Insurance Specialist - Surgery PreCert - Biller and Coder

Job Description

Job 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!