Patient Visit Specialist

Presbyterian System Services; Albuquerque (NM); On-site; USD 23,000 - 38,000; Full time

Job summary

Presbyterian Healthcare Services in Albuquerque, NM seeks a Patient Visit Specialist to support visit closure activities and coordinate patient care, guiding patients through clinician-recommended next steps. You will optimize schedules for accuracy and efficiency, coordinate procedures, obtain prior authorizations, and ensure HIPAA privacy in patient communications.

This role requires strong organization, experience with EPIC clerical workflows, and a customer-focused approach in a fast-paced

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.

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 with HIPAA privacy checks.
• Collects any backend patient balance such as high deductible.
• Communicate effectively to ordering clinician when restrictions affect scheduling as ordered.
• Appointment reminder calls and rescheduling.
• Instruct patients on the Release of Information process and ensure ROI Form is submitted to Health Information Management.
• Patient Relations: ensure check out area, waiting area and walkways are clean and orderly.
• Perform other duties as required.

Job description

Location Address:8312 Kaseman Court NE Albuquerque, NM 87110-7639Compensation Pay Range:Minimum Offer $16.79 Maximum Offer $27.67 Now Hiring: Patient Visit SpecialistSummary: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 - 8312 Kaseman Court Work Shift: Days (United States of America)Responsibilities:Review and follow orders entered into the EHR by the clinicianSchedule return visits lab, radiology, STAT & ASAP appointments and advanced imagingObtain Prior Authorization/Referral per payor protocolsValidates patient MyChart AccessPrints AVS as applicable with double check for HIPAA privacyCollects any backend patient balance such as high deductibleCommunicate effectively to ordering clinician when any restriction, such as access, restricts or prohibits scheduling as orderedAppointment reminder calls and reschedulingInstruct 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 RelationsEnsure check out area, waiting area and walkways are clear of any unnecessary items and are clean and neat.Perform other duties as requiredQualifications:Additional Job DescriptionExperience:High school or equivalentExperience in the medical office, hospital, or clinic with patients and providers is preferredProficiency in prior authorization/certification/referral process is preferredMust pass EPIC competency for Registration at completion of Epic Clerical Training classProfessional Requirements:Medical terminology training or training completed within six months of hirePass annual competency exam for all areas of responsibility.Attend Staff meetings per department expectationsRequires strong organizational and multi-tasking skill setsSignificant customer service skills set paramountAbilities:Strong communication and organizational skillsAbility to multitask, manage appointments, and maintain accurate healthcare recordsAbility to use the Electronic Medical Record (EMR) for scheduling, documentation, and communication.Strong customer service skills demonstrate professionalism and empathyAbility to handle confidential information as outlined under HIPAAAll 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.WellnessPresbyterian'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 ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are 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 - including more than 1600 providers and nearly 4,700 nurses.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.We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services