Scheduling Coordinator at Progressive Spine and Orthopaedics LLC – Englewood, New Jersey

Job Title: Scheduling Coordinator

Position Summary:
The Scheduling Coordinator is responsible for ensuring the accuracy and appropriateness of provider schedules within orthopedic practice. This role reviews daily scheduling operations, verifies insurance coverage, and ensures treatments align with medical necessity, including for Motor Vehicle Accident (MVA) and Personal Injury Protection (PIP) cases. The ideal candidate will have strong operational skills, attention to detail, and experience in a clinical setting.

Key Responsibilities:
- Review daily provider schedules to ensure appointments are scheduled correctly according to visit type, clinical indication, and provider specialty.
- Identify and correct scheduling discrepancies, including inappropriate time allocation or misassigned providers.
- Verify insurance eligibility, benefits, and authorizations for all scheduled patients prior to appointments.
- Ensure required referrals, pre-certifications, and authorizations are obtained in compliance with payer requirements.
- Confirm that scheduled treatments and services align with ordered care plans and medical necessity standards, particularly for MVA and PIP cases.
- Escalate potential compliance risks or non-covered services to the leadership team before patient visits to minimize denials and delays in treatment.
- Coordinate with clinical staff to resolve any discrepancies between scheduled visits and ordered treatments.
- Track and report trends in scheduling accuracy, authorization delays, and operational issues.
- Support process improvements to enhance scheduling accuracy, provider utilization, and patient access.

Qualifications:
- Minimum of 3 years of experience in medical scheduling or healthcare operations, preferably in orthopedic or surgical specialties.
- Experience handling MVA and PIP cases, including knowledge of state-specific regulations, claim requirements, and documentation standards.
- Understanding of insurance verification, prior authorization processes, and referral requirements.
- Proficiency with electronic medical records (EMR) and practice management systems.

Skills and Competencies:
- Strong attention to detail with the ability to identify and correct scheduling and documentation discrepancies.
- Excellent organizational and time-management skills in a fast-paced clinical environment.
- Effective communication skills for coordinating with providers, staff, and leadership.
- Analytical mindset with the ability to identify trends and support operational improvements.

Working Relationships:
- Providers (physicians and advanced practice providers)
- Scheduling and front desk teams
- Authorization and billing departments
- Leadership team

Performance Metrics:
- Reduction in scheduling errors and rescheduled appointments
- Decrease in denied claims related to authorization or eligibility issues
- Improvement in provider schedule utilization
- Compliance with internal and payer standards for scheduling and treatment alignment

Why You’ll Love Working With Us:

- Supportive, team-oriented culture grounded in respect and collaboration

- Opportunity to make a meaningful difference in patient care

- Stable weekday schedule with no weekends

- Comprehensive benefits including:
- 401(k) with matching
- Health, dental, and vision insurance
- Paid time off

If you're passionate about healthcare and ready to grow with a high-performing team, apply today and take the next step in your career as a Scheduling Coordinator.

Compensation:
In accordance with the New Jersey Pay Transparency Act, this position falls within Pay Grade 4 of the 2025 OPM Salary Table for the NY/NJ/CT/PA region. Compensation will be determined based on experience and education.

Physical and Work Environment:
This role is primarily office-based and requires extended periods of sitting and computer use, with regular review of electronic medical records and provider schedules.