Texas Health Care

Compensation

Full Description

Texas Ear Clinic is hiring a Full-Time Insurance Specialist - Surgery PreCert (40 hrs/week) with a strong background in insurance authorizations, surgery scheduling, medical billing, and coding. This role is essential in supporting efficient patient care and successful insurance claim outcomes. Primary Responsibilities • Insurance Authorizations and Surgery Precert. • Surgical Scheduling for outpatient & Inpatient cases • Medical Billing, coding, and payment posting • Reviewing and disputing denied insurance claims with insurers • DX Code Usage for accurate reimbursement • Managing and disputing insurance shortfalls, denials, and incorrect claim processing • Communicating with insurance representatives & clinical team regarding approvals & claim outcomes Desired Expertise • Claim dispute/denial resolution experience (eligibility, medical necessity, and coding appeals) • Insurance Claim Disputes • Surgery scheduling workflow knowledge • CPT & ICD coding proficiency • Ability to review documentation to support medical appeals Preferred Qualifications Experience is a plus: Ent experience Spanish fluency is a plus Prior insurance authorization experience Compensation & Benefits Salary: $22-$24/hour, based on experience Experience with insurance authorizations, surgery scheduling, billing, and coding will determine pay within range Full fringe of benefits, including: • Medical Insurance Benefits • Dental Benefits • Vision Benefits • Paid Time Off (PTO) • 401-K Retirement Plan Job Summary The ideal candidate will be an insurance authorization expert, billing and coding specialist, and denial dispute champion, helping protect clinic revenue while ensuring proper reimbursement for patient care. If you are detail-oriented, experienced in medical insurance workflows, and enjoy resolving complex claims, we want to hear from you!