REGISTRATION & ELIGIBILITY SPECIALIST
Not Disclosed•Part-TimeOn-site
location_onPipeline Trail, Las Huertas, Sandoval County, New Mexico, United States
About the Team
This role is situated within the Behavioral Services department at the MATS Center, a key component of UNM Health Systems. The team operates within a dedicated Ambulatory/Outpatient Operations area, focusing on the critical intersection of patient access, financial navigation, and administrative precision for behavioral health and general medical services.
About the Role
As a vital first point of contact, you will manage the pre-registration and registration lifecycle for patients, ensuring a seamless transition from arrival to care. This position serves as the primary liaison between patients, law enforcement agencies (PICLEA), clinical staff, and insurance providers. Your work ensures that insurance coverage, benefits, and necessary referrals are verified before visits occur, while also guiding patients through complex financial landscapes.
You will play a pivotal role in financial accessibility by screening patients for coverage and assisting them in navigating options such as UNM Health Systems financial assistance, NM Medicaid, and other state or federal programs. The role involves conducting intake applications, verifying eligibility for various payors (including Medicare, Medicaid, and self-pay), and managing the documentation required for prior authorizations. Beyond administrative duties, you will provide customer service excellence, assisting patients in locating departments, scheduling appointments, and handling sensitive interactions with dignity and professionalism.
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 to better serve our diverse community. The position is part-time (0.50 FTE) with day shifts, though rotation may be required. Please note that compensation is determined by factors including experience, education, and organizational needs.
Equal Opportunity
We are an equal opportunity employer committed to building a diverse and inclusive workforce. We consider qualified applicants regardless of background, ensuring that our team reflects the communities we serve.
Work location
Work model: On-site
Pipeline Trail, Las Huertas, Sandoval County, New Mexico, United States
New Mexico
Similar Job Opportunities
Skills, education and keywords
Skills: Icd9, Icd10, CPT, Siemens Document Imaging, Siemens Scanning, Bilingual English/keres, Bilingual Tewa, Bilingual Tiwa, Bilingual Towa, Bilingual Zuni.
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; reconcile cash payments and post contractual allowances and denials; 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 Pipeline Trail, Las Huertas, Sandoval County, New Mexico, United States. This is a on-site role.