Medical Records Clerk

6 days ago


Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full time
Job Title: Medical Records Clerk - Patient Access

Salary: $6.00 Per Hour Hazardous Pay

Benefits: Receive 17% weekday nights, 26% weekend nights, or 15% weekend day shift differentials

About the Job:

This role involves performing pre-registration and registration functions for area assigned; verifying insurance coverage eligibility and benefits; obtaining authorization for admission; verifying required referrals and/or prior authorization are in place; interviewing patients for outdated or missing demographics; professional and efficient phone call handling via telephone ACD system in a call center setting; performing as first contact for Persons in Custody of Law Enforcement Agency (PICLEA) as they arrive for care; screening patients for coverage and assisting them in navigating their financial options including UNMH or other UNM Health Systems financial assistance, NM Medicaid, or other State and Federal Programs. The ideal candidate will ensure adherence to Hospitals and departmental policies and procedures. No patient care assignment.

Detailed Responsibilities:

  • Patient Care - Assist patients in locating departments; schedule and coordinate patient appointments; refer patients and families to appropriate services and resources
  • Customer Service - Provide information and assistance to internal and external customers; provide and ensure quality service and customer satisfaction
  • Registration - Interview patients and/or families to obtain demographic, financial information and signatures as required; schedule new and follow-up appointments
  • Prior Authorization - Verify insurance coverage and benefits on patients needing an Auth; provide notification of admission and obtain auth for emergency admits
  • Financial Assistance - Interview patients and complete the application process for State/Government programs; maintain MOSAA certification with the State
  • Eligibility - Determine and process eligibility for financial assistance (Including Medicaid, SCI, UNM Care, Commercial, Medicare, PHS/Indian Health Service, Salud, Self Pay)
  • Referrals - Maintain a knowledge of community financial resources and refer patients appropriately
  • Training - Perform training with registration and admitting personnel to assure proper registration and knowledge of business practices to include financial assistance programs
  • Front Desk - Answer phones at front desk and assist walk-in patients as needed. Provide after hours/weekend information desk coverage for the hospital
  • Cash Handling - Reconcile and complete cash reconciliation reports; balance and post payments, contractual allowances, and denials
  • Documentation - Send all pertinent medical documentation to insurance companies and other payors for approval

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