Pre-Cert Coordinator - Clinic

Trinity Employment Specialists; Edmond (OK); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Early Fridays

Competitive pay based on experience

Growth opportunities

Equal opportunity employer

Supportive team environment

Job summary

Trinity Employment Specialists is seeking a detail-oriented Pre-Certification Coordinator for a busy specialty medical clinic in Edmond, OK. You will verify insurance coverage, obtain referrals and prior authorizations, and communicate patient financial responsibility to ensure approvals before appointments.

Ideal candidates have experience with medical insurance, strong communication skills, and proficiency with EHR systems and Microsoft Office.

Qualifications

• Experience with medical insurance verification, prior authorizations, and medical billing preferred.
• Familiar with commercial insurance, Medicare, Medicaid, and third-party payer rules.
• Knowledge of referrals, authorizations, and benefits verification.
• Experience using an Electronic Health Record (EHR) system.
• Strong customer service, communication, and organizational skills.
• Attention to detail and problem-solving abilities.
• Proficiency in Microsoft Office (Outlook, Word, Excel).
• Associate's or Bachelor's degree in Healthcare Administration, Business, Finance, or related field is a plus.

Responsibilities

• Verify patient insurance eligibility and benefits.
• Obtain referrals, prior authorizations, and pre-certifications.
• Review coverage and calculate patient financial responsibility.
• Communicate payment expectations with patients before services.
• Coordinate authorizations for radiology, pain management, neurology, and other services.
• Schedule appointments as needed.
• Review patient accounts to ensure fee collection accuracy.
• Answer calls and return messages promptly.
• Complete tasks in the EHR system.
• Collaborate with providers and clinic staff to secure approvals.
• Maintain HIPAA compliance and protect confidentiality.
• Deliver exceptional customer service throughout the authorization process.

Skills

Insurance verification

Prior authorizations

Customer service

Organizational skills

Typing 50 WPM

Teamwork

Education

Associate's or Bachelor's degree in Healthcare Administration/Business/Finance

Tools

EHR system

Microsoft Office

Outlook

Excel

Job description

Pre-Certification Coordinator Pay: Competitive, DOE

Schedule: Full-Time

Job Type: Non-Exempt

Pre-Certification Coordinator Position Overview

We are seeking a detail-oriented Pre-Certification Coordinator to join a busy specialty medical clinic. This individual will play a key role in verifying insurance coverage, obtaining prior authorizations, communicating patient financial responsibility, and coordinating services to ensure patients are approved before their appointments. The ideal candidate has experience working with medical insurance, enjoys helping patients, and thrives in a fast-paced healthcare environment.

Pre-Certification Coordinator Qualifications

• 1+ years of experience in medical insurance verification, prior authorizations, medical billing, or a related healthcare administrative role preferred
• Experience with commercial insurance, Medicare, Medicaid, and third-party payers
• Knowledge of referrals, prior authorizations, and insurance eligibility verification
• Experience working with an Electronic Health Record (EHR) system
• Strong customer service, communication, and organizational skills
• Excellent attention to detail and problem-solving abilities
• Proficient in Microsoft Office (Outlook, Word, Excel)
• Associate's or Bachelor's degree in Healthcare Administration, Business, Finance, or a related field is a plus

Pre-Certification Coordinator Responsibilities

• Verify patient insurance eligibility and benefits
• Obtain required referrals, prior authorizations, and pre-certifications
• Review insurance coverage and calculate patient financial responsibility
• Communicate payment expectations with patients prior to services
• Coordinate authorizations for ancillary services, including radiology, pain management, neurology, and other specialty services
• Schedule appointments as needed
• Review patient accounts to ensure accurate fee collection
• Answer incoming calls and return patient messages promptly
• Complete assigned tasks within the Electronic Health Record (EHR)
• Collaborate with providers and clinic staff to ensure approvals are completed before appointments
• Maintain HIPAA compliance and protect patient confidentiality
• Deliver exceptional customer service while supporting patients throughout the authorization process

Pre-Certification Coordinator Knowledge & Skills

• Understanding of commercial insurance plans, Medicare, Medicaid, and payer guidelines
• Knowledge of medical referrals, authorizations, and benefits verification
• Strong analytical, organizational, and multitasking skills
• Ability to work independently and as part of a team
• Ability to type approximately 50 WPM

Pre-Certification Coordinator Physical Requirements

• Ability to sit and work at a computer for extended periods
• Frequent use of standard office equipment
• Ability to stand, walk, bend, and move throughout the clinic as needed
• Ability to lift up to 50 pounds occasionally
• Ability to work efficiently in a fast-paced clinical environment

Schedule

• Monday – Thursday: 8:00 AM – 5:00 PM
• Friday: 8:00 AM – 1:00 PM
• Hours may vary based on clinic needs.

Why Join Us?

• Monday through Friday schedule with early Fridays
• Supportive and collaborative team environment
• Opportunity to make a meaningful impact on patient care
• Competitive pay based on experience
• Long-term career opportunity with a growing specialty medical practice

TRINITY EMPLOYMENT SPECIALISTS IS AN EQUAL OPPORTUNITY EMPLOYER