REGISTRATION & ELIGIBILITY SPECIALIST
Not Disclosed•Full-TimeOn-site
location_onLoma Cordoniz Court, Peralta, Valencia County, New Mexico, 87042, United States
About the Team
This role is situated within the Behavioral and Mental Health department, specifically under the BHO - Admitting/Registration - UPC division. The team serves as the critical first point of contact for patients entering the UNM Health Systems network, 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 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. You will act as the primary liaison between patients, families, clinical staff, and insurance providers, ensuring that all necessary authorizations are secured and that financial options are clearly communicated.
Your day will involve a blend of administrative precision and customer service excellence. You will interview patients and families to collect accurate demographic and financial information, process applications for state and federal programs such as NM Medicaid, and assist patients in navigating financial assistance options like UNM Hospital charity programs. A significant portion of the role involves handling sensitive interactions, including serving as the first contact for Persons in Custody of Law Enforcement Agencies (PICLEA) and managing high-volume phone calls via the ACD system.
Beyond patient intake, you will coordinate appointments, manage data entry within hospital systems like Cerner and Siemens, and ensure strict adherence to hospital policies. You will also serve as a resource for internal and external customers, resolving inquiries and facilitating referrals to community resources. This role requires a professional demeanor and the ability to maintain open communication with physicians, clinic staff, and payors to ensure smooth process flow and accurate billing.
Hiring Process
Candidates with a High School diploma or GED equivalent and at least two years of directly related experience are encouraged to apply. Bilingual proficiency in Keres, Tewa, Tiwa, Towa, Zuni, or Navajo is considered a valuable asset for serving our diverse community. Please note that compensation for this role is determined by factors including experience, education, and organizational needs.
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 their background.
Work location
On-site
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
Day-to-day, the REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital 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 perform cash reconciliation and post payments for procedures.
What are the requirements for this REGISTRATION & ELIGIBILITY SPECIALIST role?expand_more
To qualify for the REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital position, applicants should have: 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 Loma Cordoniz Court, Peralta, Valencia County, New Mexico, 87042, United States. This is a on-site role.