Presbyterian Healthcare Services
Patient Visit Specialist - Las Estancias Family Practice
Presbyterian Healthcare Services, Albuquerque, New Mexico, United States, 87101
OverviewNow hiring a Patient Visit Specialist for Family Practice Clinic at Las Estancias!
The
Patient Visit Specialist
performs visit closure activities to coordinate patient care while providing an exceptional patient experience for the successful completion of the next steps ordered by the clinician. The chosen individual would have
advanced scheduling (Return scheduling knowledge to include the ability to scrub schedules for accuracy and efficiency in the home department)
for specialty or radiologic procedures, recognizing payor requirements, and obtaining prior authorization/certification/referrals for visits/procedures. The individual will process daily referral work queues for authorization, deferring only those that require payor consideration. Work Primary Care and most Specialty Care offices must process STAT and ASAP referral work queues for results received, and monitor in-baskets and reports for overdue results, waitlisted appointments, recalls, etc.
How you belong matters here.
We value our employees' differences and find strength in the diversity of our team and community.
At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.
Why Join Us
Per Required Need - Exempt: No
Job is based PMG - Las Estancias
Work hours: Days
Benefits: PRN/PT (working less than a .45 FTE) employee benefits available for this position such as medical, gym memberships and an
Ideal Candidate:
Minimum 18 months experience in a clinical setting with significant MD interaction
QualificationsExperience:
Minimum 18 months experience in a clinical 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
Academic Preparation:
High school or equivalent
Short-term training in Medical Terminology
Familiarity with CPT and ICD-10 coding
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
Responsibilities
Reviews 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
Appointment reminder calls
Perform other duties as required
BenefitsAll benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system 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 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments.
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 $20.55/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.
The
Patient Visit Specialist
performs visit closure activities to coordinate patient care while providing an exceptional patient experience for the successful completion of the next steps ordered by the clinician. The chosen individual would have
advanced scheduling (Return scheduling knowledge to include the ability to scrub schedules for accuracy and efficiency in the home department)
for specialty or radiologic procedures, recognizing payor requirements, and obtaining prior authorization/certification/referrals for visits/procedures. The individual will process daily referral work queues for authorization, deferring only those that require payor consideration. Work Primary Care and most Specialty Care offices must process STAT and ASAP referral work queues for results received, and monitor in-baskets and reports for overdue results, waitlisted appointments, recalls, etc.
How you belong matters here.
We value our employees' differences and find strength in the diversity of our team and community.
At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.
Why Join Us
Per Required Need - Exempt: No
Job is based PMG - Las Estancias
Work hours: Days
Benefits: PRN/PT (working less than a .45 FTE) employee benefits available for this position such as medical, gym memberships and an
Ideal Candidate:
Minimum 18 months experience in a clinical setting with significant MD interaction
QualificationsExperience:
Minimum 18 months experience in a clinical 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
Academic Preparation:
High school or equivalent
Short-term training in Medical Terminology
Familiarity with CPT and ICD-10 coding
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
Responsibilities
Reviews 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
Appointment reminder calls
Perform other duties as required
BenefitsAll benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system 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 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments.
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 $20.55/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.