- Handle heavy inbound and outbound patient calls, including new patient inquiries, clinical triage follow-ups, missed opportunities, and inactive patient re-engagement
- Convert patient inquiries into booked appointments and follow up consistently until conversion
- Verify active insurance coverage and interpret complex plan details
- Calculate patient financial responsibility, including deductibles, copays, coinsurance, and out-of-pocket maximums
- Communicate insurance coverage and patient costs clearly over the phone
- Handle commercial plans including HMO/PPO, Aetna, Cigna, and Humana, as well as Medicare and Workers' Comp/PIP
- Manage provider calendars
- Track follow-up documentation
- Build rapport with patients
- Support business development and referral source outreach
Requirements
- Valid, active Registered Nurse (RN) license
- Proven track record of managing high-volume inbound and outbound phone calls within a fast-paced U.S. medical office setting
- Deep operational understanding of insurance verification, including analyzing coverage details beyond eligibility checks
- Experience in phone-based patient conversion, sales, or customer engagement within a metrics-driven environment
- Outstanding, clear, and confident English phone presence with a warm, energetic, and professional customer service tone
- Minimum 1 year of hands-on experience working with eClinicalWorks (eCW)
- Full-time contractor position requiring 40 hours per week
- Monday through Friday, 8am-5pm EST schedule
Core Competencies
Demonstrates expertise in patient engagement and appointment conversion, with a strong focus on insurance verification and financial responsibility calculations. Possesses a valid Registered Nurse (RN) license and experience in a high-volume medical office environment.
Highest-signal resume keywords
- Registered Nurse (RN) License
- Insurance Verification
- Patient Conversion
- EClinicalWorks (eCW)
- High-Volume Call Management
Hard Skills
- Insurance Coverage Analysis
- Patient Financial Responsibility Calculation
- Clinical Triage Follow-Up
- Appointment Booking
- Documentation Tracking
Soft Skills
- Clear Communication
- Customer Service
- Rapport Building
- Professional Phone Presence
- Energetic Tone
Certifications & Qualifications
- Registered Nurse (RN) License
Industry Keywords
- HMO
- PPO
- Aetna
- Cigna
- Humana
- Medicare
- Workers' Comp
- PIP
- Metrics-Driven Environment
- Fast-Paced Medical Office
#J-18808-Ljbffr
Medical Insurance Verification Specialist – Registered Nurse, Orthopedics Arbeitgeber: Jobtailor
Als Front Office Supervisor in unserem dynamischen Team bieten wir Ihnen die Möglichkeit, in einem unterstützenden und freundlichen Arbeitsumfeld zu wachsen. Wir legen großen Wert auf die berufliche Entwicklung unserer Mitarbeiter und bieten regelmäßige Schulungen sowie die Chance, Verantwortung zu übernehmen. Unsere Lage ermöglicht es Ihnen, Teil einer lebendigen Gemeinschaft zu sein, während Sie gleichzeitig die Standards unseres Franchise-Partners einhalten und unseren Gästen einen unvergesslichen Aufenthalt bieten.
