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Registration and Eligibility Specialist
2 months ago
We are seeking a highly organized and detail-oriented Registration and Eligibility Specialist to join our team at the University of New Mexico - Hospitals. In this role, you will be responsible for performing pre-registration and registration functions for Ambulatory/Outpatient Operations, verifying insurance coverage eligibility and benefits, and ensuring that patients have the necessary referrals and prior authorizations in place.
Key Responsibilities- Verify insurance coverage and benefits for patients
- Perform pre-registration and registration functions for Ambulatory/Outpatient Operations
- Verify required referrals and prior authorizations are in place
- Contact patients for outdated or missing demographics
- Provide professional and efficient phone call handling via telephone ACD system
- Perform as first contact for Persons in Custody of Law Enforcement Agency (PICLEA) as they arrive for care
- Screen patients for coverage and assist them in navigating their financial options
- Perform intake applications for State of NM Medicaid
- Ensure adherence to Hospitals and departmental policies and procedures
- High School or GED Equivalent
- 2 years directly related experience
- Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo (non-essential)
This position is located in a hospital setting and may require travel to various work sites. The ideal candidate will be able to work in a fast-paced environment and provide excellent customer service to patients, visitors, and staff.