Scheduler Authorization Representative - **Internal UMC Employees**

As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. UMC is a Level I Trauma Center, home of the ONLY Verified Burn Center, and Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and superiority in patient care.

About the role

Serves as the primary point of contact for patient scheduling, registration, and ensuring timely authorization from insurance carriers to optimize the hospital's revenue cash flow. Coordinates schedules (i.e., appointments) for patients and providers. Collects, verifies, and updates patient demographic and guarantor information. Verifies insurance benefits/eligibility, manages referrals, runs patient estimates, collects copays and patient-estimated out-of-pocket expenses. Performs appointment scheduling, registration, and customer service duties. Obtains authorization and re-authorization as needed for both professional and facility services, as well as notification for inpatient stays.

Responsibilities

• Serve as the primary point of contact for patient scheduling and registration.
• Ensure timely authorization from insurance carriers to optimize hospital revenue.
• Coordinate patient and provider schedules, including appointments.
• Collect, verify, and update patient demographic and guarantor information.
• Verify insurance benefits and eligibility.
• Manage referrals and run patient estimates.
• Collect copays and patient-estimated out-of-pocket expenses.
• Perform appointment scheduling, registration, and customer service duties.
• Obtain authorization and re-authorization for professional and facility services.
• Provide notification for inpatient stays.

Requirements

• Equivalent to graduation from high school.
• Two (2) years of Admitting Discharge experience in a hospital setting, or one (1) year of surgery scheduling experience, or one (1) year of experience working in a physician's office performing scheduling/authorization activities.
• At least one (1) year of registration experience.
• At least two (2) years of insurance verification experience.
• At least one (1) year of experience with Epic Systems.

Preferred Qualifications

• Notice of Admission experience.
• At least two (2) years of experience with submitting authorizations.

Skills

Knowledge of:

• Scheduling and authorization procedures.
• Medical terminology.
• Laws, rules, and regulations governing area of assignment.
• Financial system and insurance requirements.
• Commercial and governmental payers, Medicare plans.
• CPT, ICD-10 procedure coding.
• Medicare rules and regulations.
• Department and hospital safety practices and procedures.
• Patient rights.
• Age-specific patient care practices.
• Infection control policies and practices.
• Handling, storage, use, and disposal of hazardous materials.
• Department and hospital emergency response policies and procedures.

Skill in:

• Communicating effectively with physicians, patients, and other employees.
• Customer service.
• Using computerized scheduling systems.
• Verifying benefits and eligibility.
• Preparing forms and applications according to laws and guidelines.
• Preparing technical and statistical reports.
• Performing technical, specialized office support work.
• Using initiative and judgment within established procedural guidelines.
• Setting priorities and meeting critical deadlines.
• Using computers and related software applications.
• Communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds.
• Establishing and maintaining effective working relationships with all personnel contacted in the course of duties.
• Efficient, effective, and safe use of equipment.

Physical Requirements and Working Conditions

• Mobility to work in a typical clinical setting and use standard office equipment.
• Stamina to remain seated for extended periods and maintain concentration.
• Vision to read printed materials and a VDT screen.
• Hearing and speech to communicate effectively in person and over the telephone.
• Strength and agility to exert up to 10 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

Benefits

• Employer-paid pension plan (Nevada PERS).
• Competitive salary and benefits package.