Patient Appointment Scheduler (Worker's Compensation) Start-Up Company c/o DAA

John Clements Consultants, Inc.; Quezon City; On-site; PHP 212,000 - 324,000; Full time

Job summary

John Clements Consultants, Inc. is seeking a Patient Appointment Scheduler: Workers' Compensation Coordinator. The role acts as the primary contact for injured workers referred by employers, carriers, and partners.

You will manage claim intake, verify information, coordinate authorisations, and schedule orthopedic care in a timely manner. The position is 100% on-site with night shifts. Responsibilities include processing referrals, entering data into EMR, verifying claim details, and tracking

Qualifications

• Willingness and ability to work night shifts and 100% on-site.
• College undergraduate education or GED required; associate degree preferred.
• At least two years of experience in healthcare scheduling, patient access, referral or authorisation coordination, or medical office coordination.
• Experience with workers' compensation claims, occupational medicine, or orthopedics is strongly preferred.
• Working knowledge of claim intake, compensability, and treatment authorisation requirements.
• Experience with EMR or practice management systems (Epic, Athenahealth) preferred.
• Knowledge of medical terminology and CPT/ ICD-10 concepts related to authorisation is preferred.
• Strong customer service, communication, organisation, and data-entry skills.
• Ability to manage multiple priorities and a high-volume caseload in a fast-paced environment.

Responsibilities

• Receive and process inbound workers' compensation referrals via fax, EMR, email, portals, and phone.
• Enter patient demographics, employer, claim, and billing information into EMR and practice systems.
• Verify claim status, compensability, and provider details before scheduling.
• Obtain and track treatment authorisations for visits, imaging, therapy, and procedures.
• Maintain authorisation queues and follow up on delays affecting access to care.
• Coordinate the full episode of care, including follow-up visits and surgical scheduling handoffs.
• Communicate scheduling details and requirements professionally and compassionately.
• Document communications accurately within the EMR.

Skills

Customer service

Communication

Organization

Data entry

Multitasking

Education

Associate degree in healthcare administration or related field

College undergraduate education

GED

Tools

Epic

Athenahealth

Microsoft Office

Job description

About the role

The Patient Appointment Scheduler: Workers' Compensation Coordinator serves as the primary point of contact for injured workers referred to the practice by employers, insurance carriers, third-party administrators, nurse case managers, occupational health clinics, urgent care centres, and other referral partners. This role manages workers' compensation claim intake, verifies claim and employer information, coordinates treatment authorisation, and schedules orthopedic care and related services in a timely manner. The position is 100% on-site and requires availability for night shifts.

Key responsibilities

• Receive and process inbound workers' compensation referrals through fax, EMR, email, portals, and phone.

• Complete claim intake and accurately enter patient demographic, employer, claim, and billing information into EMR and practice management systems.

• Verify claim status, compensability, coverage, treating physician requirements, and provider details before scheduling.

• Obtain, track, and document treatment authorisations for office visits, diagnostic imaging, injections, physical and occupational therapy, durable medical equipment, and surgical services.

• Maintain authorisation and pending-request work queues, follow up on outstanding requests, and elevate delays affecting access to care.

• Coordinate the full episode of care, including follow-up visits, imaging, therapy, preoperative appointments, surgical scheduling handoffs, independent medical examinations, functional capacity evaluations, and impairment rating appointments.

• Coordinate with nurse case managers and employer representatives regarding appointment attendance, scheduled visit times, and on-site attendance requests while confirming worker consent and privacy requirements.

• Distribute work status reports, duty restrictions, and return-to-work documentation promptly in accordance with organisational policy.

• Route requests for medical records, forms, depositions, subpoenas, and attorney correspondence to the appropriate department.

• Ensure workers' compensation accounts are correctly separated from group health, motor vehicle accident, and self-pay accounts for accurate billing.

• Communicate scheduling requirements, authorisation status, appointment details, and visit preparation instructions professionally and compassionately.

• Document patient, employer, carrier, and case manager communications accurately and completely within the EMR.

• Manage cancellations, no-shows, and reschedules according to policy, including required notifications to adjusters, case managers, and employers.

• Escalate urgent scheduling concerns, authorisation denials, delays in care, compensability disputes, and complaints to leadership as needed.

• Support goals related to patient access, patient and employer satisfaction, referral conversion, authorisation turnaround, and prevention of authorisation-related denials.

• Maintain confidentiality and compliance with HIPAA, workers' compensation privacy and disclosure requirements, payer and employer agreements, and organisational policies.

• Perform other duties as assigned.

What we're looking for

• Willingness and ability to work night shifts and 100% on-site with no work-from-home option.

• College undergraduate education or GED required; an associate degree in healthcare administration, business, or a related field is preferred.

• At least two years of experience in healthcare scheduling, patient access, referral or authorisation coordination, call centre operations, or medical office coordination.

• Experience with workers' compensation claims, occupational medicine, employer services, or orthopedics is strongly preferred.

• Working knowledge of claim intake, compensability, panel of physicians requirements, treatment authorisation, work status reporting, and applicable state forms and filing requirements.

• Experience with EMR or practice management systems such as Epic, Athenahealth, or similar platforms is preferred.

• Knowledge of medical terminology, orthopedic specialties, and basic CPT and ICD-10 concepts as they relate to authorisation requirements is preferred.

• Strong customer service, communication, organisation, follow-through, and data entry skills.

• Ability to manage multiple priorities, pending authorisations, and a high-volume caseload in a fast-paced environment.

• Ability to interpret authorisation requirements, payer and employer instructions, and workers' compensation guidelines consistently.

• Sound judgement and discretion when handling sensitive claim, employment, and medical information.

• Proficiency with Microsoft Office, payer and carrier portals, and healthcare technology systems.

• Ability to collaborate with providers, clinical staff, therapy and surgical teams, revenue cycle teams, and external referral partners.