Patient Visit Specialist
 Presbyterian Healthcare Services | |
life insurance
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 United States, New Mexico, Albuquerque | |
| 1100 Central Avenue Southeast (Show on map) | |
 Feb 28, 2026 | |
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Location Address: 1100 Central Avenue SE Albuquerque, NM 87106-4930Compensation Pay Range: Minimum Offer $15.99 Maximum Offer $23.76 Now Hiring: Patient Visit SpecialistSummary: Performs visit closure activities to coordinate patient care while providing an exceptional patient experience for successful completion of next steps ordered by the clinician Advanced scheduling for specialty or radiologic procedures Recognizing payor requirements and obtaining prior authorization/certification/referrals for visits/procedures Processes daily referral work queues for authorization, deferring only those that require payor consideration Primary Care and most Specialty Care offices must process STAT and ASAP referral work queues for results received Return scheduling knowledge to include the ability to scrub schedules for accuracy and efficiency in home department Monitor in-baskets and reports for overdue results, waitlisted appointments, recalls, etc. Type of Opportunity: Full time Job Exempt: No Job is based: Presbyterian Hospital Work Shift: Days (United States of America)Responsibilities: 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 *Fosters 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 them of delays when applicable Encounter Components: *Review and follows order entered the EHR by the clinician *Schedule return visits lab, radiology, STAT & ASAP appointments and advanced imaging *Obtain Prior Authorization/Referral per payor protocols *Validates patient MyChart Access *Prints AVS as applicable with double check for HIPAA privacy *Collects any backend patient balance such as high deductible *Communicates effectively to ordering clinicians when any restriction, such as access, restricts or prohibits scheduling as ordered Financial Accountabilities: *Refers as appropriate to onsite 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: *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 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 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 *Works with assigned physicians to maximize schedule effectiveness C.A.R.E.S Behaviors: *Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter. Qualifications: *High school or equivalent All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Why work at Presbyterian? About Presbyterian Healthcare Services Our health plan serves more than 580,000 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. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services | |