Infusion Pre Certification Coordinator

Edmond, OK, US, United States

Job Description

Pre-Certification Coordinator - Infusion Services



Location:

Edmond, Oklahoma (Onsite)

Schedule:

Monday-Thursday, 8:00 a.m.-5:00 p.m.; Friday, 8:00 a.m.-1:00 p.m.

Reports to:

Billing & Patient Services Supervisor

Overview:


Are you experienced in benefits verification and passionate about helping patients understand their insurance coverage? We're partnering with a respected healthcare organization in Edmond, Oklahoma, to add a

Pre-Certification Coordinator (Infusion Services)

to their growing team. This role is perfect for someone who thrives on accuracy, communication, and patient connection--especially in the world of infusion therapy.

Why the Role is Open:


Due to the continued growth of the infusion program and increasing patient volume.

Why This Role Stands Out:



Stable weekday schedule with early Fridays High-impact role supporting both patients and clinical teams Opportunity to specialize in a growing area of healthcare: infusion therapy Supportive, team-oriented environment with professional development opportunities A partner organization that values communication, compliance, and patient care

Position Summary:


As a

Pre-Certification Coordinator - Infusion Services

, you will serve as a key liaison between patients, providers, and payers. You'll help patients navigate their insurance benefits, coordinate prior authorizations, and ensure financial accuracy from start to finish. Your attention to detail and compassionate communication will help create a smooth, stress-free experience for every patient.

Key Responsibilities:



Verify patient insurance benefits and eligibility for infusion services Obtain prior authorizations for specialty medications and infusion treatments Calculate and communicate patient financial responsibilities clearly and accurately Coordinate with outside providers to ensure seamless infusion referrals Review and manage payment records, maintaining accuracy in patient billing Assist patients with copay assistance and financial support programs Respond promptly to phone calls, voicemails, and EHR task requests Collaborate closely with clinical and billing teams to streamline patient care Deliver professional, compassionate service with a patient-first approach

Requirements:



2-3 years of experience in medical insurance, benefits verification, or prior authorizations--preferably within infusion or specialty pharmacy Strong understanding of Medicare, Medicaid, and private insurance policies Familiarity with specialty pharmacy processes, PBMs, and infusion billing Excellent communication, organization, and problem-solving skills Proficiency in EHR systems and Microsoft Office Suite Typing speed of at least 50 WPM

Work Environment:



Fast-paced, clinical office setting Frequent computer and data entry work Ability to sit and perform administrative duties for extended periods

WHY JOIN OUR PARTNER?



Our partner organization is known for its commitment to patient care, financial transparency, and operational excellence. You'll be joining a collaborative team that supports one another and puts patients first, especially in complex care areas like infusion therapy. If you're organized, compassionate, and ready to take the lead on patient benefits coordination, we'd love to hear from you.

About ImpactKare:



ImpactKare is a boutique staffing partner specializing in mental health, allied health, and clinical placements. We know what it's like to work on the front lines, and we're here to make hiring (and job hunting) more personal. Whether you're a facility that needs strong, reliable talent or a clinician looking for your next chapter, we're in your corner.

We believe in transparency, long-term partnerships, and doing the right thing even when no one's watching. Recruitment should feel like someone cares because we do.

Job Type: Full-time

Benefits:

Dental insurance Health insurance Paid time off Vision insurance
Application Question(s):

Do you have at least 1-2 years of experience in medical insurance, benefits verification, or prior authorizations? Have you worked directly with infusion or specialty medication authorizations? Have you verified patient benefits and eligibility for infusion or specialty services? Have you coordinated prior authorizations for medications or treatments requiring medical necessity documentation? Do you have experience working with Medicare, Medicaid, and commercial insurance plans? Have you ever communicated financial responsibilities to patients before treatment or infusion services? Are you familiar with PBM (Pharmacy Benefit Manager) processes? Do you understand how to interpret EOBs, coverage determinations, or denial reasons?
Ability to Commute:

Edmond, OK 73013 (Required)
Work Location: In person

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Job Detail

  • Job Id
    JD6419290
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Edmond, OK, US, United States
  • Education
    Not mentioned