The Medical Group Front Office Specialist coordinates the encounter or episode process for the customer/patient including scheduling appointments, entering referrals, updating patient demographics and facilitating the Advanced Access process, as well as manning the Call Center for the Clinic.
Type of Opportunity: Full Time
FTE: 1.000000
Exempt: No
Work Schedule: Days
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*Schedules patient appointments according to guidelines by providing documentation of scheduled appointments, procedural instructions and location directions. Monitors the daily patient schedule, places reminder calls and identifies no shows for rescheduling.
*Ability to review schedule, anticipate errors and take corrective action.
*Verifies patient demographics and insurance information.
*Answer telephones, takes complete and accurate message and relays information appropriate party to support operational aspects of patient care. Ability to answer questions regarding hospital and departmental operations, policies and procedures.
*Retrieves information from files as requested and assembles paperwork and reference material as requested by patients or providers. Responsible for following HIPAA confidentiality guidelines while performing all duties. Responsible for responding to requests within the scope of the job to include mailing or faxing requested material to other PHS departments facilities and other appropriate facilities.
*Maintains and fosters effective customer relations with patients, providers and the public by listening, responding, and documenting customer phone inquiries and complaints. Attempts to resolve complaints in the moment and enters complaints/compliments into Advocate.
*Enters referrals into EPIC to support patient care.
*Exhibits extensive knowledge and understanding of the Advanced Access Process. Monitor provider schedules and correct as needed.
*Work with provider/nurse team to ensure patient access.
Follows team appointment and same day appointment guidelines. Generate and track Team appointments and Access forms
*Recognize calls requiring special handling and attention following the EMTALA procedures and redirects the call accordingly.
*Initiate the referral process and faxing of approved referrals. Also providing answers to patients inquires regarding a referral or the referral process.
*Attend monthly meetings.
*Other Duties as assigned.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nin 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 13,000 employees, including over 1,200 providers and nearly 3,500 nurses.
Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial Health Plans.
About Lincoln County Medical Center
Nestled between tall pines and mountain vistas at an elevation of 6,900 feet, Ruidoso is a mountain oasis in southern New Mexico. With a population of nearly 20,000, Lincoln County offers many larger-town amenities in a smaller-community environment, including a wide range of activities from outdoor adventures to art galleries and theaters.
Ruidoso is home to Presbyterian's Lincoln County Medical Center which has served the Ruidoso and Lincoln County community since 1950 when the facility first opened as the Ruidoso-Hondo Valley General Hospital. Lincoln County Medical Center is owned by the County of Lincoln, and, since 1972, Lincoln County Medical Center has been leased and managed by Presbyterian Healthcare Services, greatly aiding in its growth and advancement. Learn more about Ruidoso here.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.