AlbuquerqueRecruiter Since 2001
the smart solution for Albuquerque jobs


Company: Presbyterian Hospital (Albuquerque, N.M.)
Location: Albuquerque
Posted on: January 13, 2022

Job Description:

  • Performs visit closure activities to coordinate patient care while providing an exceptional patient experience for successful completion of next steps ordered by the clinician
  • Advanced scheduling for specialty or radiologic proceduresRecognizing payor requirements and obtaining prior authorization/certification/referrals for visits/proceduresProcesses daily referral workqueues for authorization, deferring only those that require payor consideration
  • Primary Care and most Specialty Care offices must process STAT and ASAP referral workqueues for results received
  • Return scheduling knowledge to include the ability to scrub schedules for accuracy and efficiency in home department
  • Monitor in-baskets and reports for overdue results, waitlisted appointments, recalls, etc Responsibilities 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 times * Ability to manage conflict and appropriately request the help of a supervisor when needed * Fosters effective patient relations with patients, the public and providers by listening, responding and escalating when appropriate * Round with patients waiting to insure their comfort and to inform of delays when applicable Encounter Components: * Review and follows order 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 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 Patient Safety* Respond quickly to patients showing distress. Follow guidelines set forth by the Clinic Manger to alert the clinical team. Assist in any manner the clinic team directs. * Ensure check out area, waiting area and walkways are clear of any unnecessary items and are clean and neat. * Report any concern that may create a safety issue. * Annual competency completion of Clerical Staff during a Code Blue Quality Improvement: * Appointment reminder calls * Rescheduling * Evaluate provider schedules and take appropriate action to ensure accuracy and efficiency per guidelines * Works with assigned physicians to maximize schedule effectiveness C.A.R.E.S Behaviors: * Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter. Qualifications Academic Preparation: *High school or equivalent *Short-term training in Medical Terminology*Familiarity with CPT and ICD-10 coding Experience: *Minimum 18 months experience in a medical office setting with significant MD interaction*Proficiency in prior authorization/certification/referral process*Must pass EPIC competency for Registration at completion of Epic Clerical Training class Professional Requirements: *Pass annual competency exam for all areas of responsibility.*Attend Quarterly MSO meetings.*Attend Staff meetings*Attend Employee Forums Abilities: *Requires strong organizational and multi-tasking skill sets*Significant customer service skill set paramount*Must be able to function under pressure while maintaining professionalism*Working knowledge of CPT and ICD-10 coding *Pass annual competency exam for all areas of responsibility.*Attend Quarterly MSO meetings.*Attend Staff meetings*Attend Employee Forums Benefits Benefits are effective day-one (for .45 FTE and above) and include:
    • Competitive salaries
    • Full medical, dental and vision insurance
    • Flexible spending accounts (FSAs)
    • Free wellness programs
    • Paid time off (PTO)
    • Retirement plans, including matching employer contributions
    • Continuing education and career development opportunities
    • Life insurance and short/long term disability programs About Us Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system ofnine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

Keywords: Presbyterian Hospital (Albuquerque, N.M.), Albuquerque , PATIENT VISIT SPECIALIST - ORAL MAXILLOFACIAL, Other , Albuquerque, New Mexico

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest New Mexico jobs by following @recnetNM on Twitter!

Albuquerque RSS job feeds