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!