Patient Visit Specialist-Hospice

Presbyterian Healthcare Services; Albuquerque (NM); On-site; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a Patient Visit Specialist for Hospice to enhance patient care and experience. This role involves coordinating patient visits, managing scheduling, and ensuring compliance with prior authorization processes. The ideal candidate will excel in customer service, possess strong organizational skills, and have experience in a clinical setting. Join a dedicated team committed to improving community health through exceptional service and support. This position offers a comprehensive benefits package and the opportunity to make a meaningful impact on patient care in New Mexico.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Retirement Plan

Wellness Program

Qualifications

• Minimum 18 months experience in a clinical setting with significant MD interaction.
• Proficiency in prior authorization/certification/referral process.

Responsibilities

• Schedule return visits and obtain prior authorization per payor protocols.
• Communicate effectively with clinicians regarding scheduling restrictions.
• Perform appointment reminder calls and other duties as required.

Skills

Organizational Skills

Multi-tasking

Customer Service

Prior Authorization Process

Education

High School or Equivalent

Short-term Training in Medical Terminology

Tools

EPIC

EHR Systems

CPT Coding

ICD-10 Coding

Job description

Overview

Now hiring a Patient Visit Specialist for Hospice!

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 at Presbyterian El Camino
• Remote work from home: this job is intended to be conducted in the state of New Mexico.
• 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.

Ideal Candidate:

• High school or equivalent
• Short-term training in Medical Terminology
• Familiarity with CPT and ICD-10 coding
• Minimum 18 months experience in a clinical setting with significant MD interaction

Qualifications

• Minimum 18 months experience in a clinical setting with significant MD interaction
• Proficiency in prior authorization/certification/referral process
• Must pass EPIC competency for Registration at completion of Epic Clerical Training class

Academic Preparation:

• High school or equivalent
• Short-term training in Medical Terminology
• Familiarity with CPT and ICD-10 coding

Professional Requirements:

• Pass annual competency exam for all areas of responsibility.
• Attend Quarterly MSO meetings.
• Attend Staff meetings
• Attend Employee Forums

Abilities:

• Requires strong organizational and multi-tasking skill sets
• Significant customer service skill set paramount
• Must be able to function under pressure while maintaining professionalism
• Working knowledge of CPT and ICD-10 coding

Responsibilities

• Reviews and follows order 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
• Perform other duties as required

Benefits

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, webinars, 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.

Maximum Offer for this position is up to

USD $20.55/Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.