Medical Group Clerical Specialist

Now hiring a Medical Group Clerical Specialist!

Presbyterian is seeking a Medical Group Clerical Specialist to coordinate the encounter or appointment closure process for the customer/patient including advanced scheduling, co-pay collection, financial arrangements, coordination of service and preparation of a claim or account for billing in a specialty setting. Identify coding concerns and support resolution of issues by discussing with providers and patients. Demonstrates skills in customer service by listening, responding using defined standards to include key words and providing accurate information as well as referring to alternative resources when unable to provide the requested information or service. Excellent time management skills, ability to establish priorities.

How you belong matters here.

We value our employees' differences and find strength in the diversity of our team and community.

At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

Full Time - Exempt: No
• Job is based Presbyterian Northside
• Work hours: Days
• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.

Ideal Candidate:

Six months experience in healthcare with scheduling, registration, and MD interaction.

• Six months experience in healthcare with scheduling, registration, and MD interaction.
• Physician office experience preferred.
• Ability to pass all EPIC competencies within 90 days of hire.
  
  

Education Essential: High School Diploma or GED

• Facilitates the customer discharge (check out) process. Ensures the collection of patient demographics and insurance information.
• Ability to review schedule, anticipate errors and take corrective action Creates, and maintains the provider scheduling template per established guidelines.
• Answer telephones, takes complete and accurate message and and relays information to appropriate party. Able to answer questions regarding hospital and departmental operations, policies and procedures.
• Verifies lab requisition for completeness and accuracy. Reviews lab coding to validate consistency with all aspects of billing requirements.
• Retrieves information from files as requested and assembles paperwork and reference material as requested by patients or providers.
• Responsible for responding to requests within the scope of the job to include mailing or faxing material to PHS departments and other appropriate facilities.
• Initiates and coordinates correspondence between physicians and patients to include monthly reminders, no show letters, referrals etc.
• Maintains supplies and equipment for department
• Maintains and fosters effective customer relations with patients, providers and the public by listening, responding, and documenting customer phone and walk-in inquiries and complaints.
• Schedules patient appointments according to guidelines by providing documentation of scheduled appointments, procedural instructions and location directions.
• Able to schedule complex appointments and procedures that require advanced technical skills.
• Executes the process necessary to support referrals and authorizations for procedures and medications.
• Participate in Process Improvement Teams
• May be responsible for opening and distributing mail.
• Assist with orientation of new staff and providers.

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.

Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.