Patient Scheduler II Rio Rancho Urgent Care

Overview

Presbyterian is seeking a Patient Scheduler II - Rio Rancho Urgent Care to provide exceptional patient experience for each patient case. Accuracy in scheduling is paramount in performance. Uses advanced visit types in a multi-disciplinary specialty. 100% validation prior authorizations/certifications/referrals are in place PRIOR to procedure. Perform non-clinical pre-surgery patient and family education and coordinate admission paperwork when applicable.

* This is a Full Time position - Exempt: No
* Job is based at PMG-RR High Resort 4005
* Work hours: Varied Days and Hours

Ideal Candidate: 12 months experience in a clinical setting. Proficiency in prior authorization/certification/referral process

Qualifications

* Academic Preparation: High school or equivalent Short-term training in Medical Terminology.Experience:
* A minimum 12 months experience in a clinical setting
* Proficiency in prior authorization/certification/referral process
* Must pass EPIC competency for Registration at completion of Epic Clerical Training classAbilities:
* Performs appointment scheduling for patient via the telephone or in person to include testing, procedures and clinician appointments
* Coordinates advanced scheduling guidelines to include surgeons, resources, proctors, etc.
* Requires strong organizational skills
* Must be able to function under pressure while maintaining professionalism
* Working knowledge of CPT and ICD-10 coding.

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.
* Round with patients waiting to insure their comfort and to inform of delays when applicable.

Encounter Components:

* Performs the patient scheduling process and validates accurate patient demographics.
* Guide informed dialogue with patients and patients representatives regarding in-network coverages (respecting CDS and RDS guidelines)Set patient expectations regarding Prior Authorization, Referrals and out of pocket expenses.
* Meet 1 on 1 with patient to schedule invasive procedures in or out patient.
* Advised patient and patient families of non-clinical instructionDevelop and maintain a positive relationship with OR personnelFollow OR protocols for scheduling such as utilizing assigned block time Schedule all pre-admit appointments and radiology. Track patient compliance by communication with patient on an on-going basis.

Financial Accountabilities:

* Refers as appropriate to on site 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:

* 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:

* Instructs patients on the Release of Information process and insure 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.

Benefits

About Presbyterian Healthcare Services Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.

The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges, webinars, and screenings - with opportunities to earn gift to earn gift cards and other incentives.

As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships. Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial 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 $22.56/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.