Insurance Specialist / Medical Receptionist (Registered Nurse)

{"about_the_role": "

We are seeking a cheery, upbeat, and production-driven Registered Nurse (RN) to serve as an Insurance Specialist / Medical Receptionist supporting our client's Orthopedics, Pain Medicine, and PM&R practice. The ideal candidate holds an active RN background, possesses an exceptional command of the English language, and brings extensive experience in high-volume call handling, phone-based appointment conversion, and a complete end-to-end understanding of the insurance verification process.

", "core_responsibilities": "

Core Responsibilities

• High-Volume Call Management: Drive daily production by handling heavy inbound and outbound patient calls, including new patient inquiries, clinical triage follow-ups, missed opportunities, and inactive patient re-engagement.
• Patient Conversion & Scheduling: Enthusiastically convert patient inquiries into booked appointments, maintaining diligent, consistent follow-up until conversion is achieved.
• Comprehensive Insurance Verification: Execute and explain the full insurance verification process\u2014verifying active coverage, interpreting complex plan details, calculating patient financial responsibility (deductibles, copays, coinsurance, OOP maximums), and clearly communicating these costs to patients over the phone.
• Payer Navigation: Confidently handle commercial plans (HMO/PPO, Aetna, Cigna, Humana), Medicare, and Workers' Comp/PIP as required by the practice.
• Administrative & Outreach Support: Manage provider calendars, track follow-up documentation, build rapport with patients, and support ongoing business development and referral source outreach.

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