Patient Visit Specialist - Pain & Spine

Now hiring a Patient Visit Specialist for Pain & Spine!

Presbyterian is hiring a Patient Visit Specialist that performs visit closure activities to coordinate patient care while providing an exceptional patient experience for the successful completion of the next steps ordered by the clinician. The chosen individual would have advanced scheduling (Return scheduling knowledge to include the ability to scrub schedules for accuracy and efficiency in the home department) for specialty or radiologic procedures recognizing payor requirements and obtaining prior authorization/certification/referrals for visits/procedures. The individual will process daily referral work queues for authorization deferring only those that require payor consideration. Primary Care and most Specialty Care offices must process STAT and ASAP referral work queues for results received and monitor inbaskets and reports for overdue results waitlisted appointments recalls etc.

How you belong matters here.

We value our employees differences and find strength in the diversity of our team and community.

At Presbyterian its not just what we do that matters. Its how we do it and it starts with our incredible team. From Information Technology to Food Services and beyond our nonclinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

• Full Time Exempt: No
• Job is based at PMGRR High Resort 4100
• Work hours: Days
• Benefits: We offer a wide range of benefits including medical wellness program vision dental paid time off retirement and more for FT employees.

Ideal Candidate:

Experience in the medical office hospital or clinic with patients and providers is preferred

Proficiency in prior authorization/certification/referral process is preferred

Experience:

• High school or equivalent
• Experience in the medical office hospital or clinic with patients and providers is preferred
• Proficiency in prior authorization/certification/referral process is preferred
• Must pass EPIC competency for Registration at completion of Epic Clerical Training class

Professional Requirements:

• Medical terminology training or training completed within six months of hire
• Pass annual competency exam for all areas of responsibility.
• Attend Staff meetings per department expectations
• Requires strong organizational and multitasking skill sets
• Significant customer service skills set paramount

Abilities:

• Strong communication and organizational skills
• Ability to multitask manage appointments and maintain accurate healthcare records
• Ability to use the Electronic Medical Record (EMR) for scheduling documentation and communication.
• Strong customer service skills demonstrate professionalism and empathy
• Ability to handle confidential information as outlined under HIPAA

• Review and follow orders entered into the EHR by the clinician
• Schedule return visits lab radiology STAT & ASAP appointments and advanced imaging
• Obtain Prior Authorization/Referral per payor protocols
• Validates patient MyChart Access
• Prints AVS as applicable with double check for HIPAA privacy
• Collects any backend patient balance such as high deductible
• Communicates effectively to ordering clinician when any restriction such as access restricts or prohibits scheduling as ordered
• Appointment reminder calls and rescheduling
• Instruct patients on the Release of Information process and ensure a fully completed ROI Form is submitted to Health Information Management for incoming or outgoing records Patient Relations
• Ensure check out area waiting area and walkways are clear of any unnecessary items and are clean and neat.
• Perform other duties as required

All benefitseligible Presbyterian employees receive a comprehensive benefits package that includes medical dental vision shortterm and longterm disability group term life insurance and other optional voluntary benefits.

Wellness
Presbyterians Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your wellbeing. Earn gift cards and more by taking an active role in our personal wellbeing by participating in wellness activities like wellness challenges webinar preventive screening and more.

Why work at Presbyterian
As an organization we are committed to improving the health of our communities. From hosting growers markets to partnering with local communities Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients members and the communities we serve. We are locally owned notforprofit healthcare system of nine hospitals a statewide health plan and a growing multispecialty medical group. Founded in New Mexico in 1908 we are the states largest private employer with nearly 14000 employees including more than 1600 providers and nearly 4700 nurses.

Our health plan serves more than 580000 members statewide and offers Medicare Advantage Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drugfree and tobaccofree employer with smoke free campuses.