Insurance Verification & Precertification Specialist

Advanced Orthopaedics, a division of Ortho LoneStat; Houston (TX); On-site; USD 25,000 - 39,000; Full time

Job summary

Advanced Orthopaedics, a division of Ortho LoneStat, seeks an Insurance Verification & Precertification Coordinator to verify coverage and obtain approvals for visits, surgeries, and injections. You will liaise with patients, clinicians, and insurers to minimize delays and clarify financial responsibilities.

Qualifications include a high school diploma (associate preferred), EMR experience, strong attention to detail, and excellent communication skills.

Qualifications

• High school diploma or equivalent required.
• Associate degree in healthcare administration or a related field preferred.
• 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 with patients, insurance representatives, and team members.
• Strong organizational, planning, multitasking, and prioritization skills.
• Ability to work efficiently under pressure and manage deadlines.
• Spanish-speaking ability is beneficial.

Responsibilities

• Verifying patient insurance eligibility, coverage, and benefits for office visits, procedures, surgeries, and injectable services.
• Obtaining required insurance authorizations and precertifications, including submitting supporting medical documentation.
• Preparing and providing surgical and injectable estimates to patients.
• Communicating patient financial responsibilities, insurance benefits, and coverage limitations.
• Documenting insurance verification and precertification status, authorization details, and patient financial responsibility in the appropriate systems.
• Coordinating with insurance companies, patients, front office staff, and clinical teams to resolve insurance-related issues and prevent delays in patient care.
• Confirming eligible appointments and ensuring all necessary documentation is uploaded to the patient's chart.
• Supporting efficient clinic operations and helping ensure timely reimbursement for services rendered.

Skills

Attention to detail

Data entry

Verbal & written communication

Organizational skills

Multitasking

Prioritization

Customer service

Problem-solving

Typing

Team collaboration

Spanish (beneficial)

Education

High School Diploma

Associate degree in healthcare administration or related field

Tools

EMR systems

Job description

Advanced Orthopaedics, a division of Ortho LoneStat, seeks an Insurance Verification & Precertification Coordinator to verify coverage and obtain approvals for visits, surgeries, and injections. You will liaise with patients, clinicians, and insurers to minimize delays and clarify financial responsibilities.

Qualifications include a high school diploma (associate preferred), EMR experience, strong attention to detail, and excellent communication skills.