Patient Scheduler II - Atrisco Urgent Care

Presbyterian Healthcare Services • Albuquerque, NM

44d • $23 • Onsite

About The Position

Presbyterian is seeking a Patient Scheduler II- Atrisco Urgent Care to provide 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 and coordinate admission paperwork when applicable. This position is a Per Required Need position - Exempt: No Job is based at PMG - Atrisco Work hours: Varied Days and Hours Ideal Candidate: A minimum 12 months experience in a clinical setting

Requirements

• 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.

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 RelationsComprehend 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

Benefits

• Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.
• The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities-like challenges, webinars, and screenings-with opportunities to earn gift cards and other incentives.

What This Job Offers

• Career Level: Mid Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees