Patient Service Representative: Scheduling Specialist

Ihc Health Services • Saint George, UT

234d • $19 - $29

About The Position

The Patient Service Representative: Scheduling Specialist is responsible for creating and managing provider's surgery schedules, including in-office procedure schedules and equipment. This role involves maintaining any changes or cancellations of surgeries for rescheduling and/or clinical follow-up. The representative uses provider power plans to ensure all necessary orders are proposed, signed off, and sent for hospital orders. Additionally, the representative meets with pre-op patients to explain the surgery process. The position is only approved for certain specialties, and candidates should check with Medica Group leadership on approved specialties.

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 from an accredited institution.
• Two years at Intermountain Health as a PSR, MA, or similar position.
• Two years of experience working with patient access or 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 obtaining prior authorization.
• Verifies eligibility and benefits.
• Coordinates referral for patients that will go out of network.
• Acts as the 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.
• Coordinates with the provider to ensure all necessary surgical/procedure equipment is requested.
• 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 prerequisites.
• 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 covering a wide range of programs to foster a sustainable culture of wellness.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Personal and Laundry Services
• Education Level: Associate degree