Patient Experience Representative-Scheduling Specialist

Intermountain Healthcare; Provo (UT); On-site; USD 28,000 - 43,000; Full time

Benefits offered by this job

Benefits package

Job summary

Intermountain Healthcare in Utah Valley Clinic, Provo, seeks a Surgery Scheduling/Patient Access professional to manage provider surgery schedules, obtain authorizations, and coordinate pre-op activities. You will verify coverage, document cost estimates, and ensure timely hospital orders and CPT/ICD coding accuracy.

Responsibilities include communicating with providers, nursing staff, and patients, preparing scheduling cards, and validating pre-operative requirements while supporting billing

Qualifications

• Two years of medical registration, billing, scheduling, or insurance experience.
• Two years of customer service experience.
• Education verification for required degree.

Responsibilities

• Create and manage provider’s surgery/hospital procedure schedules and rescheduling.
• Obtain prior authorization by researching coverage and confirming CPT/ICD codes.
• Coordinate with providers, nursing staff, and hospital staff for necessary equipment and hospital items.
• Document process and cost estimations; investigate billing disputes for surgeries.
• Communicate with patients about pre-op labs, tests, and prerequisites.

Skills

Medical Insurance Coding

Computer Literacy

Patient Care

Health Care

Medical Procedures

Medical Terminology

Electronic Medical Records (EMR)

Surgery Scheduling

Customer Service

Education

Associate's Degree

Tools

EMR System Proficiency

CPT/ICD Coding

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 FunctionsCreates 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.SkillsMedical Insurance CodingComputer LiteracyPatient CareHealth CareMedical ProceduresMedical TerminologyElectronic Medical Records (EMR)SurgeriesPatient SafetyMinimum QualificationsTwo years of medical registration, billing, collection, scheduling, or insurance experience,Two years of customer service experienceWorking knowledge of word processing, spreadsheet, email, and calendaring programs.Preferred QualificationsAssociate's Degree. Degree must be obtained through an accredited institution. Education is verified.Two years at Intermountain Health as a PSR, MA or similar positionTwo 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 experienceBi-lingual - Spanish speakingKnowledge of medical terminologyVersed in CPT/ICD codesPhysical RequirementsOngoing 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 ClinicWork City:ProvoWork State:UtahScheduled Weekly Hours:40The hourly range for this position is listed below. Actual hourly rate dependent upon experience.$20.35 - $30.97We 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.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 from consideration or, if hired, corrective action up to and including termination of employment.Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.At Intermountain Health, we use the artificial intelligence (\"AI\") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.All positions subject to close without notice.