Patient Experience Representative-Scheduling Specialist

Intermountain Healthcare Inc.; United States; Presencial; USD 28.000 - 43.000; Jornada completa

Descripción de la vacante

Intermountain Health is seeking a full-time Surgery Scheduling Specialist to manage provider surgery and hospital procedure schedules, obtain authorizations, and coordinate pre-operative activities at the St George Regional Hospital.

Formación

• 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.

Responsabilidades

• Create and manage provider surgery/hospital procedure schedules.
• Obtain prior authorization and verify eligibility for surgeries.
• Coordinate pre-op requirements and hospital orders.
• Assist with cost estimations and resolve billing disputes.

Conocimientos

Medical Insurance Coding

Patient Care

Health Care

Medical Procedures

Medical Terminology

EMR

Surgery Scheduling

CPT/ICD codes

Spanish language

Educación

Associate's Degree

Herramientas

Word processing

Spreadsheet

Email

Calendaring

Descripción del empleo

Job Description:

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:

Intermountain Health St George Regional Hospital

Work City: St George

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.

Intermountain Health is an equal opportunity employer