Patient Scheduler II-Rio Rancho Urgent Care

Location Address:

Compensation Pay Range:

Summary:

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 instruction
• Develop and maintain a positive relationship with OR personnel
• Follow 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.

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 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 professionalism
• Working knowledge of CPT and ICD-10 coding
  

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening 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 exists to improve the health of patients, members, and the communities we serve. We are 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 1600 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.

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