Patient Visit Specialist

Overview

Presbyterian is seeking a Patient 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

 

We're 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 ServicesPresbyterian 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 state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.

Our health plan serves more than 640,000 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

USD $23.76/Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.