Centralized Scheduler

Join Our Team as a full-time Centralized Scheduler at Ocean Beach Health!Are you a dedicated individual looking for meaningful work, and the opportunity to grow in a mission-driven, supportive environment? At Ocean Beach Health, we're looking for compassionate people to join our team and make a real difference in the lives of our community members.Why Work With Us?At Ocean Beach Health, we're a non-profit organization that prioritizes people over profits. By joining our team, you'll experience:Collaborative Mentorship: Learn and grow in a family-like atmosphere, with opportunities to expand your skills.Mission-Driven Care: Provide compassionate, patient-focused care in an environment where your contributions truly matter.Invest in Your Future: Working for a non-profit means you may qualify for the Public Service Loan Forgiveness program.Why You'll Love Living on the Long Beach Peninsula Live where others vacation! The Long Beach Peninsula, nestled in beautiful Pacific County, offers a breathtaking blend of natural beauty and small-town charm.Stunning Scenery: From beaches and forests to iconic coastal landmarks, the views are second to none.Perfect Location: An easy and scenic drive from Portland and Seattle, and part of two scenic byways.Plan your visit to the Washington Coast and see why this is the perfect place to call home.Why Ocean Beach Health?Excellent Benefits – medical, dental, and vision coverageGenerous PTO – Generous PTO + 10 paid holidaysVolunteer Hours – 8 paid hours annually to give back locallyShort-Term Disability – support when you need it mostRetirement Plan – 5% employer match after one yearEmployee Assistance Program (EAP) – because your well-being mattersAnd more!The Centralized Scheduler is responsible for hospital & clinic referrals, as well as the efficient and timely scheduling of appointments for all inpatient and outpatient procedures. Duties include answering multiple telephone lines, directing and transferring calls and taking messages. This person is responsible for the accurate and timely review, disposition, documentation, and system input of all prior authorization requests. The Centralized Scheduler will receive inbound and initiated outboard calls to insurance carriers requested prior authorizations for services provided at Ocean Beach Hospital or Clinics. This person must have the ability to work cooperatively in a team environment and support Healthcare Access.The ideal candidate:High School GraduateMust have extensive medical terminology, insurance verification or healthcare experience.Comprehensive knowledge of EMR software or medical billing software, computer hardware, software, peripheral equipment, and applications.Knowledge of spreadsheet/word processing/data entry skills both speed and accuracy required.Current working experience with commercial/governmental insurance carriers.Excellent communication, customer service and problem-solving skillsEffectively work in a demanding healthcare environment. Establish and maintain effective working relation with all departments and staff.Strong organizational skills and ability to work in a team environmentAble to maintain confidentiality regarding sensitive and confidential issues.Ability to effectively manage and prioritize tasks.Positive patient focused attitude.Performance Responsibilities:Contacts health plans or payers to gather policy benefits/limitations, completes eligibility and benefits verification of services provided by the carrier and obtains authorization for services.Enters deductible amount, co-payments, effective date, pre-existing levels of care, authorizations numbers, visit limitations, documentation required to process claims in EMR system.Identifies potential payer sources, verifies benefits with payer sources (as required by department organizations and obtains initial authorization from the authorizing entity. Establishes primary payers and documents conversation and decisions with payer sources on appropriate form.Responsible for receiving and reviewing prior authorization requests from the hospital and clinics via telephone, fax, email, or surface mail, if not obtained service will need to be rescheduled.Must be committed to patient focused service and delivery of quality and high standards. Be able to provide issue resolve patient care issues and when appropriate refer to Manager.Must be able to handle high call volume, workload and multi-task.Have knowledge of applicable payer guidelines and provide documentation of eligibility, benefits, and authorization.Works closely with health plans/payers and maintains strong business relationshipsAdheres to and participates in Ocean Beach Hospital and Clinics policy and procedures and attend department meetings and mandatory meetings.Provides cost-of-service estimates based per patient request.Employees are required to complete all training on time.Contributes to a culture of Patient Centered Care.Contributes to a safe work environment.Demonstrates commitment to the team and serves as a mentor to co-workers.Employee maintains practices of financial stewardship.Regular and punctual attendance required.Must be able to respond to emergencies. Please contact Human Resources at employment@oceanbeachhospital.com if you have any questions. Equal Opportunity & Pre‑Employment RequirementsOcean Beach Health is an Equal Opportunity Employer and is committed to fostering a diverse, inclusive, and respectful workplace. We prohibit discrimination and harassment of any kind and make employment decisions based on qualifications, merit, and organizational needs.As part of our commitment to maintaining a safe and healthy environment for our patients, residents, and staff, all offers of employment are contingent upon successful completion of a pre‑employment drug screening. This screening includes testing for marijuana, in accordance with applicable laws and our organizational policies.



Job Posted by ApplicantPro



Skills:

Calendar Management, Call Volume, Claims Processing, Co-Payments, Communication Skills, Customer Support/Service, Data Entry, Data Processing, Documentation, Electronic Medical Records, Emergency Response, Environmental Health, Establish Priorities, Health Insurance, Health Plan, Healthcare, Hospital, Insurance, Medical Terminology, Mentoring, Multitasking, Nonprofit, Organizational Skills, Outpatient Care, Patient Care, Patient Care Authorizations, Problem Solving Skills, Purchasing/Procurement, Quality of Care, Safety/Work Safety, Schedule Development, Secondary School, Spreadsheets, Stewardship, Team Player, Time Management, Word Processing



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Ocean Beach Health