Patient Scheduler I Surgery Phone Center at Presbyterian Healthcare Services

OverviewPresbyterian is seeking a Patient Scheduler I-PMG Surgery Phone Center to coordinate the encounter or episode process for our patients and consumers by performing activities related to patient scheduling. Accuracy in scheduling is paramount in performance. Responsible for providing excellent patient experience. Illustrate insurance contract requirement knowledge and use of tools to respond to provider network questions. Secure prior authorization or referral in applicable situations. Use on-line tools to validate eligibility of coverage for presenting patients. Provides comfort rounding and communicates delays with exceptional patient experience tools.This is a Full Time position - Exempt: NoJob is based at Presbyterian HospitalWork hours: Weekday Schedule Monday-FridayIdeal Candidate: A minimum of nine (9) months of work experiences in office healthcare or customer service environment is required.QualificationsHigh school or equivalentExperience: A minimum of nine (9) months of work experiences in office healthcare or customer service environment is 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 visit types to include physicians APCs resources and technicians.ResponsibilitiesCustomer 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 timesAbility to manage conflict and appropriately request the help of a supervisor when neededRound with patients waiting to insure their comfort and to inform of delays when applicableEncounter Components:Performs the patient scheduling process and validating accurate patient demographicsGuide 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 expensesFinancial Accountabilities:Refers as appropriate to on site Financial Advocate or for uninsured to the Financial Advocacy CenterMessage 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 recordsPatient RelationsComprehend quality service connection to patient satisfaction and reimbursementParticipate in metric goals for telephones performance metrics TSF and abandonment ratePerform confirmation calls when applicable to include directions and instructions as required by the visit typeBenefitsAbout Presbyterian Healthcare Services Presbyterian offers a comprehensive benefits package to eligible employees including medical dental vision disability coverage life insurance and optional voluntary benefits.The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges webinars and screenings - with opportunities to earn gift to earn gift cards and other incentives.As a mission-driven organization Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers markets and local partnerships. Founded in 1908 Presbyterian is a locally owned not-for-profit healthcare system with nine hospitals a statewide health plan and a growing multi-specialty medical group. With nearly 14000 employees it is the largest private employer in the state serving over 580000 health plan members through Medicare Advantage Medicaid and Commercial 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 $22.12/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. Key Skills Employee Orientation,Operational Risk Management,Primavera,Computer Skills,Primavera P6,Medical office experience,Medical Terminology,Schedule Management,Production Planning,Microsoft Project,Medical Scheduling,Phone Etiquette Employment Type : Full-Time Experience: years Vacancy: 1