic computer familiarity and experience and the ability to operate basic office equipment
knowledge of patient care protocols and practices
knowledge of general patient care practice, methods and regulations
skill in evaluating patient’s needs or following up with a care-giver and then providing follow up support to patients
skill in scheduling appointments and referrals

Job Responsibility

Assists medical care givers with patient management, tracking and monitoring requirements
answers phones, pre-screens using appropriate triage skills, within allowable parameters calls in prescription re-fills, calls patients with test results and schedules patients for next appointments
perform extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities
exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff
collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates
ensures completion of financial documentation in accordance with TMCH’s credit and collection policies
explains all necessary compliance forms and obtains patient signature as required for regulatory agencies
performs medical necessity screening and ensures compliance with system requirements
interacts with physicians and/or physicians’ office staff to secure diagnosis, procedure details or authorizations and information for denials as needed
uses medical terminology and scheduling knowledge to select correct procedure when scheduling and coordinates information with other departments as needed

Fulltime

New

Patient Access Representative II – Insurance Verification Representative

The Patient Access Representative II – Insurance Verification is responsible for...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access
Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills with the ability to de-escalate complex situations
Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment
Attention to detail and accuracy in data entry and documentation
Demonstrated leadership and mentoring capabilities

Job Responsibility

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

Fulltime

Patient Access Representative II – Insurance Verification Representative

The Patient Access Representative II – Insurance Verification is responsible for...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access
Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills with the ability to de-escalate complex situations
Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment
Attention to detail and accuracy in data entry and documentation
Demonstrated leadership and mentoring capabilities

Job Responsibility

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

Parttime

New

Patient Access Rep II – Insurance Verification Rep

The Patient Access Representative II – Insurance Verification is responsible for...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access
Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills with the ability to de-escalate complex situations
Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment
Attention to detail and accuracy in data entry and documentation
Demonstrated leadership and mentoring capabilities

Job Responsibility

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

Fulltime

New

Patient Access Rep II – Insurance Verification Rep

The Patient Access Representative II – Insurance Verification is responsible for...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access
Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills with the ability to de-escalate complex situations
Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment
Attention to detail and accuracy in data entry and documentation
Demonstrated leadership and mentoring capabilities

Job Responsibility

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

Parttime

New

Patient Access Rep II – Insurance Verification Rep

The Patient Access Representative II – Insurance Verification is responsible for...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access
Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills with the ability to de-escalate complex situations
Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment
Attention to detail and accuracy in data entry and documentation
Demonstrated leadership and mentoring capabilities

Job Responsibility

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

Parttime

Patient Access Rep II – Insurance Verification Rep

The Patient Access Representative II – Insurance Verification is responsible for...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access
Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills with the ability to de-escalate complex situations
Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment
Attention to detail and accuracy in data entry and documentation
Demonstrated leadership and mentoring capabilities

Job Responsibility

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

Fulltime

New

Patient Access Rep II Per Diem – Insurance Verification Rep

The Patient Access Representative II – Insurance Verification is responsible for...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access
Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills with the ability to de-escalate complex situations
Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment
Attention to detail and accuracy in data entry and documentation
Demonstrated leadership and mentoring capabilities

Job Responsibility

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

Parttime

Patient Access Representative I – Insurance Verification

Tucson Medical Center

Location:
United States , Tucson

Category:
-

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
December 23, 2025

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Patient Access Representative I – Insurance Verification

Tucson Medical Center

Location:United States , Tucson

Category:-

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:December 23, 2025

Looking for more opportunities? Search for other job offers that match your skills and interests.

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December 23, 2025