Patient Service Representative

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.. 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 Coding Computer Literacy Patient Care Health Care Medical Procedures Medical Terminology Electronic Medical Records (EMR) Surgeries Patient Safety 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 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: Cedar City Orthopedics and Sports Medicine Clinic - Orthopedics Work City: Cedar City Work State: Utah Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $19.85 - $30.21 We c ... (truncated, view full listing at source)