Part Time Prior Authorization Jobs (NOW HIRING)

Location Address:

3715 Southern Blvd SE Rio Rancho, NM 87124-2086

Compensation Pay Range:

Minimum Offer $15.59 Maximum Offer $21.64 Now Hiring: Rehab Tech-PT Scheduler-ABQ

Summary:

*Provides exceptional patient experience for each patient case
*Accuracy in scheduling is paramount in performance
*Uses advanced visit types in a multi-disciplinary specialty
*100% validation prior authorizations/certifications/referrals are in place PRIOR to treatment
*Perform non-clinical patient and family education
*Coordinate admission paperwork when applicable
*Responsible for the basic cleaning and upkeep of the Rehab Department.
*Assists therapists with patient care and other departmental duties.
*May include coverage in inpatient, outpatient, and aquatics settings.
*Independently lead community members in aquatics and wellness classes (CDS only)
*Other duties as assigned Type of Opportunity: Part time Job Exempt: No Job is based: PMG - Rio Rancho Southern Work Shift: Weekday Schedule Monday-Friday (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 *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 *Set patient expectations regarding Prior Authorization, Referrals and out of pocket expenses*Meet 1 on 1 with patient to schedule invasive procedures in or out patient*Advised patient and patient families of non-clinical instruction *Develop and maintain a positive relationship with other departments/personnel*Follow protocols for scheduling such as utilizing assigned block time Assists therapists/assistants with patient care and other departmental duties.Performs other patient care procedures under the guidance of a licensed clinician.Must demonstrate knowledge of the principles of growth and development over the life span of patients served. Able to prioritize appropriately and escalate concerns to appropriate licensed clinician/management team. Understands indications, contraindications, physiological effects and application of all modalities appropriateBasic knowledge of medical terminology, anatomy, modalities pertinent to the rehab setting.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 messages and routes to the appropriate Epic in-basket pool or staff 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 *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 management or Clinician to alert the clinical team. Assist in any manner the clinic team directs. Ensure Clinic area, 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. Responsible for the basic cleaning and upkeep of the Rehab DepartmentQuality Improvement: *Appointment reminder calls *Rescheduling *Evaluate provider schedules and take appropriate action to ensure accuracy and efficiency per guidelines *Works with Clinicians and Rehab management to maximize schedule effectiveness *Willingness to work in a positive manner to assist in development of new programs Participate in environmental rounding as needed.Restock rooms and gym area with linens and suppliesMaintain routine service logs for department equipment. Other responsibilities:Maintain supply inventory, monitoring expiration dates and placing orders as requested.May perform time keeping dutiesOther duties as assignedC.A.R.E.S Behaviors:*Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter.

Qualifications:

Academic Preparation: High school or equivalentShort-term training in Medical Terminology. Experience: Minimum 9 months experience in a healthcare office or clinic setting with significant clinician interaction.Prefer Proficiency in prior authorization/certification/referral processMust pass Epic trainings for rehab tech and scheduling positionsAbilities: 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 *Working knowledge of CPT and ICD-10 coding*Pass annual competency exam for all areas of responsibility. *Attend department and organizational meetings UPDATED 5/5/2022

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
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

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.

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 14,000 employees - including more than 1600 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.

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