Pre-Cert Coordinator - Clinic

{
  "content_hash": "f1cefa0428f8bc4e9a58b474702043c1aa81ce3086745a7a59e4f4838145d0b9",
  "source_hash": "f90c3b9c36551305226def776a33dfb77154462e6edc4f8da1ab6e7b25ba7175",
  "last_changed_at": "2026-05-30T06:02:22.691Z",
  "active_status": "active"
}

{
  "language": "en",
  "location": {
    "raw": "Edmond, Oklahoma, 73013, United States",
    "city": "Edmond",
    "region": null,
    "country": "United States",
    "is_remote": false,
    "confidence": 0.95
  },
  "salary_max": null,
  "salary_min": null,
  "inferred_at": "2026-06-06T10:28:38.589Z",
  "launch_scope": {
    "reason": "bamboohr_production_catalog",
    "included": true,
    "location": {
      "raw": "Edmond, Oklahoma, 73013, United States",
      "city": "Edmond",
      "region": null,
      "country": "United States",
      "is_remote": false,
      "confidence": 0.95
    },
    "countries": [
      "United States"
    ]
  },
  "remote_policy": null,
  "salary_period": null,
  "workplace_type": null,
  "salary_currency": null
}

{}

{
  "list_job": {
    "id": "123",
    "isRemote": null,
    "location": {
      "city": "Edmond",
      "state": "Oklahoma"
    },
    "atsLocation": {
      "city": null,
      "state": null,
      "country": null,
      "province": null
    },
    "departmentId": "18404",
    "locationType": "0",
    "jobOpeningName": "Pre-Cert Coordinator - Clinic",
    "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,
      "country": null,
      "countryId": null
    },
    "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\"><span style=\"color: #222222\"><span style=\"font-family: Arial, sans-serif\">Working as a part of the Clinic Financial Coordinator team, this employee will be responsible for reviewing eligibility and benefits, obtaining required referrals and/or authorization, communicating patient financial responsibility and performing all financial coordination functions for ancillary services. Additionally, this team member works closely with providers and other clinic staff to ensure that services are approved prior to the patient’s arrival</span>.</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-size: 13px\"><span style=\"color: #222222; font-family: Arial, sans-serif\">Verifies benefits and eligibility to process patient benefits in a timely manner; including necessary prior </span><span style=\"font-family: Arial, sans-serif\">authorizations.</span></span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 13px\">Calculates patient due portions based on insurance verification.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 13px\">Communicates with patient on their payment expectations.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 13px\">Schedules appointments as needed.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 13px\">Understands insurance carriers and their medical policies.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 13px\">Processes all clinic referrals and authorizations for ancillary services including but not limited to: Radiology, Pain Management, and Neurology.</span></li>\n<li><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Reviews payment records for patients and third parties, ensuring fees are collected properly.</span></li>\n<li><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Answers phone calls and returning voicemails in a timely manner.</span></li>\n<li><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Checks and resolves assigned tasks in Electronic Health Record.</span></li>\n<li><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Adheres to compliance of OAC policies and standard operating procedures.</span></li>\n<li><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Sets the standard for the team with excellent patient care.</span></li>\n<li><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Is available to other team members to offer assistance, information, and directions.</span></li>\n<li><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Maintains open and positive lines of communication, and functionality.</span></li>\n<li><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Understands and adheres to HIPAA laws and regulations in compliance and patient confidentiality.</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, sans-serif; font-size: 13px\">Knowledge of Commercial Insurance and Medical Policies.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 13px\">Knowledge of Medicare, Medicaid, and third party vendors.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 13px\">Knowledge of payer referrals, authorizations, and pre-determinations.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222\"><span style=\"font-family: Arial, sans-serif\">Proficient in Microsoft Office.</span></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\">Skills:</span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222; font-family: Arial, sans-serif\">Excellent customer service skills.</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222; font-family: Arial, sans-serif\">Analytical and problem solving skills.</span></span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222; font-family: Arial, sans-serif\">Abilities:</span></span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222; font-family: Arial, sans-serif\">Attention to detail.</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222; font-family: Arial, sans-serif\">Able to type 50 words per minute.</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222; font-family: Arial, sans-serif\">Office (Outlook, Word, Excel, PowerPoint).</span></span></li>\n</ul>\n<p><br></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-size: 13px\"><span style=\"font-family: Arial, sans-serif\">1-2 years </span><span style=\"color: #222222; font-family: Arial, sans-serif\">of experience with medical insurance, benefits verification, prior authorizations, medical billing, or a related field preferred.</span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222; font-family: Arial, sans-serif\">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; font-family: Arial, sans-serif\">EHR system experience.</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",
    "locationType": "0",
    "seekPromoted": false,
    "jobCategoryId": null,
    "jobOpeningName": "Pre-Cert Coordinator - Clinic",
    "departmentLabel": "Patient Services",
    "jobOpeningStatus": "Open",
    "minimumExperience": "Experienced",
    "jobOpeningShareUrl": "https://okarthritis.bamboohr.com/careers/123",
    "employmentStatusLabel": "Full-Time"
  }
}