We are seeking a dedicated and detail-oriented Medical Insurance Benefits Specialist to join a fantastic healthcare team in Tulsa, OK. Top candidates will have extensive experience verifying patient insurance coverage, ensuring compliance with healthcare regulations, and facilitating smooth insurance processes. Experience in Ophthalmology is a HUGE plus, but not required. Previous work history and longevity is a strong contributor for qualified candidates.

This position offers an exciting opportunity to contribute to a dynamic healthcare environment where your skills in insurance eligibility, and managed care are valued and essential for delivering exceptional patient care.

Responsibilities

• Verify patient insurance eligibility by reviewing health insurance benefit policies, managed care plans, and electronic health records (EHR) systems.
• Ensure compliance with HIPAA regulations and clinical confidentiality policies during all data handling processes.
• Utilize medical terminology, coding, ICD-9, ICD-10, to accurately document insurance information.
• Conduct insurance pre-certifications, pre-authorizations, authorizations and verification procedures for medical office settings to confirm coverage details before appointments or procedures.
• Collaborate with healthcare providers and insurance companies to resolve coverage issues, claim denials, or discrepancies efficiently.
• Manage electronic health records (EHR) and medical records with precision, maintaining organized documentation of all eligibility activities.
• Stay informed about current health insurance policies, updates in medical coding practices, and changes in managed care protocols to ensure accurate processing.

Experience

• Prior experience working in a medical office is required, experience in ophthamology highly preferred.
• Strong knowledge of health insurance policies, managed care plans, and medical billing procedures.
• Familiarity with HIPAA regulations and clinical confidentiality policies to protect patient information at all times.
• Proficiency in EMR/EHR systems and electronic health records management tools.
• Demonstrated ability to verify insurance coverage accurately and resolve related issues promptly.
• Excellent organizational skills with attention to detail in managing medical records and insurance documentation.

Hours

• Monday-Friday 8am-5pm

Pay Range

• $17+ depending on experience and expertise

Join us to make a meaningful impact on patient access to healthcare services! Your expertise will ensure efficient insurance processing while upholding the highest standards of confidentiality and professionalism in a fast-paced healthcare setting. For more information on this position and others, please contact a recruiter.