Scheduling/Prior Auth Rep in Rock Springs, Wyoming at Memorial Hospital of Sweetwater County
Job Description
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OUR CULTURE OF PERSON-CENTERED CARE
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At Memorial Hospital of Sweetwater County, our mission, vision, and values serve as the foundation for how we care for patients, support our practitioners and co-workers, and engage with our community. We follow the “Planetree” methodology of “Person-Centered Care”. These guide our decisions, shape our culture, and define the expectations for every member of our team.Our Mission: Compassionate care for every life we touchOur Vision: To be our community’s trusted healthcare leaderOur Values:
• Be Kind - Demonstrating compassion, consideration, and thoughtfulness
• Be Respectful - Being mindful of individual perspectives, priorities and needs
• Be Accountable - Taking responsibility for our commitments, behaviors, and actions
• Work Collaboratively - Cooperating with and encouraging each other to achieve a common goal
• Embrace Excellence - Dedicated to setting standards that meet and exceed expectations
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JOB SUMMARY
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The Scheduling/Prior Authorization Representative supports our mission of compassionate care by answering incoming calls and ensuring accurate patient access and reimbursement. This role schedules appointments for Medical Imaging, Cardiopulmonary Services, Sleep Lab, Nutrition Services, and University of Utah Vascular Clinics in accordance with established guidelines.
The position collects and maintains accurate demographic and insurance information, verifies eligibility, reviews benefits and limitations, and secures timely pre-authorizations using appropriate CPT and ICD-10 codes. Through clear communication and compassionate engagement, the representative contacts patients prior to outpatient services to review financial expectations, identifies those needing financial counseling or assistance, and coordinates referrals as needed supporting a positive and seamless care experience.
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JOB QUALIFICATIONS
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Education:
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High school diploma or equivalent required.
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Certifications/Licenses:
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N/A
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Job Knowledge and Skills:-
- Strong customer service, communication, and interpersonal skills.
- Ability to manage a high volume of patient interactions in person and by phone in a fast-paced environment.
- Attention to detail and high accuracy in data entry.
- Basic understanding of medical terminology and insurance processes preferred.
- Proficiency in using computers, and electronic health record applications.
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