Top 33 Authorization specialist Jobs in Albuquerque, Nm

REGISTRATION & ELIGIBILITY SPECIALIST
UNM Hospitals —Rio Rancho, NM
- $16.47 - $21.59 an hour
- Weekends as needed
- Spanish
- Hospital
- English
- Employee discount
11d
Revenue Qualification Specialist
X-Ray Associates of New Mexico —Albuquerque, NM
- Medical office experience
- Mid-level
- High school diploma or GED
Quick Apply
10d
Intake Specialist (Nights)
Haven Behavioral Health —Albuquerque, NM
- CPR Certification
- Computer literacy
- Writing skills
4d
Patient Care Coordinator - Rio Rancho & Albuquerque _ @TWN & @Pelvic Health
Balanced Physical Therapy + Wellness —Rio Rancho, NM
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Physical & Rehabilitation Medicine
- Continuing education credits
- Health savings account
Quick Apply
13d
Full-Time Medical Assistant needed in private primary care office
Family Medicine,PC —Albuquerque, NM
- $15 - $25 an hour
- Full-time
- Vital signs
- No background check
- Primary Care
- Disability insurance
- Health insurance
Quick Apply
5d
Clinical Patient Coordinator
Health Specialists of New Mexico —Albuquerque, NM
- Full-time
- Vital signs
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
15h
Operations Support Specialist - Temporary
Earthscope Consortium, Inc. —Albuquerque, NM
- $20.90 - $25.88 an hour
- Full-time
- Microsoft Word
- Customer service
- Ability to walk for extended periods
- 403(b) matching
- 403(b)
Quick Apply
7h
Lead Patient Service Coordinator - Patient Access, Scheduling
UNM Medical Group, Inc. —Albuquerque, NM
- $38,263 - $47,818 a year
- Full-time
- Mid-level
- Radiology
- 2 years
- Health insurance
- Dental insurance
Quick Apply
11d
Office Support Staff - Full-time
New Mexico Solutions —Albuquerque, NM
- $15.33 - $16.86 an hour
- Full-time
- Spanish
- CPR Certification
- Microsoft Excel
- Mileage reimbursement
- Paid holidays
Quick Apply
HUB Billing Coordinator
Giving Home Health Care —Albuquerque, NM
- $19 - $20 an hour
- Full-time
- Microsoft Outlook
- Writing skills
- Office
- Disability insurance
- Health insurance
Quick Apply
Medical Assistant
Concentra —Albuquerque, NM
- Full-time
- Microsoft Excel
- Vital signs
- Microsoft Outlook
- Commuter assistance
- Disability insurance
6d
Medical Assistant
University of New Mexico —Albuquerque, NM
- $18.27 - $23.50 an hour
- Part-time
- Background check
- CPR Certification
- Vital signs
- Health insurance
- Dental insurance
Medical Assistant
NEW MEXICO ORTHOPAEDIC ASSOCIATES P C —Albuquerque, NM
- Weekends as needed
- CPR Certification
- Vital signs
- Ability to walk for extended periods
Medical Assistant Float
Concentra —Albuquerque, NM
- Full-time
- Microsoft Excel
- Vital signs
- Microsoft Outlook
- Commuter assistance
- Disability insurance
Patient Access Account Specialist I
Presbyterian Healthcare Services —Albuquerque, NM
- $16.38 - $25.57 an hour
- Full-time
- Hybrid work
- Hospital
- Customer service
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
5d
Complaint Research Specialist
Presbyterian System Services —Albuquerque, NM
- $19.25 - $31.74 an hour
- Full-time
- Research
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
5d
Patient Access Account Specialist I
Presbyterian System Services —Albuquerque, NM
- $16.38 - $25.57 an hour
- Full-time
- Hospital
- Customer service
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
15h
Patient Visit Specialist - PMG Gastroenterology
Presbyterian Healthcare Services —Albuquerque, NM
- $16.79 - $27.67 an hour
- Full-time
- Medical office experience
- HIPAA
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
5d
Patient Visit Specialist
Presbyterian System Services —Los Lunas, NM
- $16.79 - $27.67 an hour
- Full-time
- Hospital
- Medical office experience
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
5d

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Part-Time Front Desk Receptionist — Mental Health Practice
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Prior Authorization Specialist
WSD —Westerville, OH
Collaborate with clinical staff to ensure timely approvals for patient treatments. Must have prior experience with insurances and prior authorizations.
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Revenue Cycle & Prior Authorization Specialist
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Assist patients with billing questions and payment arrangements. Obtain prior authorizations and referrals for office visits, imaging studies, and *endovascular…
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authorization specialist jobs near albuquerque, nm

REGISTRATION & ELIGIBILITY SPECIALIST

UNM Hospitals -
Rio Rancho, NM

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Job Details

Full-time
$16.47 - $21.59 an hour
11 days ago

Benefits

Employee discount

Qualifications

High school diploma or GED

Full Job Description

Compensation Disclaimer

Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

Department: Case Management - SRMC

FTE: 1.00
Full Time
Shift: Days

Position Summary:
Perform pre-registration and registration functions for area assigned; verify insurance coverage eligibility and benefits; obtain authorization for admission; verify required referrals and/or prior authorization are in place; interview patients for outdated or missing demographics; professional and efficient phone call handling via telephone ACD system in a call center setting; 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 including UNMH or other UNM Health Systems financial assistance, NM Medicaid, or other State and Federal Programs. Advise, inform and assist patients before and after their admission. Ensure adherence to Hospitals and departmental policies and procedures. No patient care assignment.

Detailed responsibilities:

FINANCIAL ASSISTANCE - Interview patients and complete the application process for State/Government programs; maintain MOSAA certification with the State; interview and approve patients for UNM Hospital charity and discount programs
CASH - Reconcile and complete cash reconciliation reports; balance and post payments, contractual allowances, and denials
TRAINING - Perform training with registration and admitting personnel to assure proper registration and knowledge of business practices to include financial assistance programs
DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
PATIENT CARE - Assist patients in locating departments; schedule and coordinate patient appointments; refer patients and families to appropriate services and resources
RELATED WORK - Perform related duties and responsibilities as required
INFORMATION - Interview patients and/or family at time of admission, pre-admission or discharge to obtain accurate demographic, and financial information; update information on Hospitals computer system to ensure correct billing; register patients for the Laboratory and clinics after hours; provide billing information to Ambulance Services
SIGNATURE - Obtain proper signatures for Medicare Rights Consent for Treatment, financial forms for applying for assistance, and other forms as appropriate; assure that patient rights are distributed
PRIOR AUTH/INSURANCE - Verify insurance coverage and benefits on patients needing an Auth; provide notification of admission and obtain auth for emergency admits; obtain authorizations for same day surgery, inpatient surgery, direct admits and any other pre scheduled stays or procedures. Provide all pertinent medical history/documentation for insurance companies and other payors in order to obtian an auth; document Cerner with correct information; Scan all documents concerning authorization and reimbursement into Siemens document imaging; may collect down payments for and copays for procedures. Create Pre Admits in Cerner as appropriate
ELIGIBILITY - Determine and process eligibility for financial assistance (Including Medicaid, SCI, UNM Care, Commercial, Medicare, PHS/Indian Health Service, Salud, Self Pay)
FRONT DESK - Answer phones at front desk and assist walk-in patients as needed. Provide after hours/weekend information desk coverage for the hospital. Re-identify patients for Blood Bank and Health Information Management Department. Organize folders for floor visits to patients. Admit surgical patients and direct admits that present to the Admitting office. Input all pre-admits for PALS and direct admissions as appropriate. Log all admissions in the Admitting logs.
REFERRALS - Maintain a knowledge of community financial resources and refer patients appropriately (EMSA).
PATIENT CARE - Accept and issue patient's valuables from patients and the Emergency Department Staff. Perform floor visits to interview patients after a direct admit from the Emergency Department or the clinics
DOCUMENTATION- Send all pertinent medical documentation to insurance companies and other payors for approval. Document final authorization in Cerner and scan all paperwork into Siemens scanning
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
DATA ENTRY - Enter various data into computer; verify data, make corrections and ensure accuracy
CUSTOMER RELATIONS - Establish and maintain good rapport and effective working relationships with patients, visitors, physicians and Hospitals employees
CODING - Assign ICD9 or ICD10, CPT codes as required by insurance companies in order to obtain authorization for services
REPORTS - Obtain police reports when appropriate for billing information for Patient Financial Services. Do the Census reports for PBX. Work Medicare secondary payor report as assigned
PRIOR AUTHORIZATION - Complete pre-screening process for specialty clinic appointments for referral and/or prior auth
LIAISON - Perform as liaison between clinic staff, providers, and the insurance company or other payors to coordinate financial benefits/ coverage and prior authorizations
FINANCIAL ASSISTANCE - Refer self-pay patients for financial assistance; make financial assistance appointments
TRAINING - Perform outreach/training with clinical areas to ensure process flow remains tight and to maintain open communication
DATA - Perform data entry and research using various hospital system programs

Qualifications

Education:
Essential:

High School or GED Equivalent

Experience:
Essential:
2 years directly related experience

Nonessential:
Bilingual English/Spanish

Credentials:
Essential:

Not Applicable/Not Required

Physical Conditions:
Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Working conditions:
Essential:

No or min hazard, physical risk, office environment
May be required to travel to various work sites
May be required or is required to rotate work shifts

Apply Now

Refine Your Search

authorization specialist jobs in albuquerque, nm

REGISTRATION & ELIGIBILITY SPECIALIST

Revenue Qualification Specialist

Intake Specialist (Nights)

Patient Care Coordinator - Rio Rancho & Albuquerque _ @TWN & @Pelvic Health

Full-Time Medical Assistant needed in private primary care office

Clinical Patient Coordinator

Operations Support Specialist - Temporary

Lead Patient Service Coordinator - Patient Access, Scheduling

Office Support Staff - Full-time

HUB Billing Coordinator

Medical Assistant

Medical Assistant

Medical Assistant

Medical Assistant Float

Patient Access Account Specialist I

Complaint Research Specialist

Patient Access Account Specialist I

Patient Visit Specialist - PMG Gastroenterology

Patient Visit Specialist

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