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Requisition Patient Visit Specialist - Pain & Spine

Requisition Patient Visit Specialist - Pain & Spine

Presbyterian Healthcare ServicesRio Rancho, NM, US
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Patient Visit Specialist for Pain & Spine

Presbyterian is hiring a Patient Visit Specialist that 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. 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.

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

  • Full Time - Exempt : No
  • Job is based at PMG-RR High Resort 4100
  • Work hours : Days
  • Benefits : We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.

Ideal Candidate :

Experience in the medical office, hospital, or clinic with patients and providers is preferred

Proficiency in prior authorization / certification / referral process is preferred

Qualifications

Experience :

  • High school or equivalent
  • Experience in the medical office, hospital, or clinic with patients and providers is preferred
  • Proficiency in prior authorization / certification / referral process is preferred
  • Must pass EPIC competency for Registration at completion of Epic Clerical Training class
  • Professional Requirements :

  • Medical terminology training or training completed within six months of hire
  • Pass annual competency exam for all areas of responsibility.
  • Attend Staff meetings per department expectations
  • Requires strong organizational and multi-tasking skill sets
  • Significant customer service skills set paramount
  • Abilities :

  • Strong communication and organizational skills
  • Ability to multitask, manage appointments, and maintain accurate healthcare records
  • Ability to use the Electronic Medical Record (EMR) for scheduling, documentation, and communication.
  • Strong customer service skills demonstrate professionalism and empathy
  • Ability to handle confidential information as outlined under HIPAA
  • Responsibilities

  • Review and follow orders 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 and rescheduling
  • Instruct patients on the Release of Information process and ensure a fully completed ROI Form is submitted to Health Information Management for incoming or outgoing records Patient Relations
  • Ensure check out area, waiting area and walkways are clear of any unnecessary items and are clean and neat.
  • Perform other duties as required
  • Benefits

    All 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.

    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.

    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.

    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.

    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.

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    Patient Specialist • Rio Rancho, NM, US

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