Medical Receptionist / Insurance Specialist - Certified Medical Assistant

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Staffing for DoctorsOrthopedics, pain medicine
Workable locations: Philippines. Nicaragua. Honduras. Ecuador. El Salvador. Guatemala, Monday through Friday, 8am-5pm ESTContractJunior
SalaryAt least 6 USD per hour
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Job Details

Languages
Exceptional English language skills
Experience
2+ years of virtual assistant support for a U.S.-based medical practice

Requirements

  • Have 2+ years of virtual assistant support experience for a U.S.-based medical practice.
  • Have experience handling phone workflows, scheduling, verification, and remote physician collaboration.
  • Have recent, hands-on experience using eClinicalWorks (eCW); outdated eCW experience will not be considered.
  • Bring operational knowledge of HMO and PPO plans, deductibles, prior authorizations, commercial payers, and Medicare.
  • Have strong clinical nursing experience.
  • Demonstrate exceptional English language skills and a professional phone demeanor.
  • Be able to build rapport with patients and address benefit questions.
  • Be available full time, 40 hours per week, Monday through Friday, 8am-5pm EST.

Responsibilities

  • Manage high-volume inbound and outbound calls, including callbacks for missed calls and new inquiries.
  • Re-engage inactive patients and follow up on no-shows.
  • Build rapport, address patient hesitation, answer benefit questions, and convert inquiries into scheduled appointments.
  • Document every patient interaction in the EHR.
  • Verify coverage status, effective dates, copays, coinsurance, deductibles, and out-of-pocket maximums.
  • Distinguish HMO, PPO, commercial, Medicare, Workers' Compensation, and PIP policies to determine patient financial responsibility.
  • Identify and coordinate referral and prior authorization requirements before visits.
  • Verify in-network and out-of-network benefits and policy limitations.
  • Manage physician calendars and confirm, schedule, and reschedule visits using eClinicalWorks.
  • Liaise with referring physician offices, attorneys, and medical-legal contacts.
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At least 6 USD per hour
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