Procedure Scheduling Representative II

Clearway Pain Solutions

. Manage complex procedures, high-end ASC cases, first-level escalations, and eligibility exceptions .

Posted 9/25/2026full-timeRemote • United StatesMid-LevelSenior💰 $19 - $21 per hourWebsite

Tech Stack

Tools & technologies

VoIP

About the role

Key responsibilities & impact

Manage complex procedures, high-end ASC cases, first-level escalations, and eligibility exceptions
Serve as the senior operational liaison across scheduling, eligibility, providers, and operations
Conduct mandatory introductory calls to patients for all assigned procedures
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 before scheduling
Provide eligibility confirmation support for discrepancies, payer conflicts, and escalations
Support same-day, emergency, and Medicare add-on procedures requiring rapid validation
Complete patient 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 communications and escalate issues per policy
Serve as the primary point of contact for initial patient fallout, including hesitation or intent to cancel
Conduct first-level retention conversations to understand concerns, answer insurance, cost, and 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 assigned duties

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 third-party payer guidelines
Working knowledge of the healthcare field and medical specialty, as well as 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
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: 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
Accident insurance
Critical Illness insurance
Hospital Indemnity
Overtime eligibility in accordance with applicable law