Patient Visit Specialist
US-NM-Albuquerque
Careers (External)
Req #: 43236
Type: PRN
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Overview: Now hiring a PRN Patient Visit Specialist for Rheumatology! Presbyterian is hiring a Patient Visit Specialist that performs visit closure activities to coordinate patient care while providing an exceptional patient experience for the successful completion of the next steps ordered by the clinician. The chosen individual would have advanced scheduling (Return scheduling knowledge to include the ability to scrub schedules for accuracy and efficiency in the home department) for specialty or radiologic procedures, recognizing payor requirements, and obtaining prior authorization/certification/referrals for visits/procedures. The individual will process daily referral work queues for authorization, deferring only those that require payor consideration. Primary Care and most Specialty Care offices must process STAT and ASAP referral work queues for results received, and monitor in-baskets and reports for overdue results, waitlisted appointments, recalls, etc. 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 * Per Required Need - Exempt: No * Job is based PMG - Kaseman * Work hours: Varied Days and Hours * Benefits: PRN/PT (working less than a .45 FTE) employee benefits available for this position such as medical, gym memberships and an employee wellness program. Ideal Candidate: Experience in the medical office, hospital, or clinic with patients and providers is preferred Proficiency in prior authorization/certification/referral process is preferred 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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