Procedure Scheduling Representative II

🕒 September 25

🏖️ New Jersey, Maryland – Remote

🏖️ New Jersey – Remote 🦀 Maryland – Remote

💵 $19 - $21 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 14%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 46 days.
• Jobs at this company usually fill in 21 days.

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Clearway Pain Solutions

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

🧘 Wellness

💊 Pharmaceuticals

Healthcare • Wellness • Pharmaceuticals

Clearway Pain Solutions is a healthcare organization dedicated to providing comprehensive pain management services. With locations across several states, including Texas, the company focuses on relieving chronic pain, restoring physical function, and enhancing the quality of life for its patients. Clearway employs a multi-disciplinary approach to treatment, offering interventional pain management, physical therapy, and medication management, ensuring that patients receive tailored care that meets their unique needs.

📋 Description

• 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 assigned procedures and additional calls as needed • 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, escalations, same-day procedures, emergency procedures, and Medicare add-on procedures • Communicate authorization status and timelines • Explain out-of-pocket costs and collect deposits • Finalize scheduling once procedures are cleared • Identify potential escalations and patient fallout • Document communications and escalate issues according to policy • Serve as the primary contact for initial patient fallout, including hesitation or intent to cancel • Conduct first-level retention conversations, address insurance/cost/process questions, and provide education and reassurance • Coordinate handoffs to the Office Manager, Vice President of Operations, or clinical team when patients do not proceed • Maintain confidentiality and comply with HIPAA rules and regulations • Check and respond to work email throughout the workday • Complete required trainings and in-services • Perform other duties as assigned

🎯 Requirements

• High School Diploma or equivalent with a minimum of three (3) years of 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 • Patience and understanding during stressful conditions related to patient health and emergent situations • Ability to multitask and prioritize • Extreme attention to detail • Strong organizational 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, medical specialty, and medical terminology • Reliable transportation • Two (2) years of experience working with an Electronic Medical Record (EMR) preferred • Medical Billing Certification preferred

🏖️ Benefits

• Up to 96 hours of PTO in the 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 coverage for single and family plans • Short-Term Disability • Long-Term Disability • Basic Life/AD&D • Employee Assistance Program • Voluntary Life insurance • Accident insurance • Critical Illness insurance • Hospital Indemnity insurance • Overtime eligibility in accordance with applicable law

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