Orthopedics Verification & Precertification Coordinator

Texas Orthopedics; Houston (TX); On-site; USD 28,000 - 41,000; Full time

Job summary

Advanced Orthopaedics & Sports Medicine is seeking an experienced Insurance Verification & Precertification Coordinator to join our AO Business Office in Houston, TX. You will verify insurance eligibility and benefits, obtain authorizations, and prepare patient estimates for procedures, surgeries, and injections.

You’ll also communicate patient financial responsibilities and document all verification steps in our EMR systems.

Qualifications

• High school diploma or equivalent required.
• Associate degree in healthcare administration or related field preferred.
• Experience in healthcare or insurance-related role preferred.
• Familiarity with medical terminology and insurance coding.
• Experience with EMR systems.
• Strong attention to detail and accuracy in data entry and documentation.
• Excellent verbal and written communication skills.
• Professional communication with patients, insurance representatives, and team members.
• Spanish-speaking ability is beneficial.
• No certifications or licenses required.

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

Communication skills

Multitasking

Organizational skills

Education

High school diploma or equivalent

Associate degree in healthcare administration or related field

Tools

EMR systems

Job description

Advanced Orthopaedics & Sports Medicine is seeking an experienced Insurance Verification & Precertification Coordinator to join our AO Business Office in Houston, TX. You will verify insurance eligibility and benefits, obtain authorizations, and prepare patient estimates for procedures, surgeries, and injections.

You’ll also communicate patient financial responsibilities and document all verification steps in our EMR systems.