Patient Experience Representative

Intermountain Health; United States; On-site; USD 28,000 - 43,000; Full time

Benefits offered by this job

Benefits package

40-hour work week

Job summary

Intermountain Health is seeking a capable Scheduling/Pre-Op Coordinator to manage provider surgery schedules, obtain authorizations, and coordinate hospital procedures. You will interact with patients to explain the pre-operative process and ensure all necessary orders and CPT codes are in place for hospital staff.

This role requires strong EMR knowledge, attention to detail, and collaboration with medical staff to support safe, efficient surgical care.

Qualifications

• Two years of medical registration, billing, collection, scheduling, or insurance experience.
• Two years of customer service experience.
• Working knowledge of word processing, spreadsheet, email, and calendaring programs.

Responsibilities

• Creates and manages provider's surgery/hospital procedure schedules and handles changes, cancellations and follow up.
• Obtains authorization for surgeries by researching coverage and prior auth; coordinates referrals for out-of-network cases.
• Obtains proper CPT codes for authorization.
• Coordinates with hospital staff to ensure necessary equipment and scheduling needs are met.
• Meets with patients to explain pre-op process including labs and tests.
• Documents cost estimations and investigates billing disputes related to surgery/procedure.

Skills

Medical Insurance Coding

Computer Literacy

Patient Care

Health Care

Medical Procedures

Medical Terminology

Electronic Medical Records (EMR)

Surgery Scheduling

Patient Safety

Education

Associate's Degree

Tools

EMR Software

Job description

Job Description:

Creates and manages provider's surgery schedules, including in office procedure schedules and equipment. Maintains any changes or cancellations of surgeries for rescheduling and/or clinical follow up. Uses provider power plans to ensure all necessary orders are proposed, signed off and sent for hospital orders. Meets with pre-op patients to explain the surgery process..

Essential Functions

• Creates and manages provider's surgery/hospital procedure schedules. Maintains any changes, cancellations, rescheduling and/or clinical follow up on these schedules. Uses Provider power plans to ensure all necessary orders are proposed, signed off and sent for hospital orders.
• Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior auth for them. Verifies eligibility and benefits. Coordinates referral for patients that will go out of network. Point of contact for surgery authorization questions. Obtain proper CPT code from provider for authorization.
• Proposes iCentra requirements to create a pre-surgical FIN# and to create required surgical scheduling card for the Hospital scheduler to pull the case information, where applicable.
• Coordinate with the provider to ensures all necessary surgical/procedure equipment is requested for any special item that needs to be pulled from Hospital supplies or special equipment that needs to be brought in by surgical supply Reps. Coordinates any necessary Hospital items with nursing staff at the Hospital. Calls in surgical/procedure order for Providers the Hospital surgery/procedure scheduler day before cases.
• Meets with surgery/procedure patients to explain the process. This includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any red flag pre-operative health concerns for patient safety.
• Scan and Document process in patient charts and relay cost estimations. Investigate billing disputes for surgery/procedure.

Skills

• Medical Insurance Coding
• Computer Literacy
• Patient Care
• Health Care
• Medical Procedures
• Medical Terminology
• Electronic Medical Records (EMR)
• Surgeries
• Patient Safety

Minimum Qualifications

• Two years of medical registration, billing, collection, scheduling, or insurance experience,
• Two years of customer service experience
• Working knowledge of word processing, spreadsheet, email, and calendaring programs.

Preferred Qualifications

• Associate's Degree. Degree must be obtained through an accredited institution. Education is verified.
• Two years at Intermountain Health as a PSR, MA or similar position
• Two years of experience working with patient access or two years of experience in and extensive knowledge in the health insurance industry (Commercial Insurances, Medicare, and Medicaid); health claims billing or Third Party contracts.
• EMR experience
• Bi-lingual - Spanish speaking
• Knowledge of medical terminology
• Versed in CPT/ICD codes

Physical Requirements

• Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

Utah Valley Clinic

Work City:

Provo

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$20.35 - $30.97

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification