Patient Representative-Scheduling Specialist

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.

• 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 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. 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.
• Scans and documents the process in patient charts and relays cost estimations. Investigates billing disputes for surgery/procedure.

• Medical Insurance Coding
• Computer Literacy
• Patient Care
• Health Care
• Medical Procedures
• Medical Terminology
• Electronic Medical Records (EMR)
• Surgeries
• Patient Safety

• 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.

• Associate’s Degree from an accredited institution (education verified).
• Two years at Intermountain Health as a PSR, MA or similar position.
• Two years of experience working with patient access or in the health insurance industry (Commercial, Medicare, Medicaid); health claims billing or third‑party contracts.
• EMR experience.
• Bi‑lingual – Spanish speaking.
• Knowledge of medical terminology.
• Versed in CPT/ICD codes.

• Ongoing need to see and read information, labels, documents, monitors, identify equipment and supplies, and assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require verbal communication, hearing and understanding spoken information, needs and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy, including frequent computer use for typing and accessing needed information.
• For roles requiring driving: expected to drive a vehicle, which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Intermountain Health Intermountain Medical Center

Murray

Utah

20

$19.85 - $30.21

We care about your well‑being – mind, body, and spirit – which is why we provide our caregivers a 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.

Learn More About Our Comprehensive Benefits Package Here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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All positions subject to close without notice.