Patient Experience Representative-Urology Scheduling Specialist

Intermountain Health; Las Vegas (NV); On-site; USD 28,000 - 43,000; Full time

Job summary

Intermountain Health in Las Vegas, NV is seeking a scheduling and pre-authorization specialist to manage provider surgery and hospital procedure schedules, coordinating pre-operative steps with patients and ensuring timely changes or cancellations are handled efficiently.

You will obtain prior authorizations, verify eligibility, and coordinate referrals while supporting accurate CPT/ICD coding and billing workflows. Strong EMR experience and customer service are valued.

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 and follow-ups.
• Obtain authorizations and verify eligibility for surgeries.
• Coordinate pre-surgical requirements and iCentra FIN# creation.
• Coordinate with hospital staff on equipment and orders.
• Explain the process to patients, including pre-op labs/tests.
• Investigate billing disputes related to surgery/procedure.

Skills

Medical Insurance Coding

Computer Literacy

Patient Care

Health Care

Medical Procedures

Medical Terminology

EMR

Surgeries

Patient Safety

Education

Associate's Degree

Tools

MS Word

Excel

Email

Calendar apps

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

Clinic Mountain View MOB Suite 330

Work City

Las Vegas

Work State

Nevada

Scheduled Weekly Hours

40

Hourly Range

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

$20.35 - $30.97

Benefits

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.

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.