Medical Receptionist/ Insurance Specialist - Certified Medical Assistant
我们正在寻找一个积极的临床医疗接待员和保险专家来支持客户快速发展的骨科，疼痛医学和 PM&R 实践。理想候选人拥有强大的临床护理经验以及高电话交互记录，最近 eClinicalWorks (eCW) 导航和彻底的保险验证，不断将查询转化为预定约会。患者交往与高电话调用 ·管理大量进出电话通话，包括错过电话和新调查的回复。·重新参与不动并随时关注无秀治疗计划。·通过建立立即的联系，解决患者犹和回答福利问题来确保定期访问。·在 EHR 中保持每一个病人互动的完整和精密记录。保险验证与福利审查。·执行全面的保险验證评估活动/不活动覆盖范围，有效日期，配资，共保险，扣除 （满足对其剩余）和出口最大额。·区分 HMO,PPO,商业，医疗保险，工人补偿和 PIP 政策以确定准确的患者财务责任。· 在患者访问前确定和协调转诊和预先授权要求。·确保网络内与网络外的好处以及政策限制得到清晰验证。安排 & 运营 ·使用 eClinicalWorks (eCW) 来管理和优化复杂医生日历。·确认，计划和重新安排病人访问，同时保持有组织的后续队列。·通过与转诊医生的办公室，律师和医学-法律联系人建立关系来支持外部沟通，以支持实践量增长。需求 ·医疗 VA 经验：软件能力：最近使用 eClinicalWorks (eCW) 的实践经验。（注：不考虑使用 eCW 的过时经验）. ·保险专业知识：除了基本数据输入之外，对保险机械学深度操作知识 （HMO/PPO,扣除品，前期授权，商业支付人，医疗保健）. ·通信和存在：具有愉快，乐观和专业的电话行为能力；
查看英文原文
We are seeking a proactive, clinical Medical Receptionist & Insurance Specialist to support our client's fast-paced Orthopedics, Pain Medicine, and PM&R practice. The ideal candidate has strong clinical nursing experience and a proven track record in high-volume phone engagement, recent eClinicalWorks (eCW) navigation, and thorough insurance verification, consistently converting inquiries into scheduled appointments with warmth and accuracy.
Patient Engagement & High-Volume Calls
- Manage high-volume inbound and outbound telephone calls, including prompt callbacks for missed calls and new inquiries.
- Re-engage inactive patients and follow up on no-shows to keep treatment plans on track.
- Drive appointment conversion by building immediate rapport, addressing patient hesitation, and answering benefit questions to secure scheduled visits.
- Maintain complete and meticulous documentation of every patient interaction in the EHR.
Insurance Verification & Benefits Review
- Perform full-scope insurance verifications—evaluating active/inactive coverage, effective dates, copays, coinsurance, deductibles (met vs. remaining), and out-of-pocket maximums.
- Differentiate between HMO, PPO, Commercial, Medicare, Workers' Compensation, and PIP policies to determine accurate patient financial responsibility.
- Identify and coordinate referral and prior authorization requirements before patient visits.
- Ensure in-network vs. out-of-network benefits and policy limitations are clearly verified.
Scheduling & Operations
- Manage and optimize complex physician calendars using eClinicalWorks (eCW).
- Confirm, schedule, and reschedule patient visits while maintaining organized follow-up queues.
- Support external outreach by liaising with referring physician offices, attorneys, and medical-legal contacts to support practice volume growth.
Requirements
- Medical VA Experience: 2+ years of virtual assistant support for a U.S.-based medical practice (handling phone workflows, scheduling, verification, and remote physician collaboration).
- Software Proficiency: Recent, hands-on experience using eClinicalWorks (eCW). (Note: Outdated experience with eCW will not be considered).
- Insurance Expertise: Deep operational knowledge of insurance mechanics beyond basic data entry (HMO/PPO, deductibles, prior auths, commercial payers, Medicare).
- Communication & Presence: Exceptional English language skills with a cheerful, upbeat, and professional phone demeanor capable of building quick rapport.
Please note that this is a full-time contractor position (40 hours per week) with a starting pay rate of $6 per hour depending on skillset and experience. The schedule is Monday through Friday, 8am-5pm EST.
Originally posted on Himalayas