Patient Scheduler II Belen Urgent Care

Presbyterian is seeking a Patient Scheduler II- Belen Urgent Care to provide 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 and coordinate admission paperwork when applicable.

• This is a Part Time (.45 to .89) position - Exempt: No
• Job is based at Belen Urgent Care
• Work hours: 12 Hour Days

Ideal Candidate:

A minimum 12 months experience in a clinical setting

Academic Preparation:
High school or equivalent
Short-term training in Medical Terminology.

Experience:
A minimum 12 months experience in a clinical setting
Proficiency in prior authorization/certification/referral process

Must 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 appointments
Coordinates advanced scheduling guidelines to include surgeons resources proctors etc.
Requires strong organizational skills
Must be able to function under pressure while maintaining professionalism
Working knowledge of CPT and ICD-10 coding.

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 times
Ability to manage conflict and appropriately request the help of a supervisor when needed
Round 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 demographics
Guide 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 expenses
Meet 1 on 1 with patient to schedule invasive procedures in or out patient
Advised patient and patient families of non-clinical instruction
Develop and maintain a positive relationship with OR personnel
Follow 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 Center
Validate 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 Relations
Comprehend quality service connection to patient satisfaction and reimbursement
Participate in metric goals for telephones performance metrics TSF and abandonment rate when applicable
Perform confirmation calls when applicable to include directions and instructions as required by the visit type

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 14000 employees it is the largest private employer in the state serving over 580000 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.