Scheduling/Prior Auth Rep

Sweetwater Memorial; Rock Springs (WY); On-site; USD 36,000 - 60,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Retirement plan

Paid time off

Job summary

Memorial Hospital of Sweetwater County is seeking a Scheduling/Prior Authorization Representative to support compassionate care. You will schedule Medical Imaging, Cardiopulmonary Services, Sleep Lab, Nutrition Services, and Vascular Clinics per guidelines, and handle demographic/insurance data and pre-authorizations.

Role requires strong customer service, data entry accuracy, and familiarity with medical terminology and insurance processes.

Qualifications

• Strong customer service, communication, and interpersonal skills.
• Ability to manage a high volume of patient interactions in person and by phone in a fast-paced environment.
• Attention to detail and high accuracy in data entry.
• Basic understanding of medical terminology and insurance processes.
• Proficiency in using computers and electronic health record applications.

Responsibilities

• Answer incoming calls and schedule appointments for Medical Imaging, Cardiopulmonary Services, Sleep Lab, Nutrition Services, and Vascular Clinics.
• Collect and maintain accurate demographic and insurance information and verify eligibility.
• Review benefits and limitations and secure timely pre-authorizations using CPT and ICD-10 codes.
• Communicate clearly and compassionately with patients about financial expectations and needs.
• Coordinate referrals and identify patients needing financial counseling or assistance.

Skills

Customer service

Communication

Interpersonal skills

Data entry

Education

High school diploma

Tools

EHR systems

Job description

At Memorial Hospital of Sweetwater County, our mission, vision, and values serve as the foundation for how we care for patients, support our practitioners and co-workers, and engage with our community. We follow the "Planetree" methodology of "Person-Centered Care". These guide our decisions, shape our culture, and define the expectations for every member of our team.

Our Mission: Compassionate care for every life we touch

Our Vision: To be our community's trusted healthcare leader

Our Values:

• Be Kind - Demonstrating compassion, consideration, and thoughtfulness
• Be Respectful - Being mindful of individual perspectives, priorities and needs
• Be Accountable - Taking responsibility for our commitments, behaviors, and actions
• Work Collaboratively - Cooperating with and encouraging each other to achieve a common goal
• Embrace Excellence - Dedicated to setting standards that meet and exceed expectations

JOB SUMMARY

The Scheduling/Prior Authorization Representative supports our mission of compassionate care by answering incoming calls and ensuring accurate patient access and reimbursement. This role schedules appointments for Medical Imaging, Cardiopulmonary Services, Sleep Lab, Nutrition Services, and University of Utah Vascular Clinics in accordance with established guidelines.

The position collects and maintains accurate demographic and insurance information, verifies eligibility, reviews benefits and limitations, and secures timely pre-authorizations using appropriate CPT and ICD-10 codes. Through clear communication and compassionate engagement, the representative contacts patients prior to outpatient services to review financial expectations, identifies those needing financial counseling or assistance, and coordinates referrals as needed supporting a positive and seamless care experience.

JOB QUALIFICATIONS

Education:

High school diploma or equivalent required.

Certifications/Licenses:

N/A

Job Knowledge and Skills:

• Strong customer service, communication, and interpersonal skills.
• Ability to manage a high volume of patient interactions in person and by phone in a fast-paced environment.
• Attention to detail and high accuracy in data entry.
• Basic understanding of medical terminology and insurance processes preferred.
• Proficiency in using computers, and electronic health record applications.

MHSC offers a competitive salary and excellent benefits package including health, dental, vision, retirement, & a generous paid time off program.

MHSC is an EEO/AA/Drug and Tobacco Free facility.

If you have more questions about this position, please feel free to call the Human Resources department at 307.352.8160.