Patient Benefits Coordinator - Infusion

Oklahoma Arthritis Center - Edmond, OK

Full-time

Edmond, OK

Ambulatory Health Care Services

About the position

The Patient Benefits Coordinator at Oklahoma Arthritis Center plays a crucial role in the Patient Benefits Coordination team, focusing on financial coordination, patient relations, compliance, and process development. This position is essential for ensuring timely processing of patient benefits and maintaining excellent patient care standards.

Responsibilities

• Verifying benefits and eligibility for both new and existing patients to process patient benefits in a timely manner, including necessary prior authorizations.
• Calculating patient due portions based on insurance and pharmacy verification.
• Communicating with patients regarding their payment expectations.
• Understanding insurance carriers and concepts including drug cards, major medical and pharmacy benefits, and knowledge of government and patient assistance programs.
• Validating patient copay assistance programs.
• Processing all outside infusion referrals.
• Reviewing payment records for patients and third parties, ensuring fees are collected properly.
• Answering phone calls and returning voicemails in a timely manner.
• Checking and resolving assigned tasks in Electronic Health Record (EHR).
• Adhering to compliance with OAC policies and standard operating procedures.
• Setting the standard for the team with excellent patient care.
• Being available to the team to offer assistance, information, and directions.
• Maintaining open and positive lines of communication and functionality.
• Understanding and adhering to HIPAA laws and regulations in compliance and patient confidentiality.

Requirements

• Associate's or Bachelor's degree in healthcare, business, finance, or a related field, or equivalent experience.
• 2-3 years of experience with medical insurance, benefits verification, prior authorizations, medical billing, or a related field.
• Knowledge of pharmacy, PBM, or specialty pharmacy experience is a plus.
• Knowledge of government and patient assistance programs.
• Excellent customer service skills.
• Attention to detail and analytical problem-solving skills.
• Knowledge of Medicare, Medicaid, and third-party vendors.
• Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint) and able to type 50 words per minute.
• EHR system experience.

Nice-to-haves

• Experience in pharmacy, PBM, or specialty pharmacy.
• Knowledge of government and patient assistance programs.