Patient Visit Specialist
Patient Visit Specialist
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
Presbyterian is seeking aPatient Visit Specialist.
In this position you will coordinate patient care and ensure an exceptional patient experience schedule specialty and radiologic procedures obtain prior authorizations certifications and referrals as required by payors process daily referral workqueues for authorization deferring only those needing payor consideration handle STAT and ASAP referral workqueues for Primary and Specialty Care offices scrub schedules for accuracy and efficiency and monitor in-baskets and reports for overdue results waitlisted appointments and recalls.
Type of Opportunity: Full Time (1.0 FTE/40 hours per week)
Work Schedule: 8 hour days
How you grow learn and thrive matters here.
This position is eligible for the Northern New Mexico differential of $4.00 per hour. (This differential may be adjusted or discontinued based on business requirements.)
Qualifications
- High school or equivalent
- 18 months experience in a clinical setting with significant MD interaction
Responsibilities
Achieve exceptional patient experience by using CARES AIDET and EPE tools
Resolve complaints in the moment with appropriate language and escalation
Manage conflict and request supervisory assistance when necessary
Maintain effective patient-provider-public relations through attentive listening and response
Round with waiting patients to ensure comfort and communicate delays
Follow clinician orders in EHR accurately
Schedule return visits and diagnostic tests including STAT & ASAP orders
Obtain prior authorization and referrals per payer requirements
Validate MyChart access and print AVS with attention to HIPAA compliance
Collect backend patient balances and communicate scheduling restrictions to clinicians
Refer uninsured patients to the Financial Advocacy Center or on-site advocate as appropriate
Ensure all authorizations/referrals are secured before procedures and alert stakeholders if not
Create accurate telephone encounter messages and route appropriately in Epic
Educate patients on the Release of Information process and ensure complete ROI forms
Understand the link between quality service satisfaction and reimbursement
Contribute to telephone metric goals including TSF and abandonment rate
Conduct confirmation calls with visit-specific directions and instructions
Respond swiftly to patients in distress and follow clinic guidelines for team support
Maintain cleanliness and organization in patient-accessible areas
Report safety concerns promptly and complete annual Code Blue competency
Make appointment reminder and rescheduling calls as needed
Review and optimize provider schedules to improve efficiency
Benefits
Were all about well-being starting with yours.
Presbyterian employees have access to a fun engaging and unique wellness program including free on-site and community-based gyms nutrition coaching and classes mindfulness and meditation resources wellness challenges and more.
Learn more about our employee benefits.
Presbyterian is committed to an inclusive and equitable environment where everyone is valued and empowered for success. We believe that our environment should reflect the diversity of our community.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients members and the communities we serve. We are a locally owned not-for-profit healthcare system comprised of nine hospitals a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908 we are the states largest private employer with nearly 13000 employees - including more than 1200 providers and nearly 3500 nurses.
Our health plan serves more than 640000 members statewide and offers Medicare Advantage Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Maximum Offer for this position is up to
Compensation Disclaimer
Required Experience:
Unclear Seniority
Employment Type
Full-Time
