Lead Scheduler

Arbour SeniorCare; Temecula (CA); On-site; USD 50,000 - 80,000; Full time

Job summary

An established healthcare provider is seeking a Full-Time Lead Scheduler to join their dynamic team in Temecula, CA. In this pivotal role, you will be responsible for outpatient scheduling, verifying insurance eligibility, and ensuring a seamless experience for patients across multiple facilities. This position offers a challenging yet rewarding work environment, with opportunities for career development and growth within a comprehensive healthcare network. If you have a passion for healthcare and a knack for organization, this is your chance to make a meaningful impact in the community.

Benefits

Competitive Compensation

Generous Paid Time Off

Medical, Dental, Vision Plans

401(K) with Company Match

Tuition Reimbursement Program

Career Development Opportunities

Qualifications

• Five years of experience in scheduling and insurance verifications required.
• Proficient in Microsoft Office Suite, especially Word and Excel.
• Knowledge of insurance benefits and billing procedures.

Responsibilities

• Responsible for outpatient scheduling and insurance verification.
• Pre-registers patients for scheduled procedures and calculates liabilities.
• Ensures compliance with healthcare policies and standards.

Skills

Scheduling

Insurance Verification

Medical Terminology

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Interpersonal Skills

Leadership Skills

Education

High School Diploma

Associate's Degree in Healthcare Administration

Tools

10-key

General Office Equipment

Job description

Responsibilities

Join the Southwest Healthcare Team!

About Us:

Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to serve the Southern California community. With over 6,000 passionate providers and healthcare employees, our shared goal is to provide convenient access to a wide range of healthcare services in a way that benefits you, your family, and the entire community.

Southwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, Apex Heart Specialists, and Riverside Medical Clinics. For more information, please visit our website at www.swhealthcaresystem.com.

Job Summary:

The Southwest Healthcare Regional office in Temecula, CA is seeking a Full-Time Lead Scheduler who is responsible for duties related to the outpatient scheduling, verification of insurance eligibility, benefits, and authorizations for multiple facilities across the region. Duties include but not limited to:

• Ensures that the systems are updated according to departmental standards.
• Verify physician orders match patient type, procedure type and authorizations match physician orders, including CPT codes to be performed.
• Pre-registers patients for their scheduled outpatient procedures.
• Runs Medicare Advanced Beneficiary Notice (ABN) on all Medicare patients.
• Calculates patient liability for pre-scheduled procedures and collects from patient at the time of pre-registration.
• Provides support to PAS, PAC and Centralized Scheduling Leadership teams.

Qualifications

Experience/Training/Experience:

• High School diploma required.
• Associates Degree in Healthcare Administration or related field, preferred.
• Five (5) years of experience in scheduling, insurance, and authorization verifications in a healthcare setting required.
• Proficient in Microsoft Word, Excel and PowerPoint.
• Medical Terminology Required.
• Requires knowledge of general office equipment, computers, 10-key, and associated software packages.

Certifications/Licenses:

• HAA Certified preferred.
• Current CA Driver’s License required.

Other Skills and Abilities:

• Demonstrates knowledge and ensures compliance with the Nurse Practice Act, The Joint Commission and Title 22 standards and guidelines.
• Demonstrates compliance with healthcare policies and procedures at all times.
• Demonstrates strong leadership, organization, communication and interpersonal skills.
• Demonstrates ability to relate to clinical personnel and medical staff, as well as ability to interact well with the public.
• Must have knowledge of PC and applications.
• Demonstrates strong interpersonal skills, ability to interact diplomatically and to maintain a professional demeanor with physicians, the public and Healthcare staff.
• General knowledge of office procedures and ability to utilize resources in an organized manner.
• Knowledge of insurance benefits, covered services, billing, and collection procedures for all government insurance programs and commercial programs for acute facilities.
• Ability to initiate, obtain and/or update verification and authorization requirements as appropriate for patient services for each patient account.
• Ability to log and maintain daily productivity goals to meet key performance indicators.
• Ability to complete Scheduling and Insurance verification functions for pre-scheduled procedures.
• Ability to read and interpret insurance contracts and reimbursement rates.
• Ability to discuss personal and financial matters with patients and/or their representatives.
• Ability to explain upfront cash collection policy to patients regarding the benefits quoted at the time of insurance verification.

Benefit Highlights:

• Challenging and rewarding work environment.
• Competitive Compensation & Generous Paid Time Off.
• Excellent Medical, Dental, Vision and Prescription Drug Plans.
• 401(K) with company match and discounted stock plan.
• SoFi Student Loan Refinancing Program.
• Tuition, CEU, Certification, Licenses Reimbursement program.
• Career development opportunities within UHS and its 300+ Subsidiaries!

Southwest Healthcare is owned and operated bysubsidiariesofUniversal Health Services, Inc. (UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or e-mails. All resumes submitted by search firms to any employee at UHS; via e-mail, the Internet or in any other form and/or method without a valid written search agreement in place for the above-listed position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

EEO Statement:

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Notice:

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Experience/Training/Experience:

• High School diploma required.
• Associates Degree in Healthcare Administration or related field, preferred.
• Five (5) years of experience in scheduling, insurance, and authorization verifications in a healthcare setting required.
• Proficient in Microsoft Word, Excel and PowerPoint.
• Medical Terminology Required.
• Requires knowledge of general office equipment, computers, 10-key, and associated software packages.

Certifications/Licenses:

• HAA Certified preferred.
• Current CA Driver’s License required.

Other Skills and Abilities:

• Demonstrates knowledge and ensures compliance with the Nurse Practice Act, The Joint Commission and Title 22 standards and guidelines.
• Demonstrates compliance with healthcare policies and procedures at all times.
• Demonstrates strong leadership, organization, communication and interpersonal skills.
• Demonstrates ability to relate to clinical personnel and medical staff, as well as ability to interact well with the public.
• Must have knowledge of PC and applications.
• Demonstrates strong interpersonal skills, ability to interact diplomatically and to maintain a professional demeanor with physicians, the public and Healthcare staff.
• General knowledge of office procedures and ability to utilize resources in an organized manner.
• Knowledge of insurance benefits, covered services, billing, and collection procedures for all government insurance programs and commercial programs for acute facilities.
• Ability to initiate, obtain and/or update verification and authorization requirements as appropriate for patient services for each patient account.
• Ability to log and maintain daily productivity goals to meet key performance indicators.
• Ability to complete Scheduling and Insurance verification functions for pre-scheduled procedures.
• Ability to read and interpret insurance contracts and reimbursement rates.
• Ability to discuss personal and financial matters with patients and/or their representatives.
• Ability to explain upfront cash collection policy to patients regarding the benefits quoted at the time of insurance verification.

Benefit Highlights:

• Challenging and rewarding work environment.
• Competitive Compensation & Generous Paid Time Off.
• Excellent Medical, Dental, Vision and Prescription Drug Plans.
• 401(K) with company match and discounted stock plan.
• SoFi Student Loan Refinancing Program.
• Tuition, CEU, Certification, Licenses Reimbursement program.
• Career development opportunities within UHS and its 300+ Subsidiaries!

Southwest Healthcare is owned and operated bysubsidiariesofUniversal Health Services, Inc. (UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or e-mails. All resumes submitted by search firms to any employee at UHS; via e-mail, the Internet or in any other form and/or method without a valid written search agreement in place for the above-listed position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

EEO Statement:

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Notice:

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Join the Southwest Healthcare Team!

About Us:

Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to serve the Southern California community. With over 6,000 passionate providers and healthcare employees, our shared goal is to provide convenient access to a wide range of healthcare services in a way that benefits you, your family, and the entire community.

Southwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, Apex Heart Specialists, and Riverside Medical Clinics. For more information, please visit our website at www.swhealthcaresystem.com.

Job Summary:

The Southwest Healthcare Regional office in Temecula, CA is seeking a Full-Time Lead Scheduler who is responsible for duties related to the outpatient scheduling, verification of insurance eligibility, benefits, and authorizations for multiple facilities across the region. Duties include but not limited to:

• Ensures that the systems are updated according to departmental standards.
• Verify physician orders match patient type, procedure type and authorizations match physician orders, including CPT codes to be performed.
• Pre-registers patients for their scheduled outpatient procedures.
• Runs Medicare Advanced Beneficiary Notice (ABN) on all Medicare patients.
• Calculates patient liability for pre-scheduled procedures and collects from patient at the time of pre-registration.
• Provides support to PAS, PAC and Centralized Scheduling Leadership teams.