Patient Experience Representative-Scheduling Specialist

40000 Canyons Medical Group; Utah; On-site; USD 28,000 - 43,000; Full time

Job summary

Intermountain Health is seeking a skilled Scheduling Specialist to manage provider surgery schedules and pre-op processes. You will obtain prior authorizations, verify benefits, and coordinate referrals while ensuring accurate CPT/ICD coding and cost estimates.

The role involves close collaboration with providers and hospital staff to keep cases on track and maintain patient safety throughout the surgical pathway.

Qualifications

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

Responsibilities

• Create and manage provider surgery/hospital procedure schedules.
• Obtain prior authorization and verify eligibility and benefits.
• Coordinate referrals and out-of-network care as needed.
• Prepare and file surgical orders, forms, and cost estimates.
• Communicate pre-op requirements and patient education.

Skills

Medical Insurance Coding

Computer Literacy

Patient Care

Health Care

Medical Procedures

Medical Terminology

Electronic Medical Records (EMR)

Surgeries

Patient Safety

Education

Associate's Degree

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

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 ground 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.

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All positions subject to close without notice.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services.

Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment. To find out more about us, head to our career site here.

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