Patient Benefits Coordinator

    Highlights

    This position supports an efficient patient billing and scheduling process by verifying insurance eligibility and benefits, obtaining prior authorizations, resolving insurance-related issues, and maintaining accurate patient information. Verify insurance eligibility and benefits for upcoming clinic visits, procedures, and surgeries using carrier websites or direct communication with insurance companies.

    Numbers & Facts

    LocationTulsa, OK

    Description

    Benefits Coordinator | Tulsa, OK

    Full-time | $17+ DOE

    Position Summary

    Tulsa Clinic seeking a dependable, detail-oriented Benefits Coordinator to join our Front Desk team. This position supports an efficient patient billing and scheduling process by verifying insurance eligibility and benefits, obtaining prior authorizations, resolving insurance-related issues, and maintaining accurate patient information.

    Essential Responsibilities

    • Maintain accurate patient demographic and insurance information in the practice management and electronic medical record systems.
    • Verify insurance eligibility and benefits for upcoming clinic visits, procedures, and surgeries using carrier websites or direct communication with insurance companies.
    • Review patient deductibles, copayments, coinsurance, and other benefit information.
    • Complete required benefits forms and upload them to the patient’s electronic medical record.
    • Obtain prior authorizations for patient visits, in-office procedures, diagnostic services, and surgeries when required.
    • Obtain necessary approvals for emergency services involving HMO and PPO plans, whether contracted or noncontracted.
    • Enter insurance referrals and authorization information accurately and promptly.
    • Follow up on pending authorizations, benefit questions, and accounts requiring additional research or evaluation.
    • Communicate with front desk and scheduling staff regarding insurance verification issues, missing information, and scheduling errors.
    • Work closely with reception staff to ensure patient insurance information is current and accurate.
    • Assist team members with navigating insurance carrier websites and completing eligibility verification.
    • Help resolve insurance and billing issues that may delay patient care or claim processing.
    • Provide front office assistance as time and workload permit.

    Education and Experience

    • High school diploma or equivalent required.
    • At least one year of relevant experience in medical billing, insurance verification, benefits coordination, or prior authorizations preferred.
    • Experience working in a medical office or healthcare environment preferred.
    • Proficiency with computers, practice management systems, electronic medical records, insurance carrier websites, and related software applications.

    Required Skills and Abilities

    • Knowledge of general administrative and clerical procedures.
    • Understanding of medical insurance eligibility, benefits, referrals, and prior-authorization processes.
    • Excellent verbal and written communication skills.
    • Strong organizational skills and attention to detail.
    • Excellent follow-up and problem-solving abilities.

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