Medical Registration Specialist, Spine Surgery

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

📋 Description

• Efficiently register patients and input demographic and insurance details into the designated system.

• Examine patient registration data for thoroughness and precision.

• Enter and manage pertinent documentation within the EMR/EHR system.

• Upload necessary documents and supporting records into patient files.

• Process and arrange provider referrals systematically.

• Assist with documentation related to insurance authorizations.

• Reference clinical notes and reports via the EHR/EMR as needed.

• Ensure patient charts include all required registration and insurance documentation.

• Maintain precise, organized, and confidential electronic patient records.

• Address patient-related inquiries and correspondence within the role's scope.

• Verify patient insurance eligibility and benefits directly with insurance providers.

• Navigate insurance portals to acquire and confirm coverage details.

• Make outbound calls to insurance companies when portal information is lacking or clarification is needed.

• Confirm eligibility, active coverage, benefits, deductibles, copays, coinsurance, and authorization prerequisites.

• Accurately document results of insurance verifications.

• Identify and rectify any missing, conflicting, or incomplete insurance information.

• Communicate with insurance representatives regarding coverage and authorization needs.

• Maintain records of insurance calls, portal discoveries, reference numbers, and follow-up actions.

• Review and process incoming provider referrals.

• Ensure that required referral and insurance information is thoroughly complete.

• Assist with insurance authorization requirements linked to patient registration.

• Coordinate necessary documentation for insurance processing.

• Monitor pending insurance or referral requirements.

• Follow up with insurance carriers to obtain essential information.

• Ensure that registration and insurance prerequisites are completed accurately and promptly.

⛳️ Requirements

• Prior experience in medical registration, insurance verification, eligibility and benefits confirmation, or a similar administrative role in U.S. healthcare.

• Practical experience in verifying insurance eligibility and benefits directly with U.S. insurance companies.

• Familiarity with navigating insurance portals to retrieve patient coverage information.

• Experience in making outbound calls to insurance providers.

• Strong comprehension of U.S. health insurance terminology and procedures.

• Knowledge of benefits, deductibles, copays, coinsurance, eligibility, and authorization prerequisites.

• Understanding of Workers’ Compensation and Medical Provider Networks (MPN).

• Acquainted with provider referrals and insurance authorization workflows.

• Experience in accurately entering patient demographics and insurance details.

• Proficient in uploading and managing documents within patient records.

• Familiarity with EHR/EMR systems like Athena, Epic, Cerner, or similar platforms.

• Ability to review and reference clinical notes and reports as required.

• Working knowledge of medical terminology.

• Strong attention to detail and a commitment to accuracy.

• Excellent organizational and documentation abilities.

• Outstanding professional phone and written communication skills.

• Capability to independently identify and resolve missing or conflicting information.

• Ability to handle confidential patient and insurance information appropriately.

• Strong understanding of and compliance with HIPAA regulations.

• Must communicate in English clearly and professionally, both verbally and in writing.

• Relevant work experience is essential.

• Must provide an NBI Clearance and/or Local Police Clearance prior to onboarding (mandatory).

• Availability to participate in video meetings with camera on when necessary.

• Access to a reliable laptop or desktop computer.

• Stable high-speed internet connection (minimum 25 Mbps).

• Noise-canceling headset.

• Functional webcam for virtual meetings.

• Quiet and professional workspace.

🏝️ Benefits

• Dedicated HR & Contractor Support Team.

• Premium VPN Access (Optional).

• HIPAA & Cybersecurity Training + Certification (Provided).

• Top 1% VA Performance Training.

• Client-Approved U.S. Holidays.

• Client-Approved Paid or Unpaid Time Off.

• Access to Tools & Resources.

• Optional Performance-Based Incentives.

• Optional bonuses, incentives, or increased hours based on performance.