Insurance Verification & Precertification Coordinator - Advanced Orthopaedics & Sports Medicine

ORTHOLONESTAR • Houston, TX

3d

About The Position

Advanced Orthopaedics & Sports Medicine is seeking a detail-oriented, organized Insurance Verification & Precertification Coordinator. Approximately half of the role is dedicated to insurance verification and half to precertification. The coordinator verifies patients’ insurance coverage, eligibility, and authorization requirements, and helps patients understand their financial responsibilities. The position works with insurance providers, patients, clinical teams, and administrative staff to support efficient operations and minimize delays in patient care.

Requirements

• High school diploma or equivalent.
• Familiarity with medical terminology and insurance coding.
• Experience working with electronic medical record (EMR) systems.
• Strong attention to detail and accuracy in data entry and documentation.
• Excellent verbal and written communication skills.
• Ability to communicate professionally and effectively with patients, insurance representatives, and team members.
• Basic computer skills, operational knowledge, and good typing skills.
• Ability to use common sense and problem-solving skills when handling insurance-related issues.
• Strong organizational, planning, multitasking, and prioritization skills.
• Ability to work efficiently under pressure and manage competing deadlines.
• Pleasant and professional telephone manner and a strong commitment to customer service.
• No certifications or licenses required.

Nice To Haves

• Previous experience in a healthcare or insurance-related role.
• Associate degree in healthcare administration or a related field.
• Spanish-speaking ability.

Responsibilities

• Verify patient insurance eligibility, coverage, and benefits for office visits, procedures, surgeries, and injectable services.
• Obtain required insurance authorizations and precertifications, including submitting supporting medical documentation.
• Prepare and provide surgical and injectable estimates to patients.
• Communicate patient financial responsibilities, insurance benefits, and coverage limitations.
• Document insurance verification and precertification status, authorization details, and patient financial responsibility in the appropriate systems.
• Coordinate with insurance companies, patients, front office staff, and clinical teams to resolve insurance-related issues and prevent delays in patient care.
• Confirm eligible appointments and ensure necessary documentation is uploaded to the patient’s chart.
• Support efficient clinic operations and help ensure timely reimbursement for services rendered.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED