Scheduling Lead: Workers’ Comp & Patient Access

PM Consulting; Quezon City; On-site; PHP 800,000 - 1,100,000; Full time

Job summary

PM Consulting is seeking a Scheduling Manager to oversee the Patient Access scheduling function focusing on Workers’ Compensation coordination, patient appointment scheduling, and authorization processing. You will lead a team, ensure accurate documentation, and collaborate with employers, carriers, TPAs, and nurse case managers to optimize workflows and service quality.

The role requires strong leadership, compliance with HIPAA and workers’ compensation regulations, and the ability to manage

Qualifications

• High school diploma or GED required.
• Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or a related field preferred.
• At least 3–5 years of experience in workers’ compensation coordination, patient access, medical scheduling, referral coordination, authorization, or healthcare operations.
• Direct Workers’ Compensation experience is required.
• At least 1 year of supervisory, team lead, or people management experience preferred.
• Experience in orthopedic practices, occupational medicine, or outpatient healthcare operations is strongly preferred.
• Experience working with insurance carriers, TPAs, employers, and nurse case managers is an advantage.

Responsibilities

• Oversee daily scheduling operations, including appointment coordination, referral intake, authorization tracking, and pending scheduling requests.
• Monitor scheduling queues, referral volumes, pending authorizations, and unscheduled appointments to ensure timely processing.
• Ensure injured workers are scheduled with the appropriate providers based on treatment requirements, availability, and carrier or employer instructions.
• Coordinate appointment availability and scheduling priorities with providers and clinic teams.
• Identify scheduling bottlenecks and implement process improvements to enhance patient access and operational efficiency.
• Oversee workers’ compensation claim intake, verification, and documentation.
• Ensure accurate recording of claim numbers, dates of injury, employer information, insurance carriers, adjuster details, and authorization requirements.
• Monitor treatment authorization requests and coordinate timely follow-ups with insurance adjusters, employers, and nurse case managers.
• Address authorization delays, denials, and compensability concerns that may affect patient treatment.
• Ensure work status reports, duty restrictions, and return-to-work documentation are distributed to the appropriate parties within established timelines.
• Maintain compliance with applicable workers’ compensation regulations, state-specific requirements, and payer guidelines.
• Supervise, coach, and develop Workers’ Compensation Coordinators and Patient Appointment Schedulers.
• Provide onboarding, training, competency assessments, and ongoing performance feedback.
• Establish clear performance expectations and monitor individual and team productivity.
• Conduct regular quality reviews and identify opportunities for employee development.
• Manage staffing schedules, PTO planning, workload distribution, and queue coverage.
• Support recruitment, performance evaluations, and employee engagement initiatives.
• Serve as a primary operational contact for employers, insurance carriers, TPAs, and nurse case managers.
• Address escalated concerns involving scheduling errors, delayed authorizations, patient access, and service delivery.
• Build and maintain positive working relationships with external partners and referral sources.
• Participate in employer and carrier meetings, account onboarding, and operational reviews.
• Ensure timely and professional communication with internal and external stakeholders.
• Monitor key performance indicators, including scheduling turnaround time, referral-to-appointment conversion, authorization turnaround, call responsiveness, documentation accuracy, and team productivity.
• Conduct regular audits of claim documentation, authorization records, and scheduling activities.
• Identify recurring issues, conduct root cause analysis, and implement corrective actions.
• Prepare and present operational reports, productivity updates, and performance dashboards to leadership.
• Develop and maintain standard operating procedures, workflow documentation, and team reference materials.

Skills

Leadership

Communication

Time management

Analytical skills

Problem solving

Customer focus

Education

High school diploma or GED

Associate or Bachelor's in Healthcare Administration/Business Administration

Tools

Epic/Athenahealth/EMR

Practice management systems

Microsoft Office

Payer portals/insurance systems

Job description

PM Consulting is seeking a Scheduling Manager to oversee the Patient Access scheduling function focusing on Workers’ Compensation coordination, patient appointment scheduling, and authorization processing. You will lead a team, ensure accurate documentation, and collaborate with employers, carriers, TPAs, and nurse case managers to optimize workflows and service quality.

The role requires strong leadership, compliance with HIPAA and workers’ compensation regulations, and the ability to manage