Patient Visit Specialist

0090 Presbyterian System Services; Wyoming; On-site; USD 23,000 - 38,000; Full time

Job summary

Presbyterian Healthcare Services is seeking a dedicated Patient Visit Specialist to support visit closure activities and coordinate patient care with precision. The role emphasizes advanced scheduling for visits, labs, radiology, and imaging, while handling pre-authorizations and referrals per payor rules.

You will guide patients through next steps ordered by clinicians in a fast-paced healthcare setting. The ideal candidate will have strong scheduling skills, attention to HIPAA, and experience

Qualifications

• High school diploma or equivalent; medical office experience preferred.
• Proficiency in prior authorization/certification/referral process preferred.
• Must pass EPIC competency for Registration after Epic Clerical Training.

Responsibilities

• Review and follow orders entered into the EHR by the clinician.
• Schedule return visits, labs, radiology, STAT & ASAP appointments and advanced imaging.
• Obtain Prior Authorization/Referral per payor protocols.
• Validate patient MyChart access.
• Print AVS with HIPAA double-check.
• Collect backend patient balances such as high deductible.
• Communicate scheduling restrictions to ordering clinician as needed.
• Make appointment reminder calls and handle rescheduling.
• Explain Release of Information process and ensure ROI form completion.

Skills

Strong communication skills

Organizational skills

Multi-tasking ability

HIPAA compliance awareness

Education

High school diploma or equivalent

Tools

EPIC

Job description

Location Address: 5550 Wyoming Blvd NE Albuquerque, NM 87109-3167 Compensation Pay Range: Minimum Offer $16.79 Maximum Offer $27.67 Now Hiring: Patient Visit Specialist

Summary: 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 - Wyoming

Work Shift: Days (United States of America)

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
• Communicate 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

All 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. Wellness Presbyterian'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 Services Presbyterian 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 Here, we’re committed to a different way to make a difference. Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, nurses, employees, board members, and volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than one in three New Mexicans. We are part of New Mexico's history and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.