Centralized Scheduler

Southcoast Health System; Fairhaven (MA); Hybrid; USD 25,000 - 34,000; Full time

Benefits offered by this job

403B retirement plan with companymatch

Tuition assistance / Federal Loan Forg

Professional growth opportunities

Job summary

Southcoast Health is seeking a Centralized Scheduler to join our team at the Southcoast Business Center in Fairhaven, MA. The role supports scheduling and pre-registration for procedures, coordinating with OR and other departments, and ensuring accurate insurance verification and patient liability estimates.

Ideal candidates will have an Associates Degree in a related field, a Certificate in Medical Terminology, and familiarity with CPT/ICD10 coding.

Qualifications

• Associates Degree in a related field or equivalent combination of education and experience is required.
• Certificate in Medical Terminology is required.
• Knowledge of CPT & ICD10 coding is preferred for medical necessity requirements.

Responsibilities

• Enter and schedule patient appointments and surgeries, including pre-registration with demographic and insurance data.
• Determine patient liability for self-pay and out-of-network services and communicate it to patients.
• Obtain required prior authorizations for out-of-network payers before scheduling.
• Monitor Medical Necessity compliance and Status C review on surgical cases.
• Coordinate with OR and Ancillary departments to avoid scheduling conflicts and ensure continuity of care.

Skills

Customer service

Communication

Typing 40 wpm

Payer portals

Multitasking

Education

Associates Degree in related field

Certificate in Medical Terminology

Bachelor's degree preferred

Tools

Payer portals

Web-based tools

Job description

Community Focused. Care Driven.

Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a mission - it's our way of life, and you'll be at the heart of it.

Southcoast Health is a not-for-profit, charitable, health system with multiple hospitals, clinics and facilities throughout Southeastern Massachusetts and Rhode Island.

Nestled in local communities, Southcoast Health provides inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home.

Find out for yourself why Southcoast Health has been voted 'Best Place to Work' for 7 years in a row!

We are searching for a talented Centralized Scheduler

Hours:24hrs

Shift:Day shift; 8:00am - 4:30pm and 8:30am - 5:00pm rotating

Location: Southcoast Business Center - Fairhaven, MA; position will follow a hybrid schedule

A career at Southcoast Health offers you:

• A culture of well-being that embraces, respects, and celebrates the rich diversity of one another and the communities we serve
• Competitive pay and comprehensive benefits package
• Generous Earned Time Off Package**
• Employee Wellbeing Program
• 403B Retirement Plan with company match
• Tuition assistance / Federal Loan Forgiveness programs
• Professional growth opportunities and customized leadership training

**Available to regular status employees who are scheduled to work a minimum of 24 hours.

Southcoast Health is an Equal Opportunity Employer.

Under direction of Pt Access TL & Manager or designee, perform a wide variety of duties to secure optimal revenue for services performed at Southcoast facilities. Duties consist of entering orders, scheduling/cancelling/rescheduling appointments and surgeries, completing a full pre-registration including documenting demographic and verifying insurance information. Determining patient liability prior to service on self-pay and out of network patients by creating estimate based on individual payer and notifying patients of their potential liability in accordance with Federal & State regulations and collect payment electronically. Obtains required prior authorization for out of network payers prior to scheduling. Monitor for Medical Necessity compliance and Status C review on surgical cases. Works closely with OR and Ancillary depts to ensure continuity of care and to avoid scheduling conflicts. Knowledgeable in CPT & ICD10 coding for medical necessity requirements.

• Associates Degree in a related field or equivalent combination of education and experience is required; Bachelors Degree preferred.
• Certificate in Medical Terminology is required.
• Coding experience is preferred.
• Strong keyboard skills with the ability to type 40 words per minute.
• Proven exceptional customer service skills.
• Ability to communicate with physicians, patients and third-party payers.
• Proficient with navigating multiple payer portals and web-based tools.
• Over three years of healthcare experience focusing on revenue cycle activities is preferred.
• Medical Terminology Certificate preferred.
• Position involves answering phone calls consistently. Must be able to work efficiently and handle multiple requests timely.

• Must be fully vaccinated against seasonal Influenza and the COVID 19 virus or to be exempt from the requirement for medical or personal reasons by signing a statement certifying you are choosing to be exempt from vaccination once hired.

• Compensation: Pay rate will be determined based on level of experience.