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Insurance Eligibility Verification Jobs in Arizona

HOPCo

Eligibility Specialist- Full-Time

Phoenix, AZ · On-site

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 ...

HOPCO

Eligibility Specialist- Full-Time

Phoenix, AZ · On-site

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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How much do insurance eligibility verification jobs pay per hour?

As of Aug 19, 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 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 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.

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 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 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $36,574 per year, or $17.6 per hour.

Eligibility Specialist- Full-Time

The Center for Orthopedic and Research E

Phoenix, AZ

Full-time, Part-time

Posted 15 days ago

Job description

Benefits:

  • Competitive Health & Welfare Benefits
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events

Minimum Qualifications:

  • High school diploma/GED or equivalent working knowledge preferred.
  • Minimum two to three years of experience in a healthcare environment in a referral, front desk, or billing role that includes heavy insurance benefits verification experience.

Essential Functions

  • Verifies and updates patient registration information in the practice management system.
  • Obtains benefit verification and necessary authorizations (referrals, precertification, authorizations) prior to patient arrival for all Physical Therapy services.
  • 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 authorizations that are not available through online resources.
  • Completes Explanation of Insurance Benefits form for patients, new patient paperwork, and serves as a member of the front office team to prep Front Office Reps for the patient’s arrival. Maintains proper Appointment Status settings for each visit, as well as ensures proper authorizations are secured prior to the patient visit.
  • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
  • Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections.
  • Researches all information needed to complete the registration process including obtaining information from providers, ancillary services staff, and patients.
  • Engages in conversations with patients to review benefits, insurance requirements, and processed claims, and sets up payment options for anticipated/outstanding balances while providing excellent customer service.
  • Assists uninsured/underinsured patients by screening for appropriate community resources such as Medicaid or charity assistance programs.
  • Maintains satisfactory productivity rates and ensures the department VOB process is maintained within departmental guidelines of verifying benefits 3 weeks prior to the visit (except for add-ons)
  • As part of the Physical Therapy front office team, the specialist will complete daily requests, work through obstacles to solve issues/problems for multiple clinics and providers, and cross-train to assist/fill in as front office support as needed to cover staff shortages or busy periods.
  • Identifies and communicates trends and/or potential issues to the management team, and shares information with regard to payer rules and guidelines. Suggests process improvements and works as an integral team member of the front office team.
  • Provides research, problem-solving, and reporting functions to assist management and front office team in meeting departmental metrics, quality standards, and enhanced operations.

About us:

The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses!?

  • #1 for Orthopedic Practices
  • #1 for Healthiest Healthcare Employers
  • #3 for Best Healthcare Workplace Culture
  • Winner in Best Places to Work