Pre-Cert Coordinator - Infusion

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  "source_hash": "fba321e564b48f8f59e9d71dde0657523eb0bf73f3d084218981b640bbaae14f",
  "last_changed_at": "2026-05-30T06:02:22.691Z",
  "active_status": "active"
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  "language": "en",
  "location": {
    "raw": "Edmond, Oklahoma, 73013, United States",
    "city": "Edmond",
    "region": null,
    "country": "United States",
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    "confidence": 0.95
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  "inferred_at": "2026-06-06T10:28:38.579Z",
  "launch_scope": {
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    "included": true,
    "location": {
      "raw": "Edmond, Oklahoma, 73013, United States",
      "city": "Edmond",
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      "country": "United States",
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    "countries": [
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{
  "list_job": {
    "id": "56",
    "isRemote": null,
    "location": {
      "city": "Edmond",
      "state": "Oklahoma"
    },
    "atsLocation": {
      "city": null,
      "state": null,
      "country": null,
      "province": null
    },
    "departmentId": "18404",
    "locationType": "0",
    "jobOpeningName": "Pre-Cert Coordinator - Infusion",
    "departmentLabel": "Patient Services",
    "employmentStatusLabel": "Full-Time"
  },
  "detail_errors": [],
  "detail_job_opening": {
    "location": {
      "city": "Edmond",
      "state": "Oklahoma",
      "postalCode": "73013",
      "addressCountry": "United States"
    },
    "datePosted": "2025-06-16",
    "atsLocation": {
      "city": null,
      "state": null,
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      "countryId": null
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    "description": "<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\">Oklahoma Arthritis Center (OAC) is an Equal Employment Opportunity employer and considers all applicants without regard to race, religion, color, sex, national origin, age, disability, veteran status, or any other legally protected status.</span></p>\n<p><span style=\"color: #1f497d; font-family: arial, helvetica, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222\">Job Summary:</span></span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Working as a part of the Patient Benefits Coordination team, this employee will be responsible for daily financial coordination functions, patient relations, compliance, learning and development, and process development and significant contribution to the team.</span></span></p>\n<p><span style=\"color: #222222; font-family: arial, helvetica, sans-serif; font-size: 13px\"><br></span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222\">Essential Functions:</span></span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Verifying benefits and eligibility for both new and existing patients to process patient benefits in a timely manner; including necessary prior authorizations</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Calculates patient due portions based on insurance and pharmacy verification</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\">C<span style=\"color: #222222\">ommunicate</span><span style=\"color: #1f497d\">s</span><span style=\"color: #222222\"> with patient on their payment expectations</span></span><br></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Understanding insurance carriers and concepts including drug cards, major medical and pharmacy benefits, and knowledge of government and patient assistance programs</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Validating patient</span> copay<span style=\"color: #222222\"> assistance programs</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Processing all outside infusion referrals</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Reviewing payment records for patients and third parties, ensuring fees are collected properly</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Answering phone calls and returning voicemails in a timely manner</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Checking and resolving assigned tasks in Electronic Health Record</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Adhere to compliance of OAC policies and standard operating procedures</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Set the standard for the team with excellent patient care</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Be available to team to offer assistance, information, and directions</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Maintain open and positive lines of communication, and functionality</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Understand and adhere to HIPAA laws and regulations in compliance and patient confidentiality</span></span></li>\n</ul>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222\">Performance Requirements:</span></span></p>\n<p><span style=\"color: #222222; font-family: arial, helvetica, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222\">Knowledge:</span></span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Pharmacy, PBM, or Specialty pharmacy experience</span> a plus</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Knowledge of government and patient assistance programs</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Excellent customer service skills</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Attention to detail</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Analytical and problem solving skills</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Knowledge of Medicare, Medicaid, and third party vendors</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Proficient in Microsoft</span><span style=\"color: #1f497d\">-</span><span style=\"color: #222222\">Able to type 50 words per minute</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">EHR system experience</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Office (Outlook, Word, Excel, PowerPoint)</span></span></li>\n</ul>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222\">Qualifications:</span></span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Associate’s or Bachelor’s degree in healthcare, business, finance, other related field, or equivalent experience, a plus</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222\">2-3 years of experience with medical insurance, benefits verification,</span> prior authorizations,<span style=\"color: #222222\"> medical billing, or a related field</span> </span></li>\n</ul>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222\">Physical Requirements:</span></span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Ability to work effectively in a fast-paced environment.</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Physical ability to sit, perform data entry and view computer screen for long periods at a time.</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Occasional exposure to communicable diseases and biohazards.</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">Daily standing, walking, bending, and maneuvering.</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\">May require lifting up to 50 pounds or more to transfer and/or turn patient with and without assistive devices.</span></span><br></li>\n</ul>\n<p><span style=\"color: #222222; font-family: arial, helvetica, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222\">Travel Requirements:</span><span style=\"color: #222222\"> </span></span></p>\n<p><span style=\"color: #222222; font-family: arial, helvetica, sans-serif; font-size: 13px\">Travel may be required.</span></p>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222\">Scheduled Working Hours:</span></span></p>\n<p><span style=\"color: #222222; font-family: arial, helvetica, sans-serif; font-size: 13px\">Normal work hours are 8:00 a.m. to 5:00 p.m., Monday through Thursday and 8:00 a.m. to 1:00 p.m. on Fridays. Hours may vary depending upon the needs of the position, department, and clinic.</span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><br><span style=\"color: #222222\"><br>Other Duties:</span></span></p>\n<p><span style=\"color: #222222; font-family: arial, helvetica, sans-serif; font-size: 13px\">Please note this job description is not designed to cover or to contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change from time to time, with or without notice.</span></p>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\">Equipment Operated:</span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\">Standard office equipment including: computers, printers, faxes, copiers, postage machine, etc.</span></p>",
    "compensation": null,
    "departmentId": "18404",
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    "jobOpeningName": "Pre-Cert Coordinator - Infusion",
    "departmentLabel": "Patient Services",
    "jobOpeningStatus": "Open",
    "minimumExperience": "Experienced",
    "jobOpeningShareUrl": "https://okarthritis.bamboohr.com/careers/56",
    "employmentStatusLabel": "Full-Time"
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}