Clinic Financial Coordinator (Diagnostic Prior Authorizations)

Full-Time | Onsite | Edmond, OK | Not Contracted Role

Are you an experienced Diagnostic Prior Authorization Specialist who understands the ins and outs of insurance approvals, medical necessity requirements, and coordinating patient care before services are rendered?

ImpactKare is partnering with a growing specialty healthcare organization in Edmond, Oklahoma, seeking a Clinic Financial Coordinator with strong diagnostic prior authorization experience. This is not a traditional front office or scheduling position—this role is centered around ensuring diagnostic services receive timely insurance approval so patients can move through their care without unnecessary delays.

If you have experience navigating complex payer guidelines, obtaining authorizations for diagnostic procedures, and working directly with providers and insurance carriers, we'd love to connect.

Position Details

Location: Edmond, OK (Onsite)

Schedule:

• Monday–Thursday: 8:00 AM – 5:00 PM
• Friday: 8:00 AM – 1:00 PM

Employment Type: Full-Time | Direct Hire (Not Contracted Role)

What You'll Do

The primary responsibility of this position is managing the end-to-end diagnostic prior authorization process while ensuring patients, providers, and insurance companies remain aligned throughout the approval process.

Responsibilities include:

• Obtain prior authorizations for diagnostic imaging, specialty procedures, testing, injections, and ancillary services
• Review provider documentation to ensure medical necessity requirements are met prior to submission
• Verify insurance eligibility, benefits, and payer-specific authorization requirements
• Submit authorization requests through insurance portals, fax, or phone while monitoring for approval status
• Follow up on pending authorizations to avoid delays in patient treatment
• Coordinate with physicians, clinical staff, and insurance representatives regarding additional clinical documentation
• Resolve authorization denials by gathering supporting documentation and assisting with appeals when appropriate
• Review referrals and ensure all required documentation is complete before scheduling services
• Accurately document all authorization activity within the Electronic Health Record (EHR)
• Communicate patient financial responsibility related to approved services
• Coordinate patient scheduling once approvals have been received
• Maintain compliance with payer guidelines, HIPAA regulations, and organizational policies
• Collaborate with providers and clinical teams to ensure patients receive timely access to care

What We're Looking For Required Experience

• Minimum of 1 year of recent Diagnostic Prior Authorization experience
• Hands-on experience obtaining authorizations for diagnostic imaging, specialty procedures, radiology, neurology, pain management, rheumatology, or other specialty services
• Strong understanding of medical necessity guidelines and payer authorization requirements
• Experience working with commercial insurance, Medicare, Medicaid, and managed care plans
• Experience verifying benefits and coordinating referrals
• Proficiency working within an Electronic Health Record (EHR)

Preferred Qualifications

• Experience within a specialty physician practice
• Knowledge of CPT, ICD-10, and diagnosis-driven authorization requirements
• Familiarity with insurance portals and electronic authorization systems
• Prior experience working alongside providers to obtain clinical documentation supporting medical necessity

Skills That Make You Successful

• Exceptional attention to detail
• Strong critical thinking and problem-solving skills
• Ability to manage multiple authorizations simultaneously
• Excellent written and verbal communication
• Strong organizational skills
• Ability to prioritize urgent patient needs while meeting payer deadlines
• Comfortable working independently in a fast-paced specialty clinic

Why You'll Love This Opportunity

• Early Fridays every week
• Stable, full-time opportunity with a growing specialty healthcare organization
• Join a collaborative team that values communication and teamwork
• Make a direct impact by helping patients receive timely access to medically necessary care
• Opportunity to expand your expertise within specialty healthcare and revenue cycle operations

Why Join Our Partner?

This position is with one of ImpactKares long-standing healthcare partners, a highly respected multispecialty organization committed to delivering patient-centered care across Oklahoma. Their services continue to expand as patient needs grow, driving the demand for knowledgeable, detail-oriented support in prior authorizations and medication access. They foster a supportive environment where your contributions truly make a difference.

If you're a billing professional who enjoys bringing clarity, consistency, and compassion to your work, this is the place for you.

About ImpactKare:

ImpactKare is a boutique staffing partner specializing in mental health, allied health, and clinical placements. Founded by a nurse turned recruiter, we know firsthand what it's like to work on the front lines of healthcare. Thats why we make hiring (and job hunting) more personal.

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

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