Address
Form of work
Summary:
Coordinates the encounter or appointment closure process for the customer/patient including advanced scheduling, co-pay collection, financial arrangements, coordination of service and preparation of a claim or account for billing. Identify coding concerns and support resolution of issues by discussing with providers and patients. Demonstrates skills in customer service by listening, responding using defined stardards to include key words and providing accurate information as well as referring to alternative resources when unable to provide the requested information or service. Excellent time management skills, ability to establish priorties
Type of Opportunity: Full Time
FTE: 1.000000
Exempt: No
Work Schedule: Varied Days and Hours
Other information:
High school (G.E.D.) required. Eighteen Months experience in healthcare with significant MD interaction.
Education:
Essential:
* High School Diploma or GED
Responsibilities:
*Facilitates the customer discharge (check out) process. Ensures the collection of patient demographics and insurance information. May collect identified patient financial obligation, arrange method of payment, or resolve account according to standard protocols.
*Ability to review schedule, anticipate errors and take corrective action Support office activities to ensure patient and customer issues are addressed timely. Communicate effectively with physicians, patients and staff. Creates, and maintains the provider scheduling template per established guidelines.
*
*Answer telephones, takes complete and accurate message and and relays information to appropriate party. to support operational aspects of patient care. Able to answer questions regarding hospital and departmental operations, policies and procedures.
*Verifies lab requisition for completeness and accuracy. Reviews lab coding to validate consistency with all aspects of billing requirements. Executes with the patient any necessary paperwork that is required such as ABNs to ensure an accurate claim and support payments for services.
*Retrieves information from files as requested and assembles paperwork and reference material as requested by patients or providers. Responsible for following HIPAA confidentiality guidelines while performing all duties.. Responsible for responding to requests within the scope of the job to include mailing or faxing material to PHS departments and other appropriate facilities.
Initiates and coordinates correspondence between physicians and patients to include monthly reminders, no show letters, referrals etc.
*Maintains supplies and equipment for department, .
*Maintains and fosters effective customer relations with patients, providers and the public by listening, responding, and documenting customer phone and walk-in inquiries and complaints. Attempts to resolve complaints in the moment and enters complaints/compliments into Advocate.
*Schedules patient appointments according to guidelines by providing documentation of scheduled appointments, procedural instructions and location directions. Works in collaboration with Triage Nurse and Providers to monitor daily patient schedule and identify no shows for rescheduling. Places reminder calls to patients.
*Able to schedule complex appointments and procedures that require advanced technical skills Performs scheduling to ensure physician, procedure room and equipment availability. Schedules and instructs patients for Out-patient procedures.
*Executes the process necessary to support referrals and authorizations for procedures and medications. This requires interaction with insurance companies and communication with the patients. Supports the accurate and timely compilation and maintenance of medical record documentation for other physician inquiries.
*Attend monthly meetings.
*Participate in Process Improvement Teams
*May be responsible for opening and distributing mail.
*Assist with orientation of new staff and providers.
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.
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. Compensation decisions are dependent upon the facts and circumstances of each offer.
USD $19.80
