
Scheduling Compliance Specialist
19 hours ago
This role involves ensuring the accuracy and compliance of scheduled appointments to prevent billing issues and conflicts.
The coordinator will coordinate and verify that appointments do not overlap or conflict with other provider appointments, thereby supporting the seamless delivery of services to clients.
- Review scheduled appointments daily and weekly to ensure there are no conflicts with other providers' appointments
- Adjust and substitute conflicting appointments with valid alternative codes, ensuring providers can continue delivering services without interruptions
- Plan and schedule necessary bloodwork and urine screening appointments for clients, ensuring all relevant appointments are accounted for and non-conflicting
Key responsibilities include:
- Maintaining critical scheduling documents
- Coordinating with scheduling staff, intake teams, and clinical providers to correct or validate appointment entries
- Ensuring all services are scheduled in accordance with Medicaid, Medicare, and private insurance policies
- Tracking trends in scheduling errors and contributing to quality assurance reporting
Competencies and skills required:
- Deep understanding of behavioral health and/or medical appointment requirements
- Familiarity with Medicaid/Medicare and private insurance scheduling rules
- Strong attention to detail, time management, and accuracy
- Excellent communication and teamwork skills
- Proficiency with electronic health records (EHRs), scheduling software, and Excel
Level of education/training/qualifications:
- High school diploma or GED required; Associate's or Bachelor's degree preferred
- Minimum 1–2 years of experience in healthcare scheduling, billing, or administrative support
- Experience with behavioral health or outpatient medical practices strongly preferred
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