Medical Receptionist/ Insurance Specialist - Certified Medical Assistant

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 (Note: Outdated experience with eCW will not be considered).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