Presbyterian is seeking a Patient Scheduler II- Las Estancias Urgent Care
Provides exceptional patient experience for each patient case. Accuracy in scheduling is paramount in performance
Uses advanced visit types in a multi-disciplinary specialty, 100% validation prior authorizations/certifications/referrals are in place PRIOR to procedure. Perform non-clinical pre-surgery patient and family education. Coordinate admission paperwork when applicable.
This is a Part Time (.45 to .89) position - Exempt: NoJob is based at PMG - Las EstanciasWork hours: Weekend Schedule Friday-Sunday
Ideal Candidate: 12 months experience in a clinical setting. Proficiency in prior authorization/certification/referral process
Qualifications Academic Preparation:High school or equivalent
Short-term training in Medical Terminology.
Experience: A minimum 12 months experience in a clinical settingProficiency in prior authorization/certification/referral processMust pass EPIC competency for Registration at completion of Epic Clerical Training class
Abilities: Performs appointment scheduling for patient via the telephone or in person to include testing, procedures and clinician appointmentsCoordinates advanced scheduling guidelines to include surgeons, resources, proctors, etc.Requires strong organizational skillsMust be able to function under pressure while maintaining professionalismWorking knowledge of CPT and ICD-10 coding
Responsibilities Responsibilities:
Customer Service and Caring Practices:Achieve exceptional patient experience for patients and patient families by using CARES, AIDET and EPE tools.Addresses and attempts to appropriately resolve complaints in the moment by using key words at key timesAbility to manage conflict and appropriately request the help of a supervisor when neededRound with patients waiting to insure their comfort and to inform of delays when applicable
Encounter Components: Performs the patient scheduling process and validates accurate patient demographicsGuide informed dialogue with patients and patients representatives regarding in-network coverages (respecting CDS and RDS guidelines)Set patient expectations regarding Prior Authorization, Referrals and out of pocket expensesMeet 1 on 1 with patient to schedule invasive procedures in or out patientAdvised patient and patient families of non-clinical instructionDevelop and maintain a positive relationship with OR personnelFollow OR protocols for scheduling such as utilizing assigned block time Schedule all pre-admit appointments and radiology. Track patient compliance by communication with patient on an on-going basis
Financial Accountabilities:Refers as appropriate to on site Financial Advocate, or for uninsured to the Financial Advocacy CenterValidate prior authorization/certification/referral are secured PRIOR to a scheduled procedure or test, alerting stake holders (patient, patient representative, OR, etc) if a breakdown occurs
Message Management: Formulates complete and accurate telephone encounter messages and routes to the appropriate Epic in-basket pool to support operational aspects of patient care.
Medical Record Components: Instructs patients on the Release of Information process and insure a fully completed ROI Form is submitted to Health Information Management for incoming or outgoing records
Patient RelationsComprehend quality service connection to patient satisfaction and reimbursement Participate in metric goals for telephones performance metrics, TSF and abandonment rate when applicablePerform confirmation calls when applicable to include directions and instructions as required by the visit type
Benefits
About Presbyterian Healthcare Services
Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.
The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges, webinars, and screenings - with opportunities to earn gift to earn gift cards and other incentives.
As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships. Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
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