Who We Are
Orthopedic & Sports Medicine Institute is a 20+ year old, physician-owned practice in New Braunfels with satellite offices in Yoakum, Hallettsville, Seguin, Cuero, and Kenedy. Three board-certified orthopedic surgeons, two physician assistants, and a small clinical and administrative staff. The office is the practice as much as the clinicians are. A lot of our patients have been coming here for a decade or more, and they recognize the voices on the phone.
What we want
These are the non-negotiables. They apply to every role in the practice, from front desk to fellowship-trained surgeon.
- Reliability. You show up, on time, every day. Patients are counting on the schedule. The practice is counting on you being where you said you'd be.
- Honesty with patients and with each other. Plain language. No spin. If something went sideways, you say so.
- Ownership. If a ball drops, someone picks it up without being told. "Not my job" doesn't work here.
- Kindness under pressure. Clinic days get full. Surgeries run long. The test is how you treat the person in front of you when it's 4:45 and the waiting room is still half-full.
- Clinical competence for your role. Licensed, credentialed, and current. We verify. We don't cut corners on that.
- Discretion. HIPAA, obviously. But also the quieter kind — you don't talk about patients in the hallway, at lunch, or at the gas station.
What we like
Not required. But if any of this sounds like you, we'd probably get along.
- People who stay. Our best employees have been here a long time. Short-term stops on the way to somewhere bigger aren't really our thing.
- Quiet competence. You do the work well, you don't make a production out of it, and you don't need constant feedback to know you're doing a good job.
- Curiosity about orthopedics. You don't have to be a surgeon to find a rotator cuff interesting. Staff who care about what they're looking at on the x-ray tend to become the ones patients remember.
- Connection to the community. New Braunfels, Seguin, Cuero, Kenedy, Hallettsville, Yoakum — the small-town network matters here. People who grew up nearby, or moved here on purpose, tend to fit.
- A sense of humor. It's a long day in clinic. We'd rather work with people who can laugh about it.
- Teachability. The surgeons here teach. If you're someone who wants to learn the anatomy, the procedures, the reasoning — you'll get it.
- Mechanical interest. Orthopedics is carpentry on people. Folks who like working with their hands outside of work — woodshop, ranching, mechanics, athletics — usually like the feel of this place.
What the work looks like
We run lean. The office covers the usual range:
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Front desk & patient check-in
Answering the phone, checking patients in, verifying insurance, keeping the waiting room moving. First impressions of the practice — most patients meet this person before they meet a surgeon.
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Scheduling
Booking new patients, coordinating across six clinic locations, fitting urgent adds into tight days. Orthopedic or specialty-clinic scheduling background preferred, but trainable.
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Billing & insurance
Claims, prior auths, appeals, patient statements. Orthopedic CPT and workers' comp familiarity is a real advantage.
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Medical records
Chart maintenance, records requests, release-of-information, keeping the EMR clean and usable for the surgeons.
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Imaging / X-ray technology
In-house imaging for clinic and follow-ups. Registered (ARRT) or eligible, comfortable with orthopedic views and positioning, and willing to work directly with surgeons on the films.
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Practice management & administration
Office operations, HR, vendor management, compliance. Small-practice ownership mentality — you'd be running things, not sitting in a corporate hierarchy.
We don't always have a specific opening, but we're always open to the right person. If you've got experience in any of the above — or just the temperament to learn — we'd rather talk than miss you.
Get in touch
Send a resume and a short note about what you're looking for to info@osinb.com, or call (830) 625-0009. No formal application, no funnel — we'd rather have a real conversation.