Senior Patient Navigator: Eligibility & Care Coordination

clearway; Annapolis (MD); On-site; USD 26,000 - 29,000; Full time

Benefits offered by this job

Health benefits

PTO

Holidays

401(k) match

Overtime eligibility

Job summary

Clearway is seeking a Patient Navigator II to manage complex procedures, high-end ASC cases, and eligibility exceptions, serving as the senior operational liaison across scheduling, eligibility, providers, and operations.

The role requires guiding patients through the pre-certification process, communicating with the offshore eligibility team, and ensuring accurate verification of benefits and timelines, while upholding HIPAA and quality standards.

Qualifications

• High school diploma or equivalent with 3 years related experience.
• Proficient in Internet and Microsoft Office tools.
• Experience making outbound calls using VOIP software.
• Excellent written and oral communication with strong customer service.
• Ability to work independently and in a team; flexible schedule.

Responsibilities

• Conducts introductory patient calls for all procedures.
• Collaborates with offshore eligibility & pre-cert team.
• Provides eligibility confirmation and resolves discrepancies.
• Explains out-of-pocket costs and collects deposits.
• Finalizes scheduling once cleared.
• Maintains HIPAA confidentiality and documents communications.
• Escalates patient cases to appropriate leaders when needed.
• Participates in required trainings.

Skills

Customer service

Outbound calls

Communication skills

Attention to detail

Teamwork

Problem solving

Education

High School Diploma or equivalent

Tools

MS Word

MS Excel

MS PowerPoint

MS Outlook

Job description

Clearway is seeking a Patient Navigator II to manage complex procedures, high-end ASC cases, and eligibility exceptions, serving as the senior operational liaison across scheduling, eligibility, providers, and operations.

The role requires guiding patients through the pre-certification process, communicating with the offshore eligibility team, and ensuring accurate verification of benefits and timelines, while upholding HIPAA and quality standards.