Medical Receptionist – Insurance Specialist, Certified Medical Assistant

This is a fully remote position, open to applicants in Philippines, +5 more countries.

📋 Description

• Oversee a significant volume of incoming and outgoing phone calls, ensuring timely callbacks for missed calls and new inquiries.

• Reconnect with inactive patients and follow up on missed appointments to keep treatment plans on schedule.

• Enhance appointment conversion rates by establishing rapport, addressing patient concerns, and clarifying benefits.

• Maintain thorough documentation of every patient interaction within the EHR system.

• Conduct insurance verifications, including active/inactive status, effective dates, copays, coinsurance, deductibles, and out-of-pocket maximums.

• Differentiate between HMO, PPO, Commercial, Medicare, Workers' Compensation, and PIP policies to ascertain patient financial responsibilities.

• Identify and coordinate the requirements for referrals and prior authorizations.

• Verify both in-network and out-of-network benefits alongside policy limitations.

• Manage and optimize physician schedules using eClinicalWorks (eCW).

• Confirm, schedule, and reschedule patient appointments while ensuring organized follow-up queues.

• Collaborate with referring physician offices, attorneys, and medical-legal contacts to foster practice growth.

⛳️ Requirements

• At least 2 years of experience as a virtual assistant for a U.S.-based medical practice, managing phone workflows, scheduling, verifications, and remote collaboration with physicians.

• Recent, hands-on experience with eClinicalWorks (eCW); outdated experience will not be accepted.

• Extensive operational knowledge of insurance processes beyond basic data entry, including HMO/PPO, deductibles, prior authorizations, commercial payers, and Medicare.

• Excellent command of the English language.

• Cheerful, positive, and professional phone demeanor that fosters quick rapport with patients.

• Full-time contractor availability, committing to 40 hours per week.

• Availability from Monday to Friday, 8am–5pm EST.

🏝️ Benefits

• Competitive salary and compensation package.

• Opportunities for professional growth and development.

• Supportive work environment with a focus on team collaboration.