Registration and Eligibility Specialist — Albuquerque

About the Team

This role is situated within the Behavioral Services department at the MATS Center, a vital component of the UNM Health Systems. The team is dedicated to providing comprehensive care and support to individuals seeking behavioral health services, ensuring a seamless and compassionate experience from the moment they arrive.

About the Role

As a key member of the Ambulatory/Outpatient Operations area, you will serve as the first point of contact for patients, particularly those in the custody of law enforcement agencies (PICLEA), as well as walk-in visitors and those calling into the center. This position is critical in bridging the gap between clinical care and administrative logistics, ensuring that every patient is properly registered, their insurance eligibility is verified, and their financial options are clearly understood before they receive care.

Your day will involve managing the full spectrum of pre-registration and registration functions. You will verify insurance coverage, secure necessary referrals and prior authorizations, and assist patients in navigating complex financial assistance programs, including UNM Health Systems charity care, NM Medicaid, and other state and federal programs. Beyond data entry and documentation, you will act as a liaison between clinic staff, providers, and insurance payors to coordinate benefits and authorizations. You will also handle professional phone inquiries via the ACD system, manage front desk operations, and ensure adherence to all hospital policies and procedures. This is a non-clinical role focused on operational efficiency, patient advocacy, and accurate financial processing.

Hiring Process

Candidates are evaluated based on their relevant experience and ability to handle sensitive patient information with professionalism. The selection process typically involves a review of qualifications followed by an interview to assess customer service skills, attention to detail, and familiarity with healthcare administrative workflows.

Equal Opportunity

UNM Health Systems is an Equal Opportunity Employer. We are committed to fostering a diverse and inclusive workplace and consider qualified applicants regardless of background, race, color, religion, sex, national origin, age, disability, or veteran status.

Work location

Work model: On-site

Baca Boys Cafe, 102, 4th Street Northwest, Barelas, Albuquerque, Bernalillo County, New Mexico, 87102, United States

Albuquerque, New Mexico

Key Responsibilities

check_circleProcess applications for Medicaid and other state financial assistance programs
check_circleCoordinate patient appointments and refer patients to appropriate services
check_circleManage cash reconciliation, post payments, and balance contractual allowances
check_circleServe as liaison between providers and insurance companies to coordinate benefits
check_circleTrain registration personnel and clinical staff on business practices and processes
check_circleConduct patient registration and collect demographic and financial information
check_circleVerify insurance coverage, benefits, and prior authorizations for patients
check_circleAssign ICD-9, ICD-10, and CPT codes to obtain insurance authorizations

Requirements

verifiedHigh School or GED Equivalent
verified2 years directly related experience

Nice to Have

Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

Skills, education and keywords

Skills: Icd9, Icd10, CPT, Siemens Document Imaging, Medicaid, Medicare, English, Keres, Tewa, Tiwa.

Education: High School or GED Equivalent required.

Frequently asked questions about REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital

What does a REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital do?expand_more

Day-to-day, the REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital will process applications for medicaid and other state financial assistance programs; coordinate patient appointments and refer patients to appropriate services; manage cash reconciliation, post payments, and balance contractual allowances; and serve as liaison between providers and insurance companies to coordinate benefits.

What are the requirements for this REGISTRATION & ELIGIBILITY SPECIALIST role?expand_more

UNM Hospital is looking for candidates who meet the following requirements: High School or GED Equivalent; and 2 years directly related experience.

Where is the REGISTRATION & ELIGIBILITY SPECIALIST role at UNM Hospital located?expand_more

REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital is based in Baca Boys Cafe, 102, 4th Street Northwest, Barelas, Albuquerque, Bernalillo County, New Mexico, 87102, United States. This is a on-site role.

Is this REGISTRATION & ELIGIBILITY SPECIALIST job remote, hybrid, or on-site?expand_more

UNM Hospital has listed this REGISTRATION & ELIGIBILITY SPECIALIST role as on-site.

How much experience is required for this REGISTRATION & ELIGIBILITY SPECIALIST role?expand_more

REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital typically requires 2+ years of relevant experience at the mid level level.

What skills do you need for the REGISTRATION & ELIGIBILITY SPECIALIST role at UNM Hospital?expand_more

Key skills for REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital include Icd9; Icd10; CPT; Siemens Document Imaging; Medicaid; Medicare; English; and Keres.

What education is required for REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital?expand_more

Educational requirements for this role: High School or GED Equivalent required.

What category does the REGISTRATION & ELIGIBILITY SPECIALIST role belong to?expand_more

REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital is part of the healthcare & nursing job category on Recrutus.

REGISTRATION & ELIGIBILITY SPECIALIST