Medical Insurance Verification Specialist / Registered Nurse (Orthopedics)

About the role

We are looking for an upbeat, production‑driven Registered Nurse to act as an Insurance Verification Specialist and Medical Receptionist for an Orthopedics, Pain Medicine, and PM&R practice. The role combines high‑volume call handling, patient conversion, and full‑cycle insurance verification while providing excellent customer service.

Key responsibilities

• Manage heavy inbound and outbound patient calls, including new inquiries, clinical triage follow‑ups, missed opportunities, and re‑engagement of inactive patients.
• Convert patient inquiries into booked appointments, maintaining consistent follow‑up until conversion is achieved.
• Execute comprehensive insurance verification: confirm active coverage, interpret plan details, calculate patient financial responsibility, and communicate costs clearly over the phone.
• Navigate commercial plans (HMO/PPO, Aetna, Cigna, Humana), Medicare, and Workers’ Compensation/PIP as required.
• Support provider calendars, track follow‑up documentation, and build rapport with patients.
• Assist with business development and referral source outreach.

Required profile

• Valid, active Registered Nurse (RN) license.
• Proven experience managing high‑volume inbound and outbound calls in a fast‑paced U.S. medical office.
• Deep operational knowledge of insurance verification beyond basic eligibility checks.
• Sales‑oriented mindset with experience in phone‑based patient conversion or customer engagement.
• Clear, confident English phone presence with a warm, professional tone.
• Minimum one year of hands‑on experience using eClinicalWorks (eCW).