REGISTRATION & ELIGIBILITY SPECIALIST
Not Disclosed•Full-TimeOn-site
location_on631, Old Church Road, Corrales, Sandoval County, New Mexico, 87048, 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, 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 a patient's visit. You will act as the primary liaison between patients, families, clinical staff, and insurance providers to coordinate financial benefits and prior authorizations.
Your day will involve a blend of administrative precision and direct patient interaction. You will interview patients and families to collect accurate demographic and financial information, ensuring all necessary signatures and documentation are obtained. A significant portion of the role involves navigating patients through their financial options, including UNM Health Systems financial assistance, NM Medicaid, and other state and federal programs. You will also serve as the first contact for Persons in Custody of Law Enforcement Agencies (PICLEA) arriving for care.
Beyond patient intake, you will handle professional phone calls via the ACD system, assist with scheduling and coordinating appointments, and manage the reconciliation of cash and payments. The role requires maintaining up-to-date knowledge of community financial resources and acting as a liaison to ensure process flow remains tight between clinic staff and providers. While this is a non-patient care role, you will assist patients in locating departments and refer them to appropriate services and resources.
Hiring Process
Candidates must possess a High School diploma or GED equivalent and at least two years of directly related experience. Bilingual proficiency in English and Keres, Tewa, Tiwa, Towa, Zuni, or Navajo is considered a valuable asset. The position is a full-time, day-shift role with a potential requirement to rotate shifts 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
631, Old Church Road, Corrales, Sandoval County, New Mexico, 87048, United States
Corrales, 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
A REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital is responsible for the following: 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
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 631, Old Church Road, Corrales, Sandoval County, New Mexico, 87048, 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.