Values Growth
Healthcare
PatientExperienceRepresentative
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Patient Experience Representative at Values Growth. Skills: Surgery scheduling, Patient coordination, Insurance authorization. Create and manage provider’s surgery/hospital procedure schedules. Maintain schedule changes, cancellations, rescheduling and/or clinical follow”
Industry & Context.
Investigate billing disputes
See and read information, Verbally communicate, Hear and understand spoken information, Manual dexterity of hands and fingers, Frequent computer use, Driving a vehicle
What They're Looking For.
Must Have
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 Have
Associate's Degree, Two years at Intermountain Health as a PSR, MA or similar position, Two years of experience working with patient access, Two years of experience in and extensive knowledge in the health insurance industry, Two years of experience in health claims billing, Two years of experience in Third Party contracts, EMR experience, Bi-lingual - Spanish speaking, Knowledge of medical terminology, Versed in CPT/ICD codes
What You'll Do.
Create and manage provider’s surgery/hospital procedure schedules
Maintain schedule changes
rescheduling and/or clinical follow
Use Provider power plans to ensure orders are
Obtain authorization for surgeries/hospital procedures
Research coverage and obtain prior auth
Verify eligibility and benefits
Coordinate referral for patients that will go out
Act as point of contact for surgery authorization
Obtain proper CPT code from provider for authorization
Propose iCentra requirements to create a pre-surgical FIN#
Create required surgical scheduling card for Hospital scheduler
Coordinate with the provider to ensure all necessary
Coordinate any necessary Hospital items with nursing staff
Call in surgical/procedure order for Providers
Meet with surgery/procedure patients to explain the process
Coordinate with Providers and Medical Staff any red
Scan and Document process in patient charts
Relay cost estimations
Investigate billing disputes for surgery/procedure
How You'll Work.
Team & Collaboration
Coordinate with providers; Coordinate with Medical Staff; Coordinate with nursing staff
Full Job Description
**Job Description:** 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.. Join Our Team as a Patient Service Representative! We are seeking an organized and compassionate Patient Service 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! [Discover why Intermountain Health is a great place to work (youtube.com)](https://www.youtube.com/watch?v=Rr8ZOy08nzE) **Posting Specifics** * Entry Rate: $19.85 - $30.21 depending on experience * Benefits Eligible: Yes, check them out [here](https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) * Shift Details: Part-time, 24 hours per week, Monday, Wednesday, Friday 8:30am - 5:00pm * Partially remote with in-office expectations **Essential Functions** * 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. 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
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