Patient Visit Specialist

Location Address:201 Cedar SE Albuquerque, NM Compensation Pay Range:

Minimum Offer $16.79 Maximum Offer $27.67 Now Hiring:
Patient Visit Specialist

Summary:

Job Description Summary Presbyterian is seeking a dedicated Patient Visit Specialist to support visit closure activities, ensuring seamless coordination of patient care while delivering an exceptional experience. This role plays a key part in guiding patients through the next steps ordered by the clinician.

The ideal candidate will have advanced scheduling expertise, including the ability to optimize schedules for accuracy and efficiency within their department. They will be responsible for coordinating specialty and radiologic procedures, recognizing payor requirements, and securing prior authorizations, certifications, and referrals as needed.

If you're detail-oriented, thrive in a fast-paced healthcare environment, and are passionate about patient care, we’d love to have you on our team! Type of Opportunity:
Full time Job Exempt:
No Job is based: PMG - Cedar Multispecialty

Work Shift:

Days (United States of America)
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

Fosters effective patient relations with patients, the public and providers by listening, responding and escalating when appropriate

Round with patients waiting to ensure their comfort and to inform them of delays when applicable Encounter Components:

Review and follows order entered 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 clinicians when any restriction, such as access, restricts or prohibits scheduling as ordered

Financial Accountabilities:

Refers as appropriate to onsite 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:

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 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 check out area, 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

Qualifications:

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 medical terminology 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…