Medical Assistant / Insurance Verification Coordinator- Advanced Orthopaedics & Sports Medicine

ORTHOLONESTAR•Cypress, TX

1d•Onsite

About The Position

Advanced Orthopaedics & Sports Medicine is seeking a dependable, organized, and detail-oriented individual for a dual-role position split between its Bridgeland and Northpointe Clinics and Central Business Office. The position involves working three days per week as a Medical Assistant in an assigned clinic and two days per week in Insurance Verification at the business office. The ideal candidate is comfortable working directly with patients while also handling administrative responsibilities, insurance verification, and authorization processes. As a Medical Assistant, the employee supports physicians and patients with examinations, procedures, patient records, clinical preparation, and follow-up coordination. As an Insurance Verification Coordinator, the employee verifies coverage and benefits, obtains authorizations and precertifications, prepares patient estimates, documents insurance information, and communicates updates to clinical staff. The employee also helps with projects, audits, cross-training, and coverage as needed, and performs other duties as assigned.

Requirements

High school diploma or GED is required for the Medical Assistant responsibilities.
Current CPR certification.
Knowledge of medical terminology and patient care procedures.
Strong communication, organizational, and multitasking skills.
Ability to work independently and maintain accurate medical records.
Dependable, detail-oriented, and able to work in a fast-paced clinical environment.
High school diploma or equivalent is required for the Insurance Verification Coordinator responsibilities.
Experience with EMR systems and basic computer applications.
Strong attention to detail and data entry accuracy.
Excellent communication and customer service skills.
Ability to multitask, prioritize responsibilities, and work independently.
Maintain patient confidentiality and comply with organizational policies and requirements.

Nice To Haves

CMA, LVN, CST, or equivalent clinical experience.
Previous healthcare, medical office, or insurance experience.
Knowledge of medical terminology and insurance processes.
Spanish-speaking abilities.

Responsibilities

Assist physicians with patient examinations, procedures, and general patient care.
Escort patients to exam rooms, obtain medical histories, and document information in patient medical records.
Prepare patients for examinations and procedures.
Apply and remove casts and splints; fit patients for braces, boots, and other durable medical equipment.
Perform wound care, dressing changes, and suture or staple removal.
Prepare injections and sterile trays as directed by the physician.
Communicate physician instructions and patient education materials.
Coordinate surgery scheduling, imaging, referrals, and follow-up appointments.
Obtain laboratory and imaging reports as needed.
Clean, organize, and stock examination rooms.
Follow HIPAA, OSHA, infection control, and workplace safety guidelines.
Verify patient insurance eligibility, coverage, and benefits through insurance portals and telephone communication.
Obtain authorizations and precertifications for office visits, surgeries, and other medical services.
Contact insurance companies to determine requirements and submit supporting medical documentation.
Prepare surgical and injectable medication estimates for patients.
Document verification results, authorization status, and patient financial responsibility in appropriate systems.
Follow up on pending authorizations and resolve insurance discrepancies.
Communicate insurance requirements and authorization updates to clinical staff.
Assist with departmental projects, audits, cross-training, and coverage as needed.
Maintain professionalism and a positive, team-oriented attitude while transitioning between clinical and administrative responsibilities.
Maintain patient confidentiality and follow organizational policies and compliance requirements.
Communicate effectively with physicians, coworkers, patients, and insurance representatives.
Perform other clinical, administrative, or management-assigned duties as needed.