Top 61 Prior authorization Jobs in Albuquerque Nm

Billing Supervisor-Prior Authorization and Financial Navigation
New Mexico Cancer Center —Albuquerque, NM
- Full-time
- Background check
- Management
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Medical Receptionist
X-Ray Associates of New Mexico —Albuquerque, NM
- HIPAA
- High school diploma or GED
- 1 year
Quick Apply
Medical Receptionist / Scheduler
X-Ray Associates of New Mexico —Albuquerque, NM
- HIPAA
- High school diploma or GED
- 1 year
Quick Apply
Clinical Administrative Coordinator
Optum —Albuquerque, NM
- $18 - $32 an hour
- Full-time
- Microsoft Outlook
- Medical office experience
- Pass drug screening
- Flexible schedule
2d
Insurance Verification Medical Office
Peak Motion Physical Therapy —Albuquerque, NM
- $19 - $23 an hour
- Full-time
- Background check
- Customer service
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
6d
Medical Scheduler and IR Support
X-Ray Associates of New Mexico —Albuquerque, NM
- Customer service
- HIPAA
- Mid-level
Quick Apply
Referral Program Coordinator
Lovelace Health System —Albuquerque, NM
- PRN
- Mid-level
- High school diploma or GED
- 2 years
- Opportunities for advancement
- Referral program
Associate Patient Care Coordinator
Optum —Albuquerque, NM
- $16 - $29 an hour
- Full-time
- Spanish
- Pass drug screening
- English
- AD&D insurance
- Employee stock purchase plan
Clinic Administrative Assistant - Mental Health
Elevation Counseling —Albuquerque, NM
- $18 - $20 an hour
- Part-time
- Google Workspace
- Microsoft Excel
- Customer service
- Health insurance
- Dental insurance
Quick Apply
2d
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
4d
Patient Service Coordinator - Patient Access, Scheduling
UNM Medical Group, Inc. —Albuquerque, NM
- $36,399 - $44,754 a year
- Full-time
- Mid-level
- 1 year
- Radiology
- Health insurance
- Dental insurance
Quick Apply
10d
Healthcare Coordinator
PDS Health —Albuquerque, NM
- $16.50 - $23.00 an hour
- Full-time
- Dental office
- Computer literacy
- Local
- Health insurance
- Dental insurance
4d
Intake Specialist (Nights)
Haven Behavioral Health —Albuquerque, NM
- CPR Certification
- Computer literacy
- Writing skills
3d
Receptionist
New Mexico Federal Public Defender —Albuquerque, NM
- $41,178 - $51,007 a year
- Full-time
- Microsoft Word
- Background check
- Spanish
- Paid parental leave
- Paid holidays
6d
Healthcare Compliance Manager
Roadrunner Food Bank of New Mexico —Albuquerque, NM
- $65,500 - $70,500 a year
- Hybrid work
- Computer literacy
- Office
- 3 years
- Continuing education credits
- Mileage reimbursement
Quick Apply
Revenue Qualification Specialist
X-Ray Associates of New Mexico —Albuquerque, NM
- Medical office experience
- Mid-level
- High school diploma or GED
Quick Apply
9d
Medical Assistant
Optum —Albuquerque, NM
- $18.25 - $25.00 an hour
- Full-time
- Vital signs
- BLS Certification
- Pass drug screening
Quick Apply
Virtual Reimbursement Manager
サイネオス・ヘルス —Albuquerque, NM
- $140,000 - $150,000 a year
- Mid-level
- Bachelor's degree
- Medical terminology
- Health insurance
- Dental insurance
REGISTRATION & ELIGIBILITY SPECIALIST
UNM Hospitals —Rio Rancho, NM
- $16.47 - $21.59 an hour
- Weekends as needed
- Spanish
- Hospital
- English
- Employee discount
10d
Clinic Case Manager
Optum —Albuquerque, NM
- $60,200 - $107,400 a year
- Full-time
- Nursing
- RN License
- Customer service
Quick Apply
2d

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Billing Supervisor-Prior Authorization and Financial Navigation

New Mexico Cancer Center -
Albuquerque, NM

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Life insurance

Qualifications

Management
Healthcare staff management
Team leadership
Spreadsheets
Process improvement
ICD-10
Supervising experience
Pre-authorization review for utilization management
Medical billing
Medical explanation of benefits reviews
Productivity software
Associate's degree

Full Job Description

Position Summary

The Billing Supervisor, Prior Authorization and Financial Navigation is responsible for overseeing daily operational functions related to insurance verification, prior authorization, and financial navigation across all specialty services. This role ensures timely and accurate authorization of services, effective coordination between clinical, billing, and patient access teams, and proactive financial navigation support for patients throughout the continuum of care. The Supervisor provides leadership, training, and performance management for assigned staff, ensures compliance with payer requirements and regulatory standards, and supports organizational goals related to revenue integrity, patient access, and financial transparency. This position plays a critical role in optimizing reimbursement, minimizing denials and delays in care, and improving the patient’s financial experience through compassionate, informed guidance.

ESSENTIAL FUNCTIONS:

Reasonable Accommodations Statement:

To perform this job successfully, an individual must be able to perform the essential duties satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Essential Functions Statement(s):

Supervise day‑to‑day billing operations for multiple specialties, including prior authorization, and financial navigation.
Monitor workflow to ensure timely prior authorization is completed for services and financial navigation is completed for patients.
Collaborate with the Senior Director of Billing Office to develop and implement standardized billing procedures across specialties to maintain consistency and compliance.
Oversee patient financial counseling services, ensuring patients receive clear, compassionate, and accurate information regarding insurance coverage, benefits, and out‑of‑pocket responsibilities.
Oversee screening and enrollment of patients into appropriate financial assistance programs, including manufacturer assistance, foundations, charity care, and hospital financial assistance policies.
Ensure applications are completed accurately and submitted timely.
Prior authorization, and financial navigation.
Monitor workflow to ensure timely prior authorization is completed for services and financial navigation is completed for patients.
Collaborate with the Senior Director of Billing Office to develop and implement standardized billing procedures across specialties to maintain consistency and compliance.
Oversee patient financial counseling services, ensuring patients receive clear, compassionate, and accurate information regarding insurance coverage, benefits, and out‑of‑pocket responsibilities.
Oversee screening and enrollment of patients into appropriate financial assistance programs, including manufacturer assistance, foundations, charity care, and hospital financial assistance policies.
Ensure applications are completed accurately and submitted timely.
Analyze prior authorization trends, work with providers on appeals, peer to peers, and ensure collections within financial navigation.
Oversee prior authorization and financial navigation processes and implement process improvements, as necessary.
Serve as a liaison between billing, and leadership.
Serve as a subject‑matter resource for billing staff and escalate complex issues appropriately.
Communicate billing issues, trends, and performance metrics to management.

SKILLS & ABILITIES:

Education and Experience:

Associate or bachelor’s degree in healthcare administration, Business, or related field preferred.
5-7 years of medical billing experience that consists of 3-5 years of prior authorization experience, 3-5 years of financial navigation experience, and with at least 3 years in a supervisory role, required.
Experience in multi‑specialty or multi‑provider environments strongly preferred.
Expert in manufacturer assistance programs and foundations available for each patient demographic.
Expert in prior authorization requirements for a multi-specialty group. Expert with payer portals and insurance policies.

Skills and Competencies:

Strong knowledge of medical billing, CPT/ICD‑10 coding, and payer reimbursement rules. Must be able to read EOB’s (Explanation of Benefits).
Proficiency with practice management and EHR systems.
Excellent leadership, communication, and problem‑solving skills.
Ability to analyze data, identify trends, and implement process improvements. Must have advanced computer skills using Microsoft Office Suite (Excel, Word, and PowerPoint) skills.
High attention to detail and commitment to accuracy.

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

prior authorization jobs in albuquerque nm

Billing Supervisor-Prior Authorization and Financial Navigation

Medical Receptionist

Medical Receptionist / Scheduler

Clinical Administrative Coordinator

Insurance Verification Medical Office

Medical Scheduler and IR Support

Referral Program Coordinator

Associate Patient Care Coordinator

Clinic Administrative Assistant - Mental Health

Full-Time Medical Assistant needed in private primary care office

Patient Service Coordinator - Patient Access, Scheduling

Healthcare Coordinator

Intake Specialist (Nights)

Receptionist

Healthcare Compliance Manager

Revenue Qualification Specialist

Medical Assistant

Virtual Reimbursement Manager

REGISTRATION & ELIGIBILITY SPECIALIST

Clinic Case Manager

I want to receive the latest job alert for prior authorization in albuquerque nm

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