Job Overview
We are seeking an energetic, high-performing Insurance Specialist / Medical Receptionist with a background in Orthopedics, Neurology, or Pain Medicine. This is a high-volume, phone-centric role designed for a cheery, upbeat professional who thrives in a fast-paced environment. This is not a traditional administrative position—it requires strong skills in inbound/outbound call conversion, managing prior authorizations, navigating Commercial and Personal Injury (PIP/Workers' Comp) insurance, and working efficiently in eClinicalWorks (eCW).
Core Responsibilities
High-Volume Call Management: Primary function involves handling a heavy daily volume of inbound and outbound calls—including new patient inquiries, follow-ups, missed opportunities, and reaching out to inactive patients.
Patient Conversion & Scheduling: Convert patient inquiries into scheduled appointments; follow up consistently and proactively until conversion is achieved.
Full Insurance Verification Cycle: Execute end-to-end insurance verification—checking active coverage, interpreting plan details,



calculating patient responsibility (deductibles, copays, coinsurance, OOP maximums), and clearly explaining financials to patients over the phone.
Prior Authorizations & Claims: Confidently secure prior authorizations and navigate Commercial plans (HMO/PPO, Aetna, Cigna, Humana) as well as Personal Injury (PIP/Workers' Comp) cases.
EHR & Workflow Management: Manage calendars, scheduling, and thorough follow-up documentation utilizing eClinicalWorks (eCW).
Relationship Building: Establish strong rapport with patients and referral sources (attorneys, physicians) while supporting practice growth.
EHR Requirement: At least 1 year of hands-on experience using eClinicalWorks (eCW) is strictly required.
Specialty Background: Prior experience working in Orthopedics, Neurology, or Pain Medicine.
Insurance Expertise: Hands-on experience managing the full insurance verification cycle, securing prior authorizati

📌 Bilingual Medical Insurance/ Administrative Specialist- Orthopedics (Colombia)
🏢 Staffing For Doctors
📍 Colombia