REGISTRATION & ELIGIBILITY SPECIALIST
Not Disclosed•Full-TimeOn-site
location_onWoods End Road, Edgewood, Santa Fe County, New Mexico, 87015, United States
About the Team
This role is part of the Behavioral and Mental Health department within the BHO - Admitting/Registration unit at UPC. The team serves as the critical first point of contact for patients entering the healthcare system, ensuring a seamless transition from arrival to care. We are dedicated to maintaining high standards of efficiency, accuracy, and compassion while navigating complex insurance landscapes and financial assistance programs.
About the Role
As a Registration and Admitting Specialist, you will manage the pre-registration and registration functions for our Ambulatory and Outpatient Operations. This position is vital for verifying insurance coverage, benefits, and required referrals prior to a patient's visit. You will act as the primary liaison between patients, families, clinical staff, and insurance payors, ensuring that all necessary authorizations are secured and that financial options are clearly communicated.
Your day will involve a blend of administrative precision and direct patient interaction. You will interview patients to collect accurate demographic and financial information, process applications for state and federal programs (including Medicaid and UNM Health Systems financial assistance), and assist self-pay patients in navigating their financial options. A unique aspect of this role is serving as the first contact for Persons in Custody of Law Enforcement Agencies (PICLEA) arriving for care.
While this is an administrative role with no direct patient care assignments, you will be the face of the hospital for many visitors. You will handle professional phone calls via the ACD system, manage front desk operations, and coordinate with the Blood Bank and Health Information Management departments. You will also play a key role in training and outreach, ensuring that both registration personnel and clinical areas maintain open communication and efficient process flows.
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 highly valued and considered a non-essential qualification that may enhance your candidacy.
Equal Opportunity
We are an equal opportunity employer and value diversity at our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Work location
Work model: On-site
Woods End Road, Edgewood, Santa Fe County, New Mexico, 87015, United States
Edgewood, 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_circleAssign ICD-10 and CPT codes to obtain insurance authorizations
- 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
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 Woods End Road, Edgewood, Santa Fe County, New Mexico, 87015, 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.