Patient Visit Specialist

phsorg; United States; In loco; USD 23.000 - 38.000; Tempo pieno

Descrizione del lavoro

Presbyterian is hiring a Patient Visit Specialist to support visit closure activities, coordinating patient care and guiding patients through next steps. The role requires advanced scheduling, coordinating procedures, and ensuring timely authorizations and referrals, while delivering an exceptional patient experience in a busy clinic.

Based in PMG - Kaseman, this full-time, dayshift position emphasizes accurate EMR use, HIPAA privacy, and strong communication with clinicians, patients, and

Competenze

• High school or equivalent is required.
• Experience in medical office/clinic preferred.
• Proficiency with prior authorization, certification, and referrals.
• Must pass EPIC registration competency after training.

Mansioni

• Coordinate visit closures and schedule labs, radiology, and imaging.
• Obtain prior authorizations and referrals per payor rules.
• Print and manage patient documents with HIPAA compliance.
• Communicate with clinicians about scheduling restrictions.
• Support patient relations and ensure high-quality service.

Conoscenze

Strong communication

Organizational skills

Multitasking

EMR scheduling

Formazione

High school diploma or equivalent

Strumenti

EPIC

Descrizione del lavoro

Location Address:

8200 Constitution Avenue NE
Albuquerque, NM 87110-7656

Compensation Pay Range:

Minimum Offer $16.79

Maximum Offer $27.67

Now Hiring: Patient Visit Specialist

Summary:

Performs visit closure activities to coordinate patient care while providing an exceptional patient experience for successful completion of next steps ordered 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 - Kaseman

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:

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 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 confiden