Patient Scheduler Iii- Virtual Urgent Care

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.

 

Now hiring Patient Scheduler III- for our Virtual Urgent Care 

Required to work in office. Hybrid, must be in Albuquerque metro area.

Summary:

• 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 knoweldge 

EPIC experience

previous experience with healthcare insurance 

 

Presbyterian Northside, Hybrid must be in Albuquerque metro area. 
Full Time - Exempt: No
Job is based Presbyterian Northside 
Work hours: 12 Hour Days 7 am to 7 pm M-F 
Weekends: as needed 

Other information:

• 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 professionalism
• 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 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 complex invasive procedures in or out patient
• May be scheduling total joint cases.
• May be required to complete the required pre op and post op surveys for total joint cases.
• May be required to accurately manage the providers block time in the OR.
• Arrange device reps and proctors to be on-site as required
• Collaborate with blood bank
• 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
Patient Relations
Comprehend quality service connection to patient satisfaction and reimbursement

• Participate in metric goals for telephones performance metrics, TSF and abandonment rate when applicable
• 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:

• Appointment reminder calls
• Rescheduling
• Evaluate provider schedules and take appropriate action to ensure accuracy and efficiency per guidelines
• Works with assigned physicians to maximize schedule effectiveness
• Willingness to work in a positive manner to assist in development of new surgical programs

C.A.R.E.S Behaviors:

• Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter.

We're all about well-being, starting with yours.

Learn more about our employee benefits.

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 13,000 employees - including more than 1200 providers and nearly 3,500 nurses.

Our health plan serves more than 640,000 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.

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 $23.07/Hr.