REGISTRATION & ELIGIBILITY SPECIALIST
Not Disclosed•Full-TimeOn-site
location_onSandoval County, New Mexico, 87043, 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 operates with a mission to provide professional, efficient, and compassionate support to individuals seeking behavioral and mental health services, including those in custody of law enforcement agencies.
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 payors, ensuring that all financial and demographic data is accurate and complete.
Your day will involve a blend of high-volume administrative tasks and direct patient interaction. You will handle professional phone calls via the ACD system, assist walk-in patients, and serve as the first contact for Persons in Custody of Law Enforcement Agency (PICLEA) arriving for care. A significant portion of the role focuses on navigating complex financial landscapes; you will screen patients for coverage, assist them in understanding their financial options, and guide them through applications for UNM Health Systems financial assistance, NM Medicaid, and other state and federal programs.
While this role involves no direct patient care assignments, you will coordinate patient appointments, manage valuables, and ensure adherence to all hospital and departmental policies. You will also serve as a liaison to coordinate financial benefits and prior authorizations, assigning necessary medical codes and documenting final authorizations in the hospital systems (Cerner and Siemens). Additionally, you will contribute to the team's growth by training registration personnel and conducting outreach to clinical areas to maintain efficient process flows.
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 for serving the diverse community. 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 a number of factors, including but not limited to experience, education, and other business and organizational considerations.
Work location
Work model: On-site
Sandoval County, New Mexico, 87043, United States
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
A REGISTRATION & ELIGIBILITY SPECIALIST at UNM Hospital is responsible for the following: 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
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 Sandoval County, New Mexico, 87043, 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.