REGISTRATION & ELIGIBILITY SPECIALIST
Not Disclosed•Full-TimeOn-site
location_on100, Fire Station Road, Valencia, Los Lunas, Valencia County, New Mexico, 87031, United States
About the Team
This role is situated within the Behavioral and Mental Health department, specifically under the BHO - Admitting/Registration - UPC unit. The team serves as the critical first point of contact for patients entering the UNM Health Systems, ensuring a seamless transition from arrival to care. The department is dedicated to maintaining high standards of operational efficiency while providing compassionate support to individuals and families navigating complex healthcare and financial landscapes.
About the Role
As a key member of the Admitting and Registration team, you will manage the pre-registration and registration functions for the Ambulatory and Outpatient Operations area. This position is vital for verifying insurance coverage, benefits, and required referrals prior to patient visits, ensuring that financial and administrative hurdles are cleared before care begins.
You will serve as the primary liaison between patients, clinical staff, and insurance providers. Your day will involve professional phone handling via an ACD system, assisting patients in navigating financial options such as UNM Health Systems financial assistance, NM Medicaid, and other state and federal programs. A unique aspect of this role involves acting as the first contact for Persons in Custody of Law Enforcement Agency (PICLEA) upon their arrival for care. While this position involves no direct patient care assignments, you will assist patients in locating departments, coordinating appointments, and referring families to appropriate resources.
The role requires meticulous attention to detail in data entry and documentation within hospital systems like Cerner and Siemens. You will be responsible for obtaining authorizations for surgeries and procedures, assigning necessary medical codes (ICD-9/10, CPT), and managing cash reconciliation. Additionally, you will play a training and outreach role, educating registration personnel and clinical staff on business practices and process flows to maintain tight operational efficiency.
Hiring Process
Candidates must possess a High School diploma or GED equivalent and at least two years of directly related experience. Bilingual proficiency in Keres, Tewa, Tiwa, Towa, Zuni, or Navajo is highly valued but not required. The position is a full-time, day-shift role with a potential for shift rotation and travel to various work sites.
Equal Opportunity
UNM Health Systems is an Equal Opportunity Employer. We are committed to fostering a diverse and inclusive workplace where all individuals are treated with respect and dignity. Compensation for this role is based on factors including experience, education, and organizational considerations.
Work location
Work model: On-site
100, Fire Station Road, Valencia, Los Lunas, Valencia County, New Mexico, 87031, United States
Los Lunas, New Mexico
Key Responsibilities
- check_circleProcess applications for Medicaid and other state financial assistance programs
- check_circleAssign ICD and CPT codes to obtain insurance authorizations
- check_circleCoordinate patient appointments and refer patients to appropriate services
- check_circleTrain registration personnel on business practices and financial assistance programs
- check_circleServe as liaison between clinical staff and insurance companies for coverage
- check_circleConduct patient registration and collect demographic and financial information
- check_circleManage cash reconciliation, payments, and billing reports
- check_circleVerify insurance coverage, benefits, and prior authorizations for patients
Requirements
- verifiedHigh School or GED Equivalent
- verified2 years directly related experience
Nice to Have
Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
Similar Job Opportunities
Skills, education and keywords
Skills: Icd9, Icd10, CPT, Siemens Document Imaging, Siemens Scanning, Mosaa Certification, Medicaid, Medicare, English, Keres.
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
In this REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital role, you will process applications for medicaid and other state financial assistance programs; assign icd and cpt codes to obtain insurance authorizations; coordinate patient appointments and refer patients to appropriate services; and train registration personnel on business practices and financial assistance programs.
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 100, Fire Station Road, Valencia, Los Lunas, Valencia County, New Mexico, 87031, 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; Siemens Scanning; Mosaa Certification; Medicaid; and Medicare.
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.