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Insurance Eligibility Verification Jobs in Arizona

HOPCO

Eligibility Specialist- Full-Time

Phoenix, AZ · On-site

  • Medical

  • Retirement

Uses online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility. Calls insurance companies to discuss physical therapy benefits and ...

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Insurance Eligibility Verification information

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$11

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$24

How much do insurance eligibility verification jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for insurance eligibility verification in Arizona is $17.58, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $18.80 per hour, depending on experience, location, and employer.

What are some typical challenges faced in an insurance eligibility verification role?

One common challenge in Insurance Eligibility Verification is navigating the complexities of various insurance plans and keeping up with frequent policy changes. The role often requires resolving discrepancies between patient information and insurance records, which can involve significant research and communication with both patients and insurers. Additionally, working under tight deadlines to confirm eligibility before scheduled procedures is a frequent aspect of the job. However, mastering these challenges can build valuable expertise and open up further advancement opportunities in healthcare administration or revenue cycle management.

What are the key skills and qualifications needed for insurance eligibility verification?

Strong attention to detail, knowledge of insurance policies and terminology, and experience in healthcare or insurance administration are core requirements for an Insurance Eligibility Verification role. Familiarity with insurance verification software, electronic health records (EHR) systems, and payor portals is often needed, while certifications such as Certified Revenue Cycle Representative (CRCR) can be beneficial. Exceptional communication, organizational skills, and the ability to problem-solve under time constraints will help someone excel in this position. Mastery of these skills ensures accurate benefit verification, timely patient care, and efficient interaction with both patients and insurance providers.

Is it hard to learn insurance eligibility verification?

Insurance eligibility verification is a skill that can be learned with training in healthcare billing and familiarity with insurance systems and databases. It typically involves understanding insurance policies, using verification tools, and following established procedures, making it accessible for most individuals willing to learn. The complexity varies depending on the employer's systems and the level of detail required.

What is an insurance eligibility verification?

An Insurance Eligibility Verification job involves reviewing and confirming a patient's insurance coverage and benefits before medical services are provided. Responsibilities include contacting insurance companies, verifying policy details, checking co-pays, deductibles, and coverage limits, and updating patient records accordingly. This role helps prevent billing issues and ensures healthcare providers receive proper reimbursement. Strong attention to detail, communication skills, and knowledge of insurance policies are essential for success in this position.

What are popular job titles related to Insurance Eligibility Verification jobs in Arizona?

For Insurance Eligibility Verification jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Insurance Eligibility Verification jobs in Arizona look for?

The top searched job categories for Insurance Eligibility Verification jobs in Arizona are:

What cities in Arizona are hiring for Insurance Eligibility Verification jobs?

Cities in Arizona with the most Insurance Eligibility Verification job openings:

Insurance Eligibility Verification jobs near you
Infographic showing various Insurance Eligibility Verification job openings in Arizona as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $36,574 per year, or $17.6 per hour.

Benefit and Eligibility Specialist - Multiple Locations (8552)

Terros Health

Phoenix, AZ • On-site

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 12 days ago

Terros Health rating

5.6

Company rating: 5.6 out of 10

Based on 25 frontline employees who took The Breakroom Quiz

157th of 240 rated social care providers

Job description

Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person's health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes.
The Benefit and Eligibility Specialist serve as a key resource in supporting patients' access to healthcare services through insurance eligibility verification, enrollment assistance, financial screening, benefit navigation, and coverage retention activities. The position collaborates with patients, clinical teams, Patient Access Center staff, community agencies, and payers to minimize barriers to care, ensure accurate coverage information, and support timely access to services. The Benefit & Eligibility Specialist maintains knowledge of Medicaid, Medicare, AHCCCS, commercial insurance plans, Sliding Fee Scale programs, and other available benefit resources. This position promotes a patient-centered approach while ensuring compliance with organizational, contractual, state, and federal requirements. The role is responsible for maintaining accurate patient coverage information, assisting with benefit applications and renewals, conducting outreach activities, and supporting continuity of care through proactive eligibility management.
HOPE ~ HEALTH ~ HEALING
Several Open Positions and Locations:
  • Priest- 1642 S Priest Dr Building 6 Ste 101 Tempe Az 85281
  • Oak- 4451 E Oak St Phoenix Az 85008
  • South Mountain- 3540 E Baseline Rd #150 Phoenix Az 85042
  • McDowell- 4909 E McDowell Rd Phoenix Az 85008
  • Mitchell- 40 E Mitchell Dr Phoenix Az 85012
  • Olive- 6153 W Olive Ave Glendale Az 85302

The duties listed below are intended only as illustrations of the types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this classification.
  • Supports patients in navigating insurance coverage, eligibility, enrollment, renewal, and financial assistance processes to promote access to care and continuity of coverage
  • Conducts financial screening, eligibility verification and proactive coverage monitoring for Medicaid, Medicare, commercial insurance, sliding fee scale programs, and other funding sources; identifies and addresses potential coverage gaps or barriers to care.
  • Assist patients with benefit applications, renewals, required documentation, and related follow-up activities, including coordination with outside agencies and community resources as needed.
  • Utilizes payer portals, eligibility verification systems, state benefit systems, and EHR applications to verify coverage, update records, and resolve eligibility discrepancies.
  • Maintains accurate demographic, financial, and payer information within the Electronic Health Record (EHR) and related systems to support continuity of care and operational accuracy
  • Performs proactive outreach to patients regarding renewal deadlines, missing documentation, inactive coverage, or other issues impacting eligibility or access to services
  • Collaborates closely with Patient Access Center (PAC), front office staff, Practice Managers, clinical teams, and other departments to support a seamless patient access and coverage experience
  • Educates patients and staff regarding eligibility requirements, benefit programs, coverage changes, and available financial support resources
  • Maintains complete, accurate and timely documentation of all patient interactions, eligibility determinations, outreach efforts and enrollment activities through tracking tools, reports, and productivity standards in accordance with organizational, contractual, and regulatory requirements
  • Maintains compliance with HIPAA, AHCCCS, CMS, payer requirements, organizational policies, and all applicable federal and state regulations.
  • Participates in workflow improvement and standardization efforts to support consistent eligibility and benefits processes across clinics and programs.

Benefits & Wellness
  • Multiple medical plans - including a no premium plan for employees and their families
  • Multiple dental plans - including orthodontia
  • Financial well-being - 401(k) with a company match, interest free medical line of credit, financial education, planning, and support
  • 4 Weeks of paid time off in the first year
  • Wellness program
  • Pet Insurance
  • Group life and disability insurance
  • Employee Assistance Program for the Whole Family
  • Personal and family mental and physical health access
  • Professional growth & development - including scholarships, clinical supervision, and CEUs
  • Tuition discounts with GCU and The University of Phoenix
  • Working Advantage - Employee perks and discounts
    • Gym memberships
    • Car rentals
    • Flights, hotels, movies and more
  • Bilingual pay differential

  • High School Diploma or GED required; Associate's or Bachelor's degree in healthcare or related field preferred.
  • A minimum one (1) year of experience in healthcare eligibility, patient access, insurance verification, benefits enrollment, medical office operations, behavioral health, community health, or related healthcare environment required.
  • Experience working with Medicaid, Medicare, AHCCCS, commercial insurance plans, or public assistance programs preferred.
  • Experience utilizing Electronic Health Records (EHR), payer portals, eligibility systems, and Microsoft Office applications preferred.
  • Ability to communicate effectively with diverse patient populations, families, and interdisciplinary healthcare teams.
  • Strong organizational, customer service, documentation, and problem-solving skills.
  • Must have a valid Arizona driver's license, be 21 years of age with a minimum of 3 years driving experience, and meet requirements of Terros Health's driving policy
  • Must successfully pass a TB screening and criminal background check

Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

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