Patient Benefits Coordinator - Clinic

Oklahoma Arthritis Center - Edmond, OK

Full-time - Entry Level

Edmond, OK

Ambulatory Health Care Services

About the position

The Patient Benefits Coordinator at Oklahoma Arthritis Center plays a crucial role in the Clinic Financial Coordinator team, focusing on reviewing patient eligibility and benefits, obtaining necessary referrals and authorizations, and communicating financial responsibilities to patients. This position ensures that all financial coordination functions for ancillary services are performed efficiently, working closely with providers and clinic staff to facilitate patient care.

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 patients regarding their payment expectations.
• Schedules appointments as needed.
• Understands insurance carriers and their medical policies.
• Processes all clinic referrals and authorizations for ancillary services, including Radiology, Pain Management, and Neurology.
• Reviews payment records for patients and third parties, ensuring fees are collected properly.
• Answers phone calls and returns voicemails in a timely manner.
• Checks and resolves assigned tasks in Electronic Health Record (EHR).
• Adheres to compliance with OAC policies and standard operating procedures.
• Sets the standard for the team with excellent patient care.
• Offers assistance, information, and directions to other team members.
• Maintains open and positive lines of communication and functionality.
• Understands and adheres to HIPAA laws and regulations in compliance with patient confidentiality.

Requirements

• 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, or other related field, or equivalent experience is a plus.
• Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint).
• Experience with EHR systems.

Nice-to-haves

• Knowledge of Commercial Insurance and Medical Policies.
• Knowledge of Medicare, Medicaid, and third-party vendors.
• Knowledge of payer referrals, authorizations, and pre-determinations.
• Excellent customer service skills.
• Analytical and problem-solving skills.
• Attention to detail.
• Ability to type 50 words per minute.