Overview:
Patient Scheduler I- PMG Surgery Phone Center
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Coordinates the encounter or episode process for our patients and consumers by performing activities related to patient schedulingAccuracy in scheduling is paramount in performance
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Responsible for providing excellent patient experience
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Illustrate insurance contract requirement knowledge and use of tools to respond to provider network questions
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Secure prior authorization or referral in applicable situationsUse on-line tools to validate eligibility of coverage for presenting patients
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Provides comfort rounding and communicates delays with exceptional patient experience tools
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Other duties as assigned
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
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Full Time - Exempt: No
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Job is based Presbyterian Hospital
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Work hours: Weekday Schedule Monday-Friday
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Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.
Qualifications:
Experience:
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A minimum of nine (9) months of work experiences in office, healthcare or customer service environment is required.
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Must pass EPIC competency for Registration at completion of Epic Clerical Training class.
Abilities:
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Performs appointment scheduling for patient via the telephone or in person to include testing, procedures and clinician appointmentsCoordinates advanced scheduling visit types to include physicians, APCs, resources and technicians
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Pass annual competency exam for all areas of responsibility.
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Attend Quarterly MSO meetings.
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Attend Staff meetingsAttend Employee Forums
Education:
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High School Diploma or GED
Responsibilities:
Responsibilities:
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Customer Service and Caring Practices:
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Achieve exceptional patient experience for patients and patient families by using CARES, AIDET and EPE tools.
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Addresses and attempts to appropriately resolve complaints in the moment by using key words at key times
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Ability to manage conflict and appropriately request the help of a supervisor when needed
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Round with patients waiting to insure their comfort and to inform of delays when applicableEncounter Components:
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Performs the patient scheduling process and validating accurate patient demographics
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Guide informed dialogue with patients and patients representatives regarding in-network coverages (respecting CDS and RDS guidelines)
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Set patient expectations regarding Prior Authorization, Referrals and out of pocket expensesFinancial Accountabilities.
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Refers as appropriate to on site Financial Advocate, or for uninsured to the Financial Advocacy CenterMessage Management:
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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
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Participate in metric goals for telephones performance metrics, TSF and abandonment rate
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Perform confirmation calls when applicable to include directions and instructions as required by the visit type
Benefits:
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:
https://www.phs.org/careers/why-work-with-us/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.
Maximum Offer for this position is up to: USD $21.48/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.