Patient Visit Specialist - Complete Care Program
US-NM-Albuquerque
Careers (External)
Req #: 48504
Type: Full Time
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Overview: Presbyterian is seeking a dedicated Patient Visit Specialist for Complete Care Program 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! How you belong matters here. 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 * Full Time - Exempt: No * Job is based Presbyterian El Camino * Work hours: Varied Days and Hours * Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees. Responsibilities: * Review and follow orders entered into 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 clinician when any restriction, such as access, restricts or prohibits scheduling as ordered * Appointment reminder calls and rescheduling * 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 * Ensure check out area, waiting area and walkways are clear of any unnecessary items and are clean and neat. * Perform other duties as required Qualifications: Experience: * 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 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 organizational skills * Ability to multitask, manage appointments, and maintain accurate healthcare records * Ability to use the Electronic Medical Record (EMR) for scheduling, documentation, and communication. * Strong customer service skills demonstrate professionalism and empathy * Ability to handle confidential information as outlined under HIPAA
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