Remote Medical Benefits Verification Specialist & Medical Receptionist

Remote Medical Benefits Verification Specialist & Medical Receptionist

Location: Remote (Philippines Latin America or South Africa)
Compensation: (The final offer is at the clients discretion and depends on the candidates interview result skills and experience.)

• Philippines: ($7/hr) - depending on hours $800 to $1100 USD per month

Industry: Healthcare / Medical Revenue Cycle
Schedule: Full-time 40 hours per week

About the Company

Our client is a patient-centric medical practice specializing in respiratory and pulmonary care. They provide diagnostic treatment and follow-up services for conditions involving the lungs and respiratory system. Because insurance verification and patient intake directly impact both patient experience and the revenue cycle these remote roles are essential to operational success.

Role Overview

As a Remote Medical Benefits Verification Specialist & Medical Receptionist you will be a core part of the patient experience and revenue cycle workflow. You will handle inbound patient calls perform detailed insurance benefit verification (including commercial Medicare and Medicaid plans) support scheduling and intake and accurately maintain medical records in electronic health systems.

This is a fast-paced detail-oriented position requiring confidence in handling complex insurance processing while maintaining compassion and professionalism.

Key Responsibilities

Insurance Verification & Revenue Integrity

• Verify medical insurance eligibility and detailed benefits including copays deductibles coinsurance out-of-pocket maximums and prior authorization requirements.
  
• Confirm coverage for office visits procedures diagnostics and specialty services.
  
• Identify requirements for referrals and medical necessity documentation.
  

Patient Communication & Front-End Support

• Manage a high volume of inbound calls with professionalism and empathetic communication.
  
• Clearly explain benefit details and patient financial responsibilities.
  
• Handle patient intake and appointment scheduling with accuracy.
  

Administrative & Clinical Coordination

• Create clinical triages manage inbound faxes/referrals and collaborate with clinical and billing teams to resolve coverage discrepancies.
  
• Accurately document all insurance and patient information in the EHR and Practice Management systems.
  
• Ensure data integrity to support billing workflows and minimize claim denials.
  

Hard Skills

• Proven experience in medical benefits verification and/or medical receptionist/secretarial roles.
  
• Strong knowledge of commercial insurance Medicare and Medicaid benefit workflows.
  
• Technical proficiency with EHR systems.
  
• Experience using insurance portals such as Availity and practice management tools is highly preferred (experience with Medent is a plus).
  

Soft Skills

• Exceptional verbal and written communication with the ability to explain complex insurance terms simply.
  
• Strong attention to detail and high data accuracy.
  
• Ability to manage high call volumes without sacrificing quality or responsiveness.
  
• Professional patient-focused demeanor with empathy and problem-solving skills.
  
• Comfortable working independently in a remote environment with reliable connectivity.
  

About the Candidate

You are a detail-driven healthcare revenue cycle professional who thrives in roles that blend patient communication insurance expertise and administrative precision. You enjoy managing inbound requests navigating complex benefit scenarios and contributing directly to both patient satisfaction and financial integrity of the practice.

Why This Role Matters

Accurate insurance verification and patient intake are critical to both patient experience and revenue cycle health especially in specialized medical services where benefit complexity can significantly impact claim outcomes and patient cost expectations. Your work will directly reduce denials improve scheduling accuracy and support seamless patient care continuity.

Salary Recommendation Rationale

These ranges reflect the specialized nature of the role requiring insurance verification expertise strong communication skills and familiarity with clinical workflows benchmarked for remote talent in the Philippines South Africa and Latin America. They balance competitiveness with sustainability compared to local U.S. hiring costs for similar healthcare operations roles.

Benefits

• Starting Pay: Competitive hourly rate aligned to role requirements.
  
• Paid Holidays after 90 days of continuous employment.
  
• Paid Time Off (PTO) accrual after 90 days.
  

Hourly Rate Benchmarks by Region

Philippines

• Remote healthcare admin insurance verification and similar roles commonly fall in the $6 to $9 per hour range. This aligns with recent remote healthcare job listings for insurance verification and medical admin roles.
  
• Broader outsourcing data confirms senior/experienced customer support roles (similar complexity) sit around $8 to $10/hr.
  Typical: $6$10 per hour
  Justification: Competitive enough to attract candidates with insurance/EHR experience while still cost-effective versus U.S. rates.

Key Skills
EMR Systems,Allscripts,Multi-line Phone Systems,Customer Service,Athenahealth,eClinicalWorks,Insurance Verification,Medical office experience,Medical Terminology,Front Desk,Medical Receptionist,Phone Etiquette
Employment Type : Full Time
Experience: years
Vacancy: 1