MEDICAL IMAGING - SCHEDULER/INSURANCE SPECIALIST

About the role

The Imaging Scheduler/Insurance Specialist schedules procedures and appointments for the cardiac/imaging department, performs pre-authorization verification, validates billing criteria, and conducts coding audits for Idaho Falls Community Hospital. This role ensures appointments meet insurance medical necessity requirements and verifies pre-authorization for all necessary exams.

About Idaho Falls Community Hospital

At Idaho Falls Community Hospital, helping our community get better is our number one priority. We provide compassionate, emergency care 24 hours a day, 365 days a year. Our state-of-the-art facilities include an Emergency Department, a stroke and diagnostic cardiac center, and a trauma center. Our work environment is collaborative, purpose-driven, and people-centric, fostering a unique culture that makes employees excited to come to work each day.

Responsibilities

• Answer incoming phone calls in a professional and friendly manner, facilitate scheduling of exams, dispense exam preparations and instructions, and respond to general imaging questions.
• Assist technologists with comprehensive patient screening prior to examination.
• Help patients change into gowns (when necessary), screen and document patient information, transport patients, and answer questions to prepare them for imaging procedures, ensuring their comfort and ease.
• Review physician orders and verify availability of previous images used for comparison.
• Accept and process incoming images from other facilities for comparison.
• Assist with documentation of appropriate patient information necessary for exam interpretation and patient care.
• Support schedulers, technologists, and other coworkers in the department as needed.
• Promote effective working relationships and collaborate as part of the team to meet hospital and department goals.
• Troubleshoot technical problems and work with vendors to resolve issues.
• Maintain flexibility as the department grows, accepting additional responsibilities as requested by the department director.

Requirements

• High School graduate or equivalent.
• Current BLS Certification.
• Knowledge of diagnoses and CPT codes for ancillary services.
• Must have AAPC Certification or become certified within one year of hire.
• Prior experience with coding and billing for outpatient services.

Benefits

• Medical, Dental, and Vision Insurance.
• Paid Time Off (vacation, holidays, and sick days) and Medical Paid Time Off.
• Retirement Plans (401K with up to 6% match).
• Earned Quarterly Bonus Program.
• Education Reimbursement Program.
• Discount for medically necessary procedures performed at Idaho Falls Community Hospital and Mountain View Hospital.

Benefits are based on eligibility according to full-time, part-time, or PRN status classification.