Patient Scheduling Specialists (Worker's compensation) c/o JFI

John Clements Consultants, Inc.; Quezon City; On-site; PHP 391,000 - 614,000; Full time

Job summary

John Clements Consultants, Inc. is seeking a Healthcare Scheduling Coordinator to join our team in Bridgetowne, Quezon City.

You will manage workers' compensation referrals, verify details, and schedule orthopedic consultations, imaging, and therapies, coordinating with employers, insurers, adjusters, and providers to ensure timely access to care. The ideal candidate has a Bachelor's degree and at least 2 years in healthcare scheduling or medical office operations, with experience in US

Qualifications

• Bachelor's degree in a related field.
• At least 2 years in healthcare scheduling or medical office operations.
• Experience with US healthcare operations.
• Knowledge of workers' compensation claims and medical terminology.
• Experience with EMR systems such as Epic or Athenahealth.

Responsibilities

• Receive and process workers' compensation referrals from employers, insurance carriers, third-party administrators, and healthcare facilities.
• Verify patient, employer, insurance, and claim details during intake.
• Verify claim status, coverage, and compensability before scheduling appointments.
• Coordinate treatment authorizations for consultations, imaging, therapy, injections, and surgical procedures.
• Schedule and manage patient appointments, follow-ups, diagnostic tests, and other treatment services.
• Monitor pending authorizations and follow up with insurance adjusters, employers, and case managers.
• Coordinate work status reports, return-to-work documentation, and medical records requests.
• Maintain accurate patient and claim information in the EMR system.
• Address scheduling concerns, cancellations, and authorization delays while ensuring a positive patient experience.
• Ensure compliance with HIPAA, workers' compensation regulations, and organizational policies.

Skills

Communication skills

Customer service

Organizational

Multitasking

Education

Bachelor's degree

Tools

Epic EMR

Athenahealth

Job description

About the role

Responsible for managing workers' compensation referrals and coordinating appointments for injured workers. Handles claim intake, verification of employer and insurance information, treatment authorization, and scheduling of orthopedic consultations, diagnostic imaging, injections, therapy, and surgical services. Coordinates with employers, insurance carriers, adjusters, nurse case managers, attorneys, and healthcare providers to ensure timely access to care and proper documentation.

Key responsibilities

• Receive and process workers' compensation referrals from employers, insurance carriers, third-party administrators, and healthcare facilities.


• Handle claim intake and verify patient, employer, insurance, and claim details.


• Verify claim status, coverage, and compensability before scheduling appointments.


• Coordinate treatment authorizations for consultations, imaging, therapy, injections, and surgical procedures.


• Schedule and manage patient appointments, follow-ups, diagnostic tests, and other treatment services.


• Monitor pending authorizations and follow up with insurance adjusters, employers, and case managers.


• Coordinate work status reports, return-to-work documentation, and medical records requests.


• Maintain accurate patient and claim information in the EMR system.


• Address scheduling concerns, cancellations, and authorization delays while ensuring a positive patient experience.


• Ensure compliance with HIPAA, workers' compensation regulations, and organizational policies.

About you

• Bachelor's degree


• At least 2 years of experience in healthcare scheduling, patient access, referral coordination, authorization, or medical office operations.


• Has experience in US Healthcare operations

• Knowledge of workers' compensation claims, insurance verification, treatment authorization, and medical terminology.


• Experience with EMR systems such as Epic, Athenahealth, or similar platforms.


• Strong communication, customer service, organizational, and multitasking skills.

• Willing to work onsite (Bridgetowne, Quezon City) and night shift schedule