Clinical Operations Specialist

2 weeks ago


Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full time
About the Job

We are seeking a highly skilled Clinical Operations Specialist to join our team at the University of New Mexico - Hospitals. This role is responsible for performing pre-registration and registration functions, verifying insurance coverage eligibility and benefits, and ensuring adherence to hospital policies and procedures.

Job Summary

This position will work in a call center setting, handling telephone calls from patients, families, and healthcare providers. The successful candidate will be responsible for interviewing patients and/or families to obtain demographic and financial information, verifying required referrals and prior authorizations, and assisting with navigation of financial options including UNMH or other UNM Health Systems financial assistance programs.

Key Responsibilities
  • Perform pre-registration and registration functions for Ambulatory/Outpatient Operations area assigned;
  • Verify insurance coverage eligibility and benefits;
  • Verify required referrals and/or prior authorization are in place prior to visit;
  • Contact patients for outdated or missing demographics;
  • Professional and efficient phone call handling via telephone ACD system;
Requirements

To be considered for this role, you must have:

  • A minimum of 2 years directly related experience;
  • A High School diploma or equivalent;
  • Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo skills are a plus.
Salary and Benefits

The estimated salary range for this position is $40,000-$60,000 per year, depending on experience. We offer a comprehensive benefits package, including medical, dental, vision, and retirement savings plans.



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