Requisition Patient Scheduler II-Atrisco Urgent Care

Patient Scheduler II- Atrisco 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.

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 at PMG - Atrisco
• Work hours : Varied Days and Hours
• Benefits : PRN / PT (working less than a .45 FTE) employee benefits available for this position such as medical, gym memberships, and an employee wellness program.

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 process.

Must pass EPIC competency for Registration at completion of Epic Clerical Training class.

Abilities :

Performs appointment scheduling for patient via the telephone or in person to include testing, procedures, and clinician appointments. Coordinates advanced scheduling guidelines to include surgeons, resources, proctors, etc. Requires strong organizational skills. 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.

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. Round with patients waiting to insure their comfort and to inform of delays when applicable.

Encounter Components :

Performs the patient scheduling process and validates accurate patient demographics. Guide 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 expenses. Meet 1 on 1 with patient to schedule invasive procedures in or out patient. Advised patient and patient families of non-clinical instruction. Develop and maintain a positive relationship with OR personnel. Follow 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 basis.

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 Manager to alert the clinical team. Assist in any manner the clinic team directs. Ensure scheduling area / office, 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. Willingness to work in a positive manner to assist in development of new surgical programs.

C.A.R.E.S Behaviors :

Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage, and Serve to all whom you encounter.

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.

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, webinars, 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.

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.

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.