Patient Benefits Coordinator

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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