Patient Experience Representative - Orthopedic Surgery Scheduler

Intermountain Health • American Fork, UT

4d • $20 - $31 • Onsite

About The Position

We are seeking an organized and compassionate Patient Experience Representative to join our healthcare team. If you're passionate about providing exceptional care and want to work in an environment that values growth, we’d love to hear from you! This role involves creating and managing provider's surgery schedules, handling changes and cancellations, ensuring necessary orders are processed, and meeting with pre-op patients to explain the surgery process. The position is full-time, 40 hours per week, supporting Orthopedics.

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.
• 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, 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.
• Scan and Document process in patient charts and relay cost estimations.
• Investigate billing disputes for surgery/procedure.

Benefits

• Comprehensive 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: Entry Level
• Education Level: Associate degree