Patient Service Representative

Intermountain Health

1d • Onsite

About The Position

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. 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.

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 the 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.
• Scan and Document process in patient charts and relay cost estimations.
• Investigate 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.
• PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution.
• The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.
• Caregivers are eligible to participate in PEAK on day 1 of employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees