Patient Scheduler II-Las Estancias Urgent Care at Presbyterian Healthcare Services

Albuquerque, New Mexico, United States -

Full Time

Start Date

Immediate

Expiry Date

10 Feb, 26

Salary

22.56

Posted On

12 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Scheduling, Customer Service, Organizational Skills, Medical Terminology, Prior Authorization, CPT Coding, ICD-10 Coding, Conflict Management, Communication, Patient Education, Appointment Coordination, Financial Advocacy, Epic System, Team Collaboration, Problem Solving, Time Management

Industry

Hospitals and Health Care

Description

Overview 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 Other duties as assigned This is a Part Time (.45 to .89) position - Exempt: No Job is based at PMG - Las Estancias Work hours: Varied Days and Hours Ideal Candidate: A minimum 12 months experience in a clinical setting Qualifications 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 processMust pass EPIC competency for Registration at completion of Epic Clerical Training classAbilities: 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 codingPass annual competency exam for all areas of responsibility.Attend Quarterly MSO meetings.Attend Staff meetingsAttend Employee Forums 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 applicableEncounter 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 basisFinancial 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 occursMessage 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 recordsPatient 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. Maximum Offer for this position is up to USD $22.56/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.

Responsibilities

The Patient Scheduler II is responsible for providing exceptional patient experiences and ensuring accuracy in scheduling. This role includes validating prior authorizations and coordinating admission paperwork as needed.