Overview

The Patient Visit Specialist performs visit closure activities to coordinate patient care while providing an exceptional patient experience for the successful completion of the next steps ordered by the clinician. The chosen individual would have advanced scheduling (Return scheduling knowledge to include the ability to scrub schedules for accuracy and efficiency in the home department) for specialty or radiologic procedures, recognizing payor requirements, and obtaining prior authorization/certification/referrals for visits/procedures. The individual will process daily referral work queues for authorization, deferring only those that require payor consideration. Work Primary Care and most Specialty Care offices must process STAT and ASAP referral work queues for results received, and monitor in-baskets and reports for overdue results, waitlisted appointments, recalls, etc.

Type of Opportunity: Part Time (.45 to .89) FTE: 0.500000 Exempt: No Work Schedule: Days

Qualifications

Academic Preparation: *High school or equivalent *Short-term training in Medical Terminology*Familiarity with CPT and ICD-10 codingExperience: *Minimum 18 months experience in a medical office setting with significant MD interaction*Proficiency in prior authorization/certification/referral process*Must pass EPIC competency for Registration at completion of Epic Clerical Training classProfessional Requirements:*Pass annual competency exam for all areas of responsibility.*Attend Quarterly MSO meetings.*Attend Staff meetings*Attend Employee ForumsAbilities: *Requires strong organizational and multi-tasking skill sets*Significant customer service skill set paramount*Must be able to function under pressure while maintaining professionalism*Working knowledge of CPT and ICD-10 coding

Responsibilities

Direct Care Activities: *Responsible for performing medical assistant procedures after completion of competency within organizations MA scope of work, under the supervision of a provider and PHS policy.*Assists with procedures as determined by provider*Collecting and preparing laboratory specimens*Basic foot care*May perform regulatory audits as designated by the Clinic Manger*Assists with visit closure*Participates with care team to meet patient care and clinic needs, working cooperatively with others to accomplish required work in a timely and efficient manner*May perform scribe duties after completing PMG scribe training*Performs other duties as directedIndirect Care Activities:*Responsible for Kanban system for stocking exam and procedure rooms. *Maintains a clean, organized, safe, well-stocked environment, and follows infection prevention and regulatory standards *Provides support for clerical functions when needed to include scheduling, referral management, and prior authorizations*Manages patients calls and in-basket messages*Schedules patient appointments according to guidelines. Monitors providers schedule to identify no shows for rescheduling. May include, but not limited to, placing reminder calls to patients*Manages prior authorization for durable medical equipment, diagnostics, medications and/or specialties *Manages referrals for diagnostic testing or specialist *Manages and maintains tracking of Advanced Directives, FMLA, and other patient forms. Customer Service and Caring Practices: *Uses cares principles as well as good listening, oral and interpersonal communication skills to create a supportive, therapeutic environment, and provides responsive, compassionate care in meeting patient, significant other, and family requests and needsTeamwork: *Participates on interdisciplinary team to meet patient care and clinic operation needs, working cooperatively with others to accomplish required work in a timely and efficient mannerVisit Navigation:*Prepares patient for the visit using established patient preparation guidelines, collecting appropriate and accurate data, and providing all aspects of primary support to the providerMessage Management/Test Result Notification:*Responsible for taking patient calls and initiating Telephone Encounter(s) for the providers and care team. *Trained in various programs to include but not limited to scheduling, prior authorizations, and referral management.Communication:*Communicates pertinent patient data to provider. Equipment and Procedures:*Uses equipment and performs patient care procedures in a safe, competent manner according to defined standards of practice. Quality Improvement: *Works collaboratively with the care team to meet process improvement goals and clinical quality metrics. Customer Service and Caring Practices: *Applies customer service principles as well as good listening, oral and interpersonal communication skills. C.A.R.E.S Commitments: Demonstrates CARES Commitments: *Collaborative *Be Accountable *Respect *Engage *Serve in all endeavors related to job responsibilities

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.

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