Patient Visit Specialist
hace 3 días
Presbyterian is seeking a Patient Visit Specialist.
In this position, you will coordinate patient care and ensure an exceptional patient experience, schedule specialty and radiologic procedures, obtain prior authorizations, certifications, and referrals as required by payors, process daily referral workqueues for authorization, deferring only those needing payor consideration, handle STAT and ASAP referral workqueues for Primary and Specialty Care offices, scrub schedules for accuracy and efficiency, and monitor in-baskets and reports for overdue results, waitlisted appointments, and recalls.
Type of Opportunity: Full Time (1.0 FTE/40 hours per week)
Work Schedule: 8 hour days
Presbyterian is committed to an inclusive and equitable environment where everyone is valued and empowered for success. We believe that our environment should reflect the diversity of our community.
How you grow, learn, and thrive matters here.
Have more questions about this opportunity? Schedule a one-on-one chat with a recruiter by clicking here.
Qualifications- High school or equivalent
- 18 months experience in a clinical setting with significant MD interaction
Responsibilities:
- Customer Service and Caring Practices: Achieve exceptional patient experience for patients and patient families by using CARES, AIDET, and EPE tools. Address and attempt to appropriately resolve complaints in the moment by using key words at key times. Manage conflict and appropriately request the help of a supervisor when needed. Foster effective patient relations with patients, the public, and providers by listening, responding, and escalating when appropriate. Round with patients waiting to ensure their comfort and to inform of delays when applicable.
- Encounter Components: Review and follow orders entered into the EHR by the clinician. Schedule return visits, lab, radiology, STAT & ASAP appointments, and advanced imaging. Obtain Prior Authorization/Referral per payor protocols. Validate patient MyChart Access. Print AVS as applicable with double check for HIPAA privacy. Collect any backend patient balance such as high deductible. Communicate effectively to ordering clinician when any restriction, such as access, restricts or prohibits scheduling as ordered.
- Financial Accountabilities: Refer 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 stakeholders (patient, patient representative, OR, etc.) if a breakdown occurs.
- Message Management: Formulate complete and accurate telephone encounter messages and route them to the appropriate Epic in-basket pool to support operational aspects of patient care.
- Medical Record Components: Instruct patients on the Release of Information process and ensure 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 telephone 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 Manager to alert the clinical team. Assist in any manner the clinic team directs. Ensure check-out area, 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. Work with assigned physicians to maximize schedule effectiveness.
- C.A.R.E.S Behaviors: Demonstrate CARES behaviors of Collaborate, be Accountable, Respect, Engage, and Serve to all whom you encounter.
We're all about well-being, starting with yours. Presbyterian employees have access to a fun, engaging, and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges, and more. Learn more about our employee benefits. Presbyterian is committed to an inclusive and equitable environment where everyone is valued and empowered for success. We believe that our environment should reflect the diversity of our community.
About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised 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 1,200 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.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke-free campuses.
Maximum Offer for this position is up toUSD $23.07/Hr.
Compensation DisclaimerThe 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.
#J-18808-Ljbffr-
Patient Account Specialist
hace 4 días
Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completoJob OverviewThe Patient Account Specialist provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Key responsibilities include updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration...
-
Patient Experience Coordinator
hace 3 días
Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completoPresbyterian Healthcare Services is seeking an experienced Clinical Registration Specialist to join our team. As a key member of our clinical registration team, you will be responsible for ensuring accurate and efficient registration processes for patients. Your primary focus will be on managing patient data, coordinating services, and promoting exceptional...
-
Patient Advocate Specialist
hace 5 días
Rosario, Santa Fe, Argentina All Native Group A tiempo completoAbout the RoleAs a Nurse Case Manager at All Native Group, you will play a vital role in ensuring seamless care coordination and facilitating access to healthcare services for Native American communities.You will work closely with clinical teams, external vendors, and healthcare partners to ensure timely and effective patient outcomes.Your primary...
-
Medical Professional
hace 6 días
Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completoWe are seeking a skilled Registered Nurse to join our inpatient healthcare team as an Adult Patient Care Coordinator. As a key member of our interdisciplinary team, you will be responsible for providing direct patient care to assigned patients during a shift. Your role will involve assessing, planning, implementing, and evaluating individual patient needs,...
-
Ultrasound Technologist Specialist
hace 2 días
Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completoAbout This RoleWe are seeking an experienced Ultrasound Specialist to join our team. As an essential member of our radiology department, you will be responsible for performing diagnostic ultrasound exams, collaborating with physicians, and maintaining accurate patient records.This is a unique opportunity to work in a dynamic environment where your skills and...
-
Population Health Specialist
hace 7 días
Rosario, Santa Fe, Argentina Christus Health A tiempo completoPopulation Health SpecialistAt Christus Health, we are committed to delivering high-quality, person-centered care to our patients. As a Population Health Specialist, you will play a critical role in promoting optimal care outcomes by coordinating services and resources across our health system.About the Role:This position requires a registered nurse with a...
-
Patient Experience Specialist
hace 3 días
Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completoAbout Our OrganizationPresbyterian Healthcare Services is a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. We exist to improve the health of patients, members, and the communities we serve.We are committed to creating an inclusive and equitable environment...
-
PRN Patient Access Advocate I
hace 4 días
Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completoOverviewThe Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of...
-
Nurse Specialist Ambulatory Care
hace 4 días
Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completoAbout This RoleWe are seeking a skilled Nurse Specialist Ambulatory Care to join our team. As a member of our outpatient nursing team, you will be responsible for providing high-quality patient care in various settings.This is an exciting opportunity to work with a dynamic team and contribute to the well-being of our patients.To succeed in this role, you...
-
Patient Access Advocate I-SF
hace 23 horas
Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completoOverviewSummary: The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of...
-
Critical Care Specialist
hace 5 días
Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completoAbout the RoleWe are seeking a dedicated Critical Care Specialist to provide direct patient care in our fast-paced Emergency Department. As a member of our team, you will be responsible for assessing patients, providing advanced life support, and collaborating with other healthcare professionals to ensure the best possible outcomes.Key ResponsibilitiesAssess...
-
Care Coordination Specialist
hace 2 días
Rosario, Santa Fe, Argentina Christus Health A tiempo completoJob OverviewWe are seeking a skilled Care Coordination Specialist to join our team at Christus Health. In this role, you will be responsible for managing and coordinating care coordination services within our health system.About the RoleProvide care coordination services to patients based on their individual needs and acuity levels.Coordinate patient care in...
-
Nurse Development Specialist
hace 4 días
Rosario, Santa Fe, Argentina Christus Health A tiempo completoJob OverviewThe Nurse Professional Development Specialist plays a vital role in ensuring high-quality patient care through education and training. This specialist collaborates with Clinical Management and Nurse Professional Development Practitioners to develop and coordinate clinical development of curricula and competencies. The specialist is responsible...
-
Evidence-Based Care Specialist
hace 19 horas
Rosario, Santa Fe, Argentina Evolent A tiempo completoEvolent Medical Director, Interventional Cardiology (Remote)Your Future Evolves HereWe're committed to delivering high-quality, patient-centered care through innovative solutions and partnerships with health plans and providers.Key Responsibilities:Develop and maintain relationships with healthcare providers to ensure seamless case review processesServe as a...
-
Nursing Care Specialist
hace 4 días
Rosario, Santa Fe, Argentina Christus Health A tiempo completoAbout Us:Christus Health is a leading healthcare provider dedicated to delivering high-quality patient care. We are committed to creating a work environment that fosters teamwork, professionalism, and excellence.Job Description:The Registered Nurse at Christus Health is responsible for coordinating and implementing patient care specific to the age of the...
-
Rehabilitation Specialist
hace 5 días
Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completoResponsibilitiesThe ideal candidate will possess strong communication and interpersonal skills, as well as the ability to work effectively in a fast-paced environment. If you are passionate about helping others and have a strong commitment to providing high-quality care, we encourage you to apply.Evaluate patients and develop treatment plans to promote...
-
Nurse Professional Development Specialist
hace 4 días
Rosario, Santa Fe, Argentina Christus Health A tiempo completoDescription POSITION SUMMARY: The Nurse Professional Development Specialist in collaboration with Clinical Management and Nurse Professional Development Practitioner develop and coordinate clinical development of curricula and competencies. The Nurse Professional Development Specialist oversees assessment and implementation of clinical staff educational...
-
Clinical Nurse Specialist
hace 4 días
Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completoJob SummaryWe are seeking a skilled Labor and Delivery RN to join our team at Presbyterian Healthcare Services. As a critical member of our healthcare team, the successful candidate will be responsible for providing high-quality patient care in a fast-paced environment. This role requires strong communication and interpersonal skills, as well as the ability...
-
Healthcare Management Specialist
hace 19 horas
Rosario, Santa Fe, Argentina Highmark Health A tiempo completoJob DescriptionThe Healthcare Management Specialist will play a crucial role in ensuring that utilization management responsibilities are performed in accordance with the highest and most current clinical standards.This includes reviewing escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and...
-
Clinical Health Care Specialist
hace 4 días
Rosario, Santa Fe, Argentina Christus Health A tiempo completoAbout the Role:The Clinical Nurse will be responsible for providing direct patient care, conducting assessments, developing and implementing care plans, and collaborating with other healthcare professionals to ensure seamless patient transitions.You will have the opportunity to work with a diverse patient population and contribute to a culture of safety,...
