Bilingual Medical Receptionist, Insurance Verification

This is a fully remote position, open to applicants in Colombia.

📋 Description

• Verify Eligibility: Confirm and validate patient insurance eligibility and benefits before scheduled appointments.

• Explain Coverage: Effectively clarify complex insurance terms (deductibles, copays, coinsurance, and out-of-pocket maximums) for patients.

• Prior Authorizations: Assess, submit, and verify authorization requirements to mitigate claim denials.

• Specialty Claims: Handle and oversee specialized cases, including Medicare, Workers' Compensation, and No-Fault Motor Vehicle Accident (MVA) claims.

• Patient Scheduling: Skillfully manage the clinic calendar, organizing appointments for both new and returning patients.

• EHR Management: Accurately input, update, and maintain patient records and insurance documentation within our Electronic Health Record (EHR) system.

• Team Collaboration: Collaborate closely with our clinical team to ensure smooth patient onboarding and precise billing coordination.

⛳️ Requirements

• U.S. Healthcare Experience: At least 1–2 years of experience in a U.S. doctor’s office, physical therapy clinic, or chiropractic facility.

• Insurance Expertise: Strong, practical knowledge of U.S. medical insurance terminology, including deductibles, copays, coinsurance, out-of-pocket limits, and prior authorization processes.

• Specialty Case Knowledge: Direct experience in managing Medicare, Workers' Compensation, and No-Fault/MVA cases.

• EHR Familiarity: Experience with EHR/EMR platforms is essential. Familiarity with Comprise Health is preferred, but a strong willingness and ability to learn the system rapidly are required.

• Communication Skills: Outstanding English communication abilities (both written and verbal) with a friendly, professional, and empathetic approach when interacting with patients.

• Attention to Detail: High level of accuracy in data entry and patient record maintenance to reduce billing and scheduling errors.

🏝️ Benefits

• Consistent, stable full-time hours.

• A supportive, collaborative team environment.

• Weekly/bi-weekly payouts.

• Opportunity to advance and develop your career in U.S. healthcare administration.