Clinical Pre-Certification Coordinator

Impactkare • Edmond, OK

1d • Onsite

About The Position

Are you someone who enjoys working behind the scenes to help ensure patients receive the care they need without delays or confusion around insurance and financial responsibility? We are partnering with a growing specialty healthcare clinic in Edmond, Oklahoma, that is expanding its administrative team and looking for a Clinic Financial Coordinator to support their patient financial services and authorization processes. This role is ideal for someone who understands insurance verification, prior authorizations, and patient financial communication, and enjoys working closely with both clinical teams and patients to ensure services are approved and coordinated before appointments take place. You will play a key role in helping streamline patient access to care while ensuring insurance requirements and financial expectations are clearly communicated. In this role, you will help support the financial coordination process for patients receiving specialty services. Your work ensures that services are properly authorized, patients understand their financial responsibility, and the clinic remains compliant with payer requirements.

Requirements

• 1–2 years of experience in medical insurance, benefits verification, prior authorizations, medical billing, or a similar healthcare administrative role preferred
• Familiarity with commercial insurance, Medicare, Medicaid, and payer authorization requirements
• Experience working within an Electronic Health Record system
• Strong understanding of insurance policies, referrals, and pre-determination processes
• Proficiency in Microsoft Office (Outlook, Word, Excel)

Nice To Haves

• Strong attention to detail
• Excellent communication and patient service skills
• Analytical thinking and problem-solving ability
• Ability to work efficiently in a fast-paced clinical environment
• Strong organizational and multitasking skills

Responsibilities

• Verifying patient insurance eligibility and benefits prior to services
• Obtaining and submitting required referrals and prior authorizations
• Reviewing insurance coverage to determine patient financial responsibility
• Communicating patient payment expectations clearly and professionally
• Coordinating referrals and authorizations for services such as radiology, neurology, pain management, and other ancillary services
• Reviewing payment records and ensuring proper documentation of patient and third-party payments
• Assisting with appointment scheduling when needed
• Responding to patient phone calls and returning voicemails in a timely manner
• Managing assigned tasks and updates within the Electronic Health Record (EHR)
• Working closely with providers and clinic staff to ensure services are approved prior to patient arrival
• Maintaining compliance with HIPAA guidelines and protecting patient confidentiality
• Supporting a positive, team-oriented environment while delivering excellent patient service

Benefits

• Consistent weekday schedule with early Fridays
• Opportunity to work closely with a collaborative healthcare team
• Direct impact on improving patient access to care
• Stable full-time position within a growing specialty clinic environment
• Opportunity to grow your experience in healthcare revenue cycle and patient financial services

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed