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Procedure Scheduling Representative II
Clearway Pain Solutions. Conduct introductory and additional calls to patients for assigned procedures .
Tech Stack
Tools & technologiesVoIP
About the role
Key responsibilities & impact- Conduct introductory and additional calls to patients for assigned procedures
- Serve as the onshore liaison to the offshore eligibility and pre-certification team
- Review eligibility and authorization findings, clarify discrepancies, and resolve escalations
- Independently re-verify eligibility and benefits when discrepancies are identified
- Provide eligibility confirmation support for payer conflicts, discrepancies, and escalations
- Serve as a backup resource for same-day, emergency, and Medicare add-on procedures
- Complete mandatory patient calls within SLA
- Communicate authorization status and timelines
- Explain out-of-pocket costs and collect deposits
- Finalize scheduling once procedures are cleared
- Identify potential escalations or patient fallout
- Document communications and escalate issues per policy
- Serve as the primary point of contact for initial patient fallout
- Conduct first-level retention conversations with patients who express hesitation or intent to cancel
- Address questions regarding insurance, cost, and process, and provide education and reassurance
- Coordinate handoff of patients who decline to proceed to the Office Manager, Vice President of Operations, or appropriate clinical team member
- Exercise confidentiality and comply with HIPAA rules and regulations
- Check and respond to work email regularly throughout the workday
- Complete required trainings and in-services
- Perform other duties as assigned
Requirements
What you’ll need- Remote in Maryland or New Jersey
- High School Diploma or equivalent with a minimum of three (3) years related experience; or an equivalent combination of education and/or experience
- Knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook)
- Prior experience making outbound calls using VOIP software
- Excellent written and oral communication skills, including exceptional customer service
- Ability to establish and maintain effective working relationships with doctors, clinical staff, co-workers, and the public
- Ability to work individually and within a team
- Ability to follow verbal and written instructions
- Ability to work a flexible schedule
- Ability to respond with patience and understanding during stressful conditions related to patient health and emergent situations
- Ability to multi-task and prioritize
- Extreme attention to detail
- Strong organization skills
- Ability to problem solve and use reasoning
- Ability to meet predefined quality standards
- Professional attitude and appearance at all times
- Working knowledge of CPT and ICD-10 coding rules
- Solid foundation of insurance knowledge and guidelines for third party payers
- Working knowledge of the healthcare field and medical specialty, medical terminology
- Strong desire to provide excellent customer service
- Compliance with applicable organizational rules and regulations
- High ethical and professional standards of conduct
- Desire to continuously improve professional performance
- Preferred: Two (2) years’ experience working with an Electronic Medical Record (EMR)
- Preferred: Medical Billing Certification
- Reliable transportation
- This position is non-exempt (hourly) and eligible for overtime pay; overtime is not guaranteed
- Not eligible for bonus, commission, incentive, or shift differential pay
Benefits
Comp & perks- PTO: Up to 96 hours in first year (pro-rated based on start date)
- 7 paid holidays: New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Day After Thanksgiving, Christmas Day
- 401(k) with employer match
- Medical, dental, and vision benefits for single and family coverage
- Short-Term Disability
- Long-Term Disability
- Basic Life/AD&D
- Employee Assistance Program
- Voluntary Life insurance
- Accident insurance
- Critical Illness insurance
- Hospital Indemnity insurance
- Eligible for overtime pay in accordance with applicable law
- Reliable transportation and potential work assignments at any Company location