Patient Visit Specialist

4 days ago


Santa Fe, New Mexico, United States Presbyterian Healthcare Services Full time
Job Title: Patient Visit Specialist

We are seeking a highly skilled Patient Visit Specialist to join our team at Presbyterian Healthcare Services. As a Patient Visit Specialist, you will play a critical role in ensuring the smooth operation of our patient visit process.

Key Responsibilities:
  • Coordinate patient visit activities to ensure timely and efficient completion of next steps ordered by clinicians.
  • Advanced scheduling for specialty or radiologic procedures.
  • Recognize payor requirements and obtain prior authorization/certification/referrals for visits/procedures.
  • Process daily referral workqueues for authorization, deferring only those that require payor consideration.
  • Monitor in-baskets and reports for overdue results, waitlisted appointments, recalls, etc.
Requirements:
  • 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.
  • Proficiency in prior authorization/certification/referral process.
  • Must pass EPIC competency for Registration at completion of Epic Clerical Training class.
Benefits:

We offer a comprehensive benefits package, including health, dental, and vision insurance, 401(k) matching, and paid time off. We also offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching, and classes.

Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system serving New Mexico for over 100 years. We are committed to improving the health of our communities and offer a wide range of services, including primary care, specialty care, and hospital services.



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