We are in need of a proactive Patient Scheduler I- PMG Surgery Phone Center to join our awesome team at Presbyterian Healthcare Services in Rio Rancho, NM.
Growing your career as a Full Time Patient Scheduler I- PMG Surgery Phone Center is a great opportunity to develop valuable skills.
If you are strong in problem-solving, emotional intelligence and have the right talent for the job, then apply for the position of Patient Scheduler I- PMG Surgery Phone Center at Presbyterian Healthcare Services today!
*Coordinates the encounter or episode process for our patients and consumers by performing activities related to patient scheduling
*Accuracy in scheduling is paramount in performance
*Responsible for providing excellent patient experience
*Illustrate insurance contract requirement knowledge and use of tools to respond to provider network questions
*Secure prior authorization or referral in applicable situations
*Use on-line tools to validate eligibility of coverage for presenting patients
*Provides comfort rounding and communicates delays with exceptional patient experience tools
*Other duties as assigned
Type of Opportunity: Full Time
FTE: 1.000000
Exempt: No
Work Schedule: Weekday Schedule Monday-Friday
Academic Preparation:
*High school or equivalent
Experience:
*A minimum of nine (9) months of work experiences in office, healthcare or customer service environment is 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 visit types to include physicians, APCs, resources and technicians
*Pass annual competency exam for all areas of responsibility.
*Attend Quarterly MSO meetings.
*Attend Staff meetings
*Attend Employee Forums Education:
Essential:
* High School Diploma or GED
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 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 Manger 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
C.A.R.E.S Behaviors:
Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter.
We offer more than the standard benefits! Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!
Learn more about our employee benefits:
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. 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.
Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 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.
About Our Regional Delivery System Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.
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.
About New Mexico New Mexico continues to grow steadily in population and features a low cost-of living.
Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.
New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
USD $21.48/Hr.
Benefits of working as a Patient Scheduler I- PMG Surgery Phone Center in Rio Rancho, NM:
? Career Growth Potential
? Advancement opportunities
? Attractive packageCompetitive Pay
