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Procedure Scheduling Representative II
Clearway Pain Solutions. Conduct introductory calls to patients for all assigned procedures; the first call is mandatory .
Tech Stack
Tools & technologiesVoIP
About the role
Key responsibilities & impact- Conduct introductory calls to patients for all assigned procedures; the first call is mandatory
- Complete additional patient calls as needed based on professional judgment
- Serve as the onshore liaison to the offshore eligibility and pre-certification team
- Review eligibility and authorization findings, clarify discrepancies, and assist in resolving escalations
- Independently re-verify eligibility and benefits when discrepancies are identified
- Provide eligibility confirmation support for discrepancies, payer conflicts, and escalations
- Act as a backup resource for same-day, emergency, and Medicare add-on procedures
- Complete mandatory calls within SLA
- Communicate authorization status and timelines
- Explain out-of-pocket costs and collect deposits
- Finalize scheduling once cleared
- Identify potential escalations or patient fallout
- Document all communication and escalate issues per policy
- Serve as the primary point of contact for initial patient fallout
- Conduct first-level retention conversations to understand concerns, address insurance, cost, or process questions, and provide education and reassurance
- Escalate cases and coordinate handoff to the Office Manager, Vice President of Operations, or appropriate clinical team member when patients elect not to proceed
- Maintain 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- 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 multitask and prioritize
- Extreme attention to detail
- Strong organization skills
- Problem-solving and reasoning ability
- Ability to meet predefined quality standards
- Professional attitude and appearance
- 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
- Two years’ experience working with an Electronic Medical Record (EMR) preferred
- Medical Billing Certification preferred
- Reliable transportation
- Ability to work assignments at any of the Company’s locations
Benefits
Comp & perks- PTO: Up to 96 hours in first year (pro-rated based on start date)
- 7 paid holidays
- 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
- Accident coverage
- Critical Illness coverage
- Hospital Indemnity
- Overtime eligibility in accordance with applicable law