Clinical Insurance Coordinator

Job Description

Job Description

Clinical Insurance Coordinator

Location: Las Vegas, NV
Employment Type: Full-Time | Onsite
Pay: $20.00 - $22.00 per hour
Specialty: Orthopedics and Hand Surgery

Help Patients Move Forward with Care

Cornerstone Staffing Solutions is seeking an organized and experienced Clinical Insurance Coordinator for a busy orthopedic specialty practice. This position helps patients receive timely care by coordinating insurance benefits, authorizations, workers’ compensation claims, and personal-injury lien accounts.

The ideal candidate understands medical insurance requirements, follows cases closely, and communicates confidently with patients, providers, insurance carriers, adjusters, and legal offices.

What You’ll Do

• Verify insurance eligibility, benefits, referrals, and patient financial responsibility.

• Obtain authorizations for consultations, imaging, injections, therapy, medical equipment, procedures, and surgery.

• Review provider orders and records for required authorization documentation.

• Submit clinical records and supporting information through payer portals.

• Track pending requests, approvals, denials, and requests for additional information.

• Document authorization numbers, approved services, dates, and visit limits.

• Notify scheduling and clinical teams when patients are cleared for care.

• Assist with reconsiderations, appeals, and peer-to-peer coordination.

• Maintain accurate patient, insurance, claim, adjuster, attorney, and employer information.

• Identify recurring payer issues and escalate unresolved cases appropriately.

Workers’ Compensation and Lien Coordination

• Verify claim status, date of injury, accepted body parts, carrier, adjuster, and claim number.

• Coordinate authorization requests with adjusters, case managers, employers, and attorneys.

• Track utilization reviews, approvals, denials, deadlines, and service limitations.

• Maintain clear documentation of all claim-related communication.

• Review letters of protection and medical-lien documentation for completeness.

• Coordinate lien accounts with authorized legal representatives and internal billing staff.

• Refer settlement, reduction, legal, or clinical decisions to authorized personnel.

What We’re Looking For

• High school diploma or equivalent

• At least two years of medical insurance, authorization, billing, referral, or healthcare administration experience

• Experience verifying commercial insurance eligibility and benefits

• Strong knowledge of medical terminology, HIPAA, insurance portals, and electronic health records

• Ability to interpret payer responses and authorization requirements

• Strong organization, documentation, communication, and follow-through

• Ability to manage multiple time-sensitive cases and deadlines

• Proficiency with standard office applications and multiline phone systems

Preferred Experience

• Orthopedics, hand surgery, occupational medicine, rehabilitation, or another procedural specialty

• At least one year of direct workers’ compensation and medical-lien experience

• Surgical, diagnostic imaging, injection, therapy, or medical-equipment authorizations

• Nevada workers’ compensation claims and authorization processes

• Communication with adjusters, attorneys, case managers, and third-party administrators

• Familiarity with CPT, ICD-10-CM, HCPCS, and medical billing terminology

What Success Looks Like

The successful coordinator will keep cases organized, reduce authorization delays, document every step accurately, and communicate proactively so patients can access care as efficiently as possible.

Ready to Take the Next Step?

Bring your insurance knowledge, attention to detail, and patient-first approach to a specialty practice where your coordination directly supports access to care. Apply today through Cornerstone Staffing Solutions.