# Medical Insurance Specialist - Registered Nurse

> Staffing for Doctors · Philippines (Remote) · Full-time · Posted 2026-10-02

**Workplace:** remote

**Department:** Insurance Authorization

## Description

We are seeking an upbeat, production-driven Virtual Nurse / Medical Insurance Specialist to support our client's Orthopedics, Pain Medicine, and PM&R practice. The ideal candidate is a registered nurse or trained nursing professional with extensive U.S. medical VA experience who combines clinical expertise with deep insurance knowledge to drive high-volume patient engagement, appointment conversions, and comprehensive insurance verifications.

**Key Responsibilities**

-   **High-Volume Call Management:** Handle inbound and outbound calls, prompt callbacks for missed inquiries, and persistent follow-up to re-engage inactive or no-show patients, documenting every interaction thoroughly.
-   **Appointment Conversion & Patient Engagement:** Leverage nursing expertise to build rapport, address patient hesitations, clarify insurance questions, and actively guide prospective patients toward confirmed appointments.
-   **In-Depth Insurance Verification:** Conduct thorough verifications beyond basic data entry, evaluating deductible status, HMO/PPO structures, copays, coinsurance, out-of-pocket maximums, network status, and prior auth/referral needs across commercial payers, Aetna, Cigna, Humana, Medicare, and Workers' Comp/PIP.
-   **Scheduling & EMR Documentation:** Efficiently manage physician calendars, confirm and reschedule appointments, and maintain accurate scheduling queues within eClinicalWorks (eCW).
-   **Referral & Outreach Support:** Assist with professional outreach to physician offices, attorneys, and medical-legal contact networks to support patient volume growth as needed.

## Requirements

**Nursing Requirement:** Must be a Registered Nurse (RN), Nurse Practitioner (NP), or hold an equivalent professional nursing degree/license (2+ years of clinical nursing experience required). NON NEGOTIABLE

**Medical VA Experience:** 2+ years supporting a U.S.-based practice (patient scheduling, EMR documentation, phone workflows, and remote physician collaboration).

**EMR Systems:** Recent and current hands-on experience using eClinicalWorks (eCW). NON NEGOTIABLE

**Insurance Expertise:** Deep understanding of U.S. health insurance verification, benefits breakdown, and payer guidelines.

**Phone Presence & Communication:** Fluent English with a clear, cheerful, and highly professional phone presence capable of building strong patient 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 skill set and experience. The schedule is Monday through Friday, 8am-5pm EST.

## Apply

[Apply at Staffing for Doctors](https://apply.workable.com/staffing-for-doctors/j/8D3A236895/apply)

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