Pre-Cert & Benefits Specialist

Oklahoma Arthritis Center; Edmond (OK); On-site; USD 42,000 - 65,000; Full time

Job summary

Oklahoma Arthritis Center in Edmond, OK is seeking a Clinic Financial Coordinator to review eligibility and benefits, obtain referrals, and communicate patient financial responsibility for ancillary services. You will work closely with providers and staff to ensure services are approved before a patient arrives.

The role emphasizes accuracy in insurance verification, prior authorizations, and payment processing, with duties ranging from scheduling and data entry to HIPAA compliance and timely

Qualifications

• 1-2 years of experience with medical insurance, benefits verification, prior authorizations, medical billing, or a related field preferred.
• Associate’s or Bachelor’s degree in healthcare, business, finance, other related field, or equivalent experience, a plus.
• EHR system experience.

Responsibilities

• Verifies benefits and eligibility to process patient benefits in a timely manner; including necessary prior authorizations.
• Calculates patient due portions based on insurance verification.
• Communicates with patient on their payment expectations.
• Processes all clinic referrals and authorizations for ancillary services.
• Reviews payment records for patients and third parties, ensuring fees are collected properly.
• Adheres to HIPAA laws and patient confidentiality.

Skills

Excellent customer service skills

Analytical and problem solving skills

Attention to detail

Education

Associate’s or Bachelor’s degree in healthcare, business, finance, other related field, or equivalent experience

Tools

Microsoft Office

EHR system experience

Job description

Oklahoma Arthritis Center in Edmond, OK is seeking a Clinic Financial Coordinator to review eligibility and benefits, obtain referrals, and communicate patient financial responsibility for ancillary services. You will work closely with providers and staff to ensure services are approved before a patient arrives.

The role emphasizes accuracy in insurance verification, prior authorizations, and payment processing, with duties ranging from scheduling and data entry to HIPAA compliance and timely