Medical Registration Specialist (Spine Surgery)

Winning Assistants LLC; Philippines; On-site; PHP 432,000 - 605,000; Full time

Benefits offered by this job

HIPAA training

Contractor support

VPN access

Job summary

Winning Assistants LLC seeks a Medical Registration Specialist (Spine Surgery) to support patient registration, insurance verification, referrals, and authorizations for a U.S.-based spine practice. This non-patient-facing role focuses on accurate data entry and coordination across EMR/EHR systems.

The ideal candidate will navigate U.S. insurance portals, verify coverage, and communicate with insurance providers to secure required authorizations, ensuring timely care progression.

Qualifications

• Previous experience with medical registration, insurance verification, and U.S. healthcare administration.
• Hands-on experience verifying insurance eligibility and benefits directly with U.S. insurance companies.
• Experience navigating insurance portals and retrieving patient coverage information.

Responsibilities

• Register patients and enter demographic and insurance information into the EMR/EHR accurately.
• Verify patient insurance eligibility and benefits with insurers and through portals.
• Process referrals and assist with insurance authorization requirements.

Skills

Medical registration

Insurance verification

HIPAA compliance

EMR/EHR data entry

Communication with insurers

Attention to detail

Tools

Athena

Epic

Cerner

Job description

Job Title: Medical Registration Specialist (Spine Surgery)

Position type: Full-Time

Work hours: 8:00 AM to 5:00 PM Pacific Time

Work days: Monday to Friday

Salary: $5 - $7 per hour, depending on experience

Our client is a U.S.-based medical practice specializing in spine care and surgical treatment. We are seeking an experienced and detail-oriented Medical Registration Specialist (Spine Surgery) to support patient registration, insurance verification, referrals, authorizations, and accurate medical record management.

This is primarily a non-patient-facing role focused on ensuring patient demographics, insurance information, referrals, and supporting documentation are accurately entered and maintained before care moves forward. A significant part of the position involves working directly with insurance companies and navigating insurance portals to verify eligibility and benefits.

The ideal candidate has strong experience with U.S. health insurance verification and medical registration, understands insurance terminology and coverage requirements, and is comfortable communicating directly with insurance companies. You should be proactive, highly organized, and meticulous when handling patient and insurance information.

Key Responsibilities

Patient Registration & Medical Records

• Accurately register patients and enter demographic and insurance information into the appropriate system
• Review patient registration information for completeness and accuracy
• Enter and maintain relevant documentation within the EMR/EHR
• Upload documents and supporting records into patient charts
• Process and organize provider referrals
• Assist with insurance authorization-related documentation as required
• Reference clinical notes and reports through the EHR/EMR when necessary
• Ensure patient charts contain the appropriate registration and insurance documentation
• Maintain accurate, organized, and confidential electronic patient records
• Handle patient-related inquiries and correspondence as required within the scope of the role

Insurance Verification & Benefits

• Verify patient insurance eligibility and benefits directly with insurance companies
• Navigate insurance portals to obtain and confirm coverage information
• Make outbound calls to insurance providers when portal information is unavailable or additional clarification is required
• Verify coverage details, including:
  • Eligibility and active coverage
  • Benefits
  • Deductibles
  • Copays
  • Coinsurance
  • Authorization requirements
• Document insurance verification results accurately in the appropriate system
• Identify missing, conflicting, or incomplete insurance information and take appropriate steps to resolve discrepancies
• Communicate with insurance representatives regarding coverage and authorization requirements
• Maintain accurate records of insurance calls, portal findings, reference numbers, and follow-up requirements

Referrals & Authorization Support

• Review and process incoming provider referrals
• Confirm that required referral and insurance information is complete
• Assist with insurance authorization requirements related to patient registration
• Coordinate documentation needed for insurance processing
• Track outstanding insurance or referral requirements
• Follow up with insurance companies as needed to obtain necessary information
• Help ensure registration and insurance requirements are completed accurately and promptly

Key Areas of Focus

1. Patient Registration & Documentation – Ensure demographics, insurance details, referrals, and supporting documentation are entered accurately and properly maintained within patient records.

2. Insurance Verification & Portal Navigation – Verify eligibility, benefits, patient financial responsibility, and authorization requirements using insurance portals and direct payer communication.

3. Insurance & Referral Coordination – Work with insurance companies and internal records to resolve missing information, process referrals, and support authorization requirements efficiently.

Requirements

Required Skills & Experience

• Previous experience with medical registration, insurance verification, eligibility and benefits verification, or a similar U.S. healthcare administrative function
• Hands‑on experience verifying insurance eligibility and benefits directly with U.S. insurance companies
• Experience navigating insurance portals and retrieving patient coverage information
• Experience making outbound calls to insurance companies
• Strong understanding of U.S. health insurance terminology and processes
• Knowledge of benefits, deductibles, copays, coinsurance, eligibility, and authorization requirements
• Understanding of Workers' Compensation and Medical Provider Networks (MPN)
• Familiarity with provider referrals and insurance authorization workflows
• Experience accurately entering patient demographics and insurance information
• Experience uploading and maintaining documents within patient charts
• Familiarity with EHR/EMR systems such as Athena, Epic, Cerner, or similar platforms
• Ability to review and reference clinical notes and reports when required
• Working knowledge of medical terminology
• Strong attention to detail and commitment to accuracy
• Strong organizational and documentation skills
• Excellent professional phone and written communication skills
• Ability to independently identify and resolve missing or conflicting information
• Ability to manage confidential patient and insurance information appropriately
• Strong understanding of and adherence to HIPAA requirements

Preferred Experience

• Previous experience supporting a U.S.-based spine, orthopedic, surgical, or specialty medical practice
• Experience with spine surgery-related registration or insurance workflows
• Experience working with Workers' Compensation cases
• Experience with MPN requirements
• Experience using Athena
• Experience using Epic
• Experience using Cerner
• Experience coordinating provider referrals and insurance authorizations

Basic Requirements

• Must speak and write English clearly and professionally.
• Must have relevant work experience.
• Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
• Must be available to attend video meetings with camera on when required.

Technical Requirements

• Computer: Reliable laptop or desktop computer.
• Internet: Stable high-speed internet connection (minimum 25 Mbps).
• Audio: Noise‑canceling headset.
• Video: Working webcam for virtual meetings.
• Workspace: Quiet and professional work environment.

Benefits

• Dedicated HR & Contractor Support Team: Access to world‑class support for questions, guidance, contract matters, and client communication.
• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client‑related tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top‑performing VA and increase long-term client retention.
• Client‑Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client's needs and schedule.
• Client‑Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client‑specific SOP support to help you perform at your best.
• Optional Performance‑Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client‑approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.