Scheduling & Auth Specialist 2. Children's Health. FT AM

Loma Linda University Health

San Bernardino (CA)

On-site

USD 60,000 - 75,000

Full time

2 days ago
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Job summary

Loma Linda University Health is seeking a Scheduling & Authorization Specialist 2 to manage patient access and financial clearance workflows. The role includes check-in, registration, insurance verification, authorization review, and check-out activities, with EPIC documentation and payer communications a key focus.

You will collaborate with the PBO to support reimbursement, denials, and appeals, acting as a liaison among physicians, patients, and departments to ensure compliant, timely access

Qualifications

  • Associate’s degree required.
  • Minimum three years of related experience.
  • Healthcare experience preferred.
  • Medical coding certification preferred.

Responsibilities

  • Manage end-to-end patient access and financial clearance processes.
  • Handle check-in, registration, and insurance verification.
  • Review authorizations and coordinate with payers.
  • Collaborate with the Patient Business Office to support reimbursement, denials, and appeals.
  • Serve as a liaison among physicians, outside medical groups, patients, and internal departments to ensure timely access to care and accurate billing.

Skills

Communication
English proficiency
Multitasking
Interpersonal skills
Healthcare experience

Education

Associate's Degree

Tools

Word
Excel
Outlook
PowerPoint

Job description

Job Summary:

The Scheduling & Authorization Specialist 2 is responsible for managing end-to-end patient access and financial clearance processes, including check-in, registration, insurance verification, authorization review, and check-out activities. The role ensures accurate documentation in EPIC, reviews medical records for medical necessity, interfaces with payers to obtain and extend authorizations, and collaborates with the Patient Business Office (PBO) to support reimbursement, denials, and appeals. Serves as a liaison among physicians, outside medical groups, insurance carriers, patients, and internal departments to facilitate timely access to care, compliance with payer and regulatory requirements, and accurate, timely billing. Performs other duties as needed.

Education and Experience:

Associate's Degree required. Minimum three years of related experience required. Minimum one year of healthcare experience preferred. Experience may be considered in lieu of degree.

Knowledge and Skills:

Knowledge of various insurance types and their guidelines, including the ability to read and interpret EOB's. Working knowledge of current ICD and CPT coding systems. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Essential Interpersonal Skills: Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

Licensures and Certifications:

Medical coding certification preferred.

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