Now hiring Patient Scheduler III- for our virtual Urgent Care

Required to work in office.

Possibility to work Hybrid; however, new hire must be in Albuquerque metro area.

Provides exceptional patient experience for each patient case.Accuracy in scheduling is paramount in performance.Ability to schedule complex surgical procedures (et. al. total joint replacement, complex cardio-thoracic procedures, etc.) 100% validation prior authorizations/certifications/referrals are in place PRIOR to procedure. Perform non-clinical pre-surgery patient and family education. Coordinate admission paperwork when applicable. From pre-determined surgeon instruction, schedule pre-operative tests required. From pre-determine surgeon instruction, determine personnel/equipment required and communicate to OR. Schedule equipment representatives and proctors as required.Other duties as assigned (et al training/mentoring Scheduling Services II Associates )

Ideal Candidate:

Strong IT knowledge

EPIC experience

previous experience with healthcare insurance

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.

How you belong matters here. We value our employees' differences and find strength in the diversity of our team and community.

Why Join Us:

PRN - Exempt: No
Job is based Presbyterian Northside, Albuquerque, New Mexico.
Work hours: Varied Days and Hours.

High school or equivalent
• Short-term training in Medical Terminology.

Experience:

• A minimum of 18 months experience in a clinical setting.
• Previous one on one experience with surgeon/s required
• Must pass EPIC competency for Registration at completion of Epic Clerical Training class

Abilities:

• 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 professionalis
• Familiarity to CPT and ICD-10 coding
  
  Pass annual competency exam for all areas of responsibility.
  Attend Quarterly MSO meetings.
  Attend Staff meetings
  Attend Employee Forums

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 ensure their comfort and to inform of delays when applicable
  
  Encounter Components:
• Performs the patient scheduling process and validating 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
  
  Financial Accountabilities:
• Refers as appropriate to on site Financial Advocate, or for uninsured to the Financial Advocacy Center
  
  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
• 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.
• Manager to alert the clinical team. Assist in any manner the clinic team directs.
• Ensure scheduling area/office, 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:
• Perform assigned patient care responsibilities, which may include:
• Appointment reminder calls
• Rescheduling
• Evaluate provider schedules and take appropriate action to ensure accuracy and efficiency per guidelines

We offer more than the standard benefits!

For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges 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 Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a 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 1,600 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.

Inclusion and Diversity

Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

USD $23.07/Hr.

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.

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