Patient Access Insurance Verification Rep

3 weeks ago

Tucson, United States Tucson Medical Center Full time

**This position is critical for daily operations for insurance verification for surgical procedures. The business hours are 7:00am-6:00pm Monday-Friday**

**SUMMARY**:
Contacts insurance payors to secure eligibility, benefits and authorizations for services rendered to ensure financial reimbursement for the facility.

**ESSENTIAL FUNCTIONS**:
Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff; adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.

Collects deposits on co-pays, co-insurance, deductibles and out of pocket maximum and past due balances for patient and/or guarantor for anticipated services and admissions. Establishes payment arrangements and offers financial assistance as needed.

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.

Interacts with physicians and/or physicians’ office staff to secure diagnosis, procedure details or authorization information.

Uses medical terminology and scheduling knowledge to select correct procedure when scheduling and coordinates information with other departments as needed.

Demonstrates knowledge of resources, staffing, instrumentation, and equipment specific to procedures to avoid scheduling conflicts as needed.

Communicates with departments/physicians for special requests, emergent cases, overbooking and add-ons.

Handles incoming telephone calls in appropriate service area; to service patients, physicians, physician office staff, and hospital personnel, if applicable.

Performs patient registration activities to ensure accurate financial and biographical data and documentation have been obtained and properly entered into hospital records, as applicable.

Completes insurance processing; including account creation, insurance verification, notification, and authorization functions.

Documents all notification, authorization and eligibility information in the registration systems, uses electronic verification tools and web-based resources.

Reconciles daily cash drawer.

Adheres to TMCH organizational and department-specific safety, confidentiality, values policies and standards.

Performs related duties as assigned.

**TMC Rincon**

In addition to the essential functions, Patient Access Insurance Verification Rep at TMC Rincon will be responsible for Unit Clerk responsibilities.

**MINIMUM QUALIFICATIONS**:
**EDUCATION**:High School diploma or General Education Degree (GED), completion of vocational medical office training desired, or an equivalent combination of relevant education and experience.

**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.

**LICENSURE OR CERTIFICATION**: None required.

**KNOWLEDGE, SKILLS AND ABILITIES**:

- Knowledge of office management practices, including billing and scheduling within healthcare.
- Ability to read or listen and comprehend simple instructions, short correspondence, and memos.
- Ability to write simple correspondence; ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
- Ability to read and interpret documents such as safety rules, procedure manuals, and governmental regulations.
- Ability to effectively present information and respond to inquiries or complaints from patients and/or their representatives and the general public.
- Ability to interpret and explain insurance benefits and patient financial responsibility.
- Applicants must have basic computer familiarity and experience and the ability to operate basic office equipment.

  • Patient Access Insurance Verification Rep

    4 weeks ago

    Tucson, United States Tucson Medical Center Full time

    **SUMMARY**: Contacts insurance payors to secure eligibility, benefits and authorizations for services rendered to ensure financial reimbursement for the facility. **ESSENTIAL FUNCTIONS**: Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff; adheres to and supports team members in...

  • Patient Access Services Representative

    3 weeks ago

    Tucson, United States Tucson Medical Center Full time

    **SUMMARY**: 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...

  • Patient Access Service Representative Per Diem

    2 weeks ago

    Tucson, United States Tmcaz Full time

    **Job Description** **Patient Access Service Representative Per Diem - Enterprise Scheduling**Job Category **Clerical** Schedule **Per Diem** Shift **1 - Day Shift** **SUMMARY** : Serves as first point of contact for customers of TMC HealthCare; initiates the entry point for requested healthcare services and revenue management. Responsible for computerized...

  • Patient Access Specialist

    18 hours ago

    Tucson, United States Connections Health Solutions Full time

    We’re not just behavioral health people—we’re crisis people. Connections has built a model that combines medical and recovery-oriented treatment that gets people connected to community-based resources and back to their lives faster.  Our aim is for solutions, not just stop-gaps. Real support, not restriction.  We have proven that our model improves...

  • Patient Access Specialist

    7 days ago

    Tucson, United States Connections Health Solutions Full time

    Overview We’re not just behavioral health people—we’re crisis people. Connections has built a model that combines medical and recovery-oriented treatment that gets people connected to community-based resources and back to their lives faster.  Our aim is for solutions, not just stop-gaps. Real support, not restriction.  We have proven that our model...

  • Patient Access Specialist

    4 weeks ago

    Tucson, Arizona, United States Connections Health Solutions Full time

    Overview: We’re not just behavioral health people—we’re crisis people. Connections has built a model that combines medical and recovery-oriented treatment that gets people connected to community-based resources and back to their lives faster.  Our aim is for solutions, not just stop-gaps. Real support, not restriction.  We have proven that our model...

  • Licensed Insurance Agent

    4 weeks ago

    Tucson, United States HealthMarkets Insurance Agency Full time

    Job DescriptionJob DescriptionIf you’re an insurance agent with 4-5 years of experience, we want you. As an independent contractor licensed insurance agent with HealthMarkets, you’ll be collaborating with one of the largest independent health insurance agencies in the US. You’ll have the opportunity to grow a flourishing business, all while making a...

  • Window and Door Service Sales Rep experienced

    1 month ago

    Tucson, United States Open Enclose Full time

    Growing company seeking a full time Window and Door Service Sales Rep. Window and Door _**Experience a must.**_ *Paid Holidays (after period) *Paid Time Off (after period) *Retirement plan (after period) *Supplemental insurance plan (after period) *Direct Primary Care Physician (after period) *Health Insurance (after period) *Advancement...

  • Patient Financial and Front Desk Representative

    5 days ago

    Tucson, United States Banner Health Full time

    **Primary City/State**: Tucson, Arizona **Department Name**: PBC Admin-Clinic **Work Shift**: Day **Job Category**: Revenue Cycle As the front face of the clinic office, you will greet and provide customer service to patients and families. Perform registration and assist in the check in process assisting with forms, intakes, scheduling, and insurance...

  • Customer Service Rep I

    2 days ago

    Tucson, United States CorVel Full time

    ** Customer Service Rep I - Bi-Lingual** **Job Category****:** Administrative (Field) **Requisition Number****:** CUSTO04389 Showing 1 location **Job Details** **Description** You can make a difference. CorVel is looking to hire a Bi-Lingual Call Center Intake Representatives who want to make a difference to others. When someone is injured on the job, you...

  • Patient Care Coordinator/ Receptionist

    3 weeks ago

    Tucson, United States Simply Accounting HR & Taxes Full time

    Job DescriptionJob DescriptionSonora Hearing Care, LLCCompany Overview:Sonora Hearing Care, LLC is a locally owned and operated audiology and hearing aid practice, dedicated to providing a full range of hearing services to our community. Through the use of leading-edge technology and dedicated professional personnel, we provide those with hearing impairments...

  • Access Control Technician

    3 weeks ago

    Tucson, United States Cabling Solutions Group Full time

    Job DescriptionJob DescriptionSalary: $19.00-$25.00Access Control and Special Systems at Cabling Solutions GroupCabling Solutions Group is a fast pace and quick growing company that was started in Tucson, AZ.We are looking for an experienced technician that can install Access Control, Special Systems and Structured Cabling (network cable, CAT5E, CAT6, Fiber,...

  • Patient Services Coordinator

    7 days ago

    Tucson, United States US Oncology Network-wide Career Opportunities Full time

    OverviewJob Description Facing cancer takes great strength and courage. It also takes an exceptional team of Patient Services Coordinators working alongside clinical and administrative staff and being a part of our patient's experience in our clinics. If you like being the first and last friendly face our patients see in the clinic, we want you to join our...

  • Patient Services Coordinator

    2 weeks ago

    Tucson, United States Arizona Oncology Full time

    **Patient Services Coordinator - Front Desk** CAROUSEL_PARAGRAPH * Tucson, Arizona * Revenue Cycle * 9844 ** Share Job** ** Job Description** **Overview** Facing cancer takes great strength and courage. It also takes an exceptional team of **Patient Services Coordinators** working alongside clinical and administrative staff and being a part of our...

  • Accounts Receivable Representative

    2 days ago

    Tucson, United States Rezolut Full time

    Job DescriptionJob DescriptionRezolut Imaging is seeking an A/R/ Customer Service Representative to join our team!Who is Rezolut?Rezolut is a national emerging platform of diagnostic medical imaging services. With a focus on four key platforms, our vision is to provide top-notch patient care partnered with innovative technology — to achieve better health...

  • Sales Rep

    1 month ago

    Tucson, United States BARR Credit Services, Inc. Full time

    **INSIDE SALES Wanted ASAP** (Tucson)** We are looking for Account Executives who have a professional demeanor, strong communication skills and are closers.We pay an hourly wage, plus commissions, new client bonuses and a full benefits package. It’s realistic to make 50k+ in you first year. If you believe you have what it takes then we would be happy to...

  • Patient Navigator Coordinator

    4 weeks ago

    Tucson, Arizona, United States Arizona Oncology Associates Full time

    Overview: Facing cancer takes great strength and courage.  It also takes an exceptional team of Patient Navigator Coordinators working alongside clinical and administrative staff and being a part of our patient’s experience in our clinics. If you like providing individualized assistance to patients, families, and caregivers to overcome health care system...

  • Anesthesiologist

    2 days ago

    Tucson, United States Choice Healthcare Services Full time

    Overview:Have you had a positive impact on someone’s life today? Do you enjoy bringing smiles to children and their families? At CHOICE Healthcare Services, our mission is to provide everyone access to the healthcare they need. CHOICE is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high...

  • Anesthesiologist

    2 days ago

    Tucson, United States Choice Health Care Full time

    Overview: Have you had a positive impact on someone's life today? Do you enjoy bringing smiles to children and their families? At CHOICE Healthcare Services, our mission is to provide everyone access to the healthcare they need. CHOICE is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high...

  • Vascular Access Consultant

    3 weeks ago

    Tucson, AZ, United States VIC THE PICC Full time

    Company DescriptionVIC the PICC is a comprehensive Vascular Access Company. We provide PICC and Midline insertions, Peripheral Venous Access as well as Continuing Education, Precepting and Consulting for Hospitals, Long-Term Care and other Healthcare Facilities.VIC the PICC offers the following services 24/7/365:PICC/Midline Placement with UltrasoundECG...