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.
Scope
- 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 auth for them. Verifies eligibility and benefits. Coordinates referral for patients that will go out of network. 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 process in patient charts and relays cost estimations. Investigates billing disputes for surgery/procedure.
- Additional duties may vary by specialty.
- Position is only approved for certain specialties. Check with Medica Group leadership on approved specialties.
Minimum Qualifications
- 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.
Preferred Qualifications
- 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.
Physical Requirements:
- Interact with others requiring the employee to listen and understand verbal communication and be able to effectively communicate information.
- Operate computers and other office equipment requiring the ability to move fingers and hands.
- See and read computer monitors and documents.
- Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
Location: Budge Clinic
Scheduled Weekly Hours: 40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
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.
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.
All positions subject to close without notice.
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