Patient Service Representative Insurance Specialist

Job Description:

The Patient Service Representative (PSR) serves as the first connection between Intermountain and patients. This role embodies Intermountain values and focuses on establishing collaborative relationships with patients and fellow caregivers to deliver the highest level of customer/patient satisfaction. The PSR ensures a superior customer experience by identifying and resolving patient needs related to patient intake and care, which may include greeting and checking-in/out patients, as well as verifying information supplied by patients.

Join Our Team as a Patient Service Representative!

We are seeking an organized and compassionate Patient Service Representative to join our healthcare team. If you're passionate about providing exceptional care and want to work in an environment that values growth, we’d love to hear from you!

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Posting Specifics

• Entry Rate: $18.31 - $23.80 depending on experience

• Benefits Eligible: Yes, check them out here

• Shift Details: Full-time, 40 hours per week

Essential Functions

The following responsibilities may be part of the job duties of this specific position:

Insurance Verification & Eligibility Management

• Review and validate patient insurance coverage prior to appointments.
• Manage daily insurance verification workflows for Connect Care clinics
• Resolve eligibility discrepancies and coordinate corrections with registration and patient access teams.
• Monitor payer-specific requirements and coverage limitations for telehealth services.

Claims & Denial Management

• Investigate denied and delayed claims and identify root causes.
• Coordinate corrections related to NPI enrollment, modifiers, place of service, coding issues, and payer configuration errors.
• Track denial trends and partner with Revenue Cycle, Coding, and Payer Contracting teams to implement solutions.
• Manage Revenue Guardian reports, billing work queues, and follow-up activities to improve clean claim rates.

Payer Enrollment, Credentialing & Contracting Support

• Maintain provider enrollment tracking for commercial, Medicare, Medicaid, and managed Medicaid plans across multiple states.
• Coordinate provider credentialing and licensing readiness for Connect Care expansion initiatives.
• Support multi-state payer enrollment projects and maintain operational tracking tools for provider readiness.
• Serve as an operational liaison between Connect Care, Credentialing, Enrollment, Payer Contracting, and clinic leadership teams.

Revenue Cycle Operations

• Work payer claim work queues and resolve claim submission issues.
• Manage claim corrections and coordinate with coding teams regarding CPT codes, modifiers, and telehealth billing requirements.
• Research payer payment issues and implement workflow improvements to reduce unnecessary denials.
• Monitor reimbursement performance and support billing optimization efforts.

Prior Authorization & Referral Management

• Coordinate payer authorization requirements, including Medicaid, Medicare Advantage, Tricare, and commercial plans.
• Track authorization status and proactively address barriers to care delivery.
• Ensure compliance with payer-specific referral and authorization requirements.

Epic & Operational Workflow Support

• Partner with Epic, DTS, Revenue Cycle, Patient Access, and Operations teams to resolve system-related billing and insurance issues.
• Identify Epic build requirements affecting claims reimbursement and telehealth workflows.
• Assist with development of operational reports, payer tracking tools, and workflow documentation.
• Support implementation of new virtual care programs and expansion into new states or payer networks.

KeyCare & Specialty Program Support

• Manage insurance and charge-entry workflows for KeyCare visits.
• Support lactation, behavioral health, urgent care, nutrition, and specialty telehealth programs with reimbursement guidance and claim resolution.
• Coordinate coding and billing readiness for new service launches.

Minimum Qualifications

• Six months of customer service experience involving interactions with customers.

• Demonstrated basic computer skills involving word processing and data entry.

• Professional manner and strong interpersonal and communication skills.

• Ability to work collaboratively with patients and fellow caregivers to deliver the highest level of customer/patient satisfaction.

• Ability to protect privacy, confidentiality, and Protected Health Information (PHI) of patients, members, and caregivers.

Preferred Qualifications

• One year of customer service experience involving interactions with customers in person and by phone.

• Billing and collections experience.

• Computer literacy in using electronic medical records (EMR) systems and other relevant software.

• High school diploma or GED preferred.

• Multilingual

Physical Requirements

• Ongoing need for caregivers 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 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.

• Position may require standing for long periods of time, lifting supplies

• May assist patients into/out of the clinic.

Location:

Valley Center Tower

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$18.31 - $23.80

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.

Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

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.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.