Job Posting
Weekdays only, TBD shift Monday, Wednesday, Friday. No major Holidays ENT / Audiology 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.
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 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. 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.
Skills
Medical Insurance CodingComputer LiteracyPatient CareHealth CareMedical ProceduresMedical TerminologyElectronic Medical Records (EMR)SurgeriesPatient SafetyMinimum Qualifications
Two years of medical registration, billing, collection, scheduling, or insurance experience,Two years of customer service experienceWorking 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 positionTwo 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 experienceBi-lingual - Spanish speakingKnowledge of medical terminologyVersed in CPT / ICD codesPhysical Requirements
Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.Frequent interactions with providers, colleagues, customers, patients / clients and visitors that require employee to verbally communicate as well as hear and understand 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. This includes frequent computer use for typing, accessing needed information, etc.For roles requiring driving : Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.Location
Budge Clinic
Work City
Logan
Work State
Utah
Scheduled Weekly Hours
27
Salary Range
$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.
Intermountain Health
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.