Patient Experience Representative - Scheduling Specialist - General Surgery

Intermountain Health • Cedar City, UT

6d • $20 - $31 • Onsite

About The Position

This role is responsible for creating and managing provider schedules, including in-office procedures and equipment. The specialist will handle changes and cancellations, ensuring proper rescheduling and clinical follow-up. They will utilize provider power plans to ensure necessary orders are proposed, signed, and sent for hospital orders. Additionally, the role involves meeting with pre-operative patients to explain the surgery process, obtaining necessary authorizations, verifying eligibility and benefits, and coordinating referrals for out-of-network patients. The specialist will also coordinate surgical equipment needs and communicate with hospital staff. They will scan and document processes in patient charts, relay cost estimations, and investigate billing disputes.

Requirements

• 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.

Nice To Haves

• 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.

Responsibilities

• 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.
• Acts as a point of contact for surgery authorization questions.
• Obtains 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.
• Coordinates with the provider to ensure 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, including 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.
• Scans and documents processes in patient charts and relays cost estimations.
• Investigates billing disputes for surgery/procedure.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree