Presbyterian is seeking a 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're determined to take care of those working in healthcare.
Presbyterian is dedicated to improving people's lives - the lives of our patients and the lives of our coworkers. We're locally owned and operated, which encourages supportive leadership that empowers employees. And we provide the opportunity to gorw from entry-level to the most senior positions.
Why Join Us
Ideal Candidate:A minimum 12 months experience in a clinical setting
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
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 Manger 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.
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, 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 ensure the patients, members and communities we serve can achieve their best health. We are a 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.
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.