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National Neuropathy Centers of Oklahoma
Insurance Verification and Prior Authorization Specialist
Career Insights for Medical Claims Processor / Representative
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Based on Oklahoma data
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What they do
A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
$46,114 / year median in Oklahoma
-7% projected decline
Job Description
Insurance Verification and Prior Authorization Specialist National Neuropathy Centers of Oklahoma Tulsa, OK Job Details Full-time $20 - $23 an hour 19 hours ago Benefits Health savings account Paid holidays Health insurance Dental insurance 401(k) Flexible spending account Paid time off Vision insurance Life insurance Qualifications Electronic health records (EHR) management Caseload management Patient management software Medical coding guidelines Documentation tools Patient interaction Medical terminology Full Job Description Overview We are seeking a dynamic Insurance verification and Prior Authorization Coordinator to join our healthcare team, dedicated to navigating the often-complex world of insurance approvals. Your diligence and advocacy will mean that patients get their evaluations, procedures and treatments without unnecessary delays. You'll be a trusted resource for both our clinical teams and our patients, turning insurance requirements into smooth, efficient processes that keep care moving forward. Guided by our core value of compassion in action, we partner with providers, patients, and insurers to ensure that the right care happens at the right time. Responsibilities Verify patient insurance coverage accurately using Electronic Health Records (EHR) systems and other electronic tools. Manage the full lifecycle of prior authorization requests from initial intake to final approval or appeal. Liaise with insurance carriers to verify coverage, clarify requirements, and expedite decisions. Partner with physicians, nurses, and care coordinators to gather and submit complete, accurate clinical documentation. Monitor pending authorizations, proactively following up to prevent delays. Document all communications and updates in our EHR and authorization tracking tools with precision. Keep current on payer guidelines, coding updates, and regulatory changes that impact authorizations. Qualifications 2+ years of experience in prior authorizations, medical billing, or healthcare administration. Working knowledge of medical terminology, CPT/HCPCS/ICD-10 coding, and insurance processes. Exceptional organizational skills and the ability to juggle multiple cases at once. Clear, empathetic communication skills for interacting with patients, providers, and insurers. Proficiency with EHR systems and common office software. A proactive, problem-solving mindset and a commitment to accuracy. Why You'll Love It Here
- A patient-first culture where your work directly impacts health outcomes.
- Competitive pay and robust health coverage
- Generous paid time off, plus holidays
- A collaborative, supportive team that values your expertise and input.
- Accommodating hours (NO night or weekends)