Patient Benefits Coordinator - Pre-Cert Infusion

Patient Benefits Coordinator - Pre-Cert Infusion

Edmond, OK | Full-Time

Schedule:

Monday – Thursday: 8:00 AM – 5:00 PM Friday: 8:00 AM – 1:00 PM

Are you passionate about helping patients navigate insurance coverage and financial responsibilities in a healthcare setting? We are seeking a detail-oriented Patient Benefits Coordinator to join a fast-paced specialty clinic team focused on exceptional patient care, communication, and support. This position is ideal for someone with experience in medical insurance verification, prior authorizations, patient financial coordination, or medical billing who thrives in a collaborative environment.

• 2–3 years of experience with medical insurance, benefits verification, prior authorizations, medical billing, or a related field required
• Strong understanding of Medicare, Medicaid, and third-party insurance vendor
• Experience with Electronic Health Record (EHR) systems preferred
• Excellent customer service and communication skills
• Strong attention to detail and organizational abilities
• Ability to multitask and work effectively in a fast-paced environment
• Proficiency in Microsoft Office including Outlook, Word, Excel, and Power Point
• Must have prior infusion experience
• Pharmacy, PBM, or specialty pharmacy experience preferred

The Patient Benefits Coordinator is responsible for supporting daily patient financial coordination functions including benefits verification, prior authorizations, payment calculations, patient communication, and assistance program coordination. This role works closely with patients, providers, insurance carriers, and clinic staff to ensure accurate benefits processing and a positive patient experience throughout the coordination process.

• Verify insurance benefits and eligibility for new and existing patients
• Process prior authorizations and required insurance approvals in a timely manner
• Calculate patient financial responsibility based on insurance and pharmacy verification
• Communicate payment expectations and benefits information to patients
• Understand insurance concepts including drug cards, pharmacy benefits, and major medical coverage
• Assist with government and patient assistance program coordination
• Validate patient copay assistance programs
• Process outside infusion referrals
• Review payment records to ensure accurate collection of patient and third-party payments
• Answer incoming calls and return voicemails promptly
• Manage assigned tasks and workflow within the Electronic Health Record system
• Maintain HIPAA compliance and patient confidentiality at all times
• Follow clinic policies, procedures, and standard operating guidelines
• Support coworkers and contribute to a positive team environment
• Deliver excellent patient care and customer service
• Perform additional duties as assigned by administration

• Associate’s or Bachelor’s degree in healthcare, business, finance, or related field preferred
• Strong analytical and problem-solving skills
• Knowledge of patient assistance programs and insurance coordination processes
• Ability to establish priorities and manage multiple responsibilities effectively
• Ability to sit and work at a computer for extended periods
• Daily standing, walking, bending, and maneuvering may be required
• Occasional exposure to communicable diseases and biohazards
• Travel may occasionally be required

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