Top 116 Prior authorization Jobs in New Mexico

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
Dental Office Treatment Coordinator / Insurance Specialist
Verve Dental —Los Alamos, NM
- $20 - $26 an hour
- Full-time
- Spanish
- Dental office
- HIPAA
- 401(k)
- Paid time off
Quick Apply
Care Facilitator
Southwestern Home Health, Inc. —Cuba, NM
- From $14.50 an hour
- Full-time
- Background check
- Clean driving record
- Caregiving
- Dental insurance
- 401(k)
Quick Apply
Registered Nurse Case Manager
Twilight Health —Shiprock, NM
- From $42 an hour
- Part-time
- Nursing
- RN License
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Medical Assistant
TriUnity Healthcare LLC —Albuquerque, NM
- $18 - $24 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Psychiatry
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse
Oak Street Health —Albuquerque, NM
- $60,522 - $129,615 a year
- Full-time
- RN License
- BLS Certification
- Clinic experience
- Health insurance
- Dental insurance
10d
Registered Nurse
Oak Street Health —Albuquerque, NM
- $60,522 - $129,615 a year
- Full-time
- CPR Certification
- RN License
- Computer literacy
- Health insurance
- Dental insurance
2h
Medical Assistant
Porch Light Health —Espanola, NM
- $21 - $26 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Patient monitoring
- Health insurance
- Dental insurance
Quick Apply
Remote Client Operations Manager
Verisma —New Mexico
- $70,000 - $75,000 a year
- Full-time
- HIPAA
- Mid-level
- Driver's License
2d
ER Registrar - Nights - PRN
Mountain View Regional —Las Cruces, NM
- Part-time
- Computer skills
- ER
- Business Administration
Quick Apply
ER Registrar-PRN - Nights
Mountain View Regional —Las Cruces, NM
- Part-time
- Computer skills
- ER
- Business Administration
Quick Apply
Surgery Scheduler/Prior Authorizations- SJHP Obstetrics & Gynecology 610
San Juan Regional Medical Center —Farmington, NM
- Full-time
- Surgery
- Hospital
- Ability to walk for extended periods
Medical Receptionist / Scheduler
X-Ray Associates of New Mexico —Albuquerque, NM
- HIPAA
- High school diploma or GED
- 1 year
Quick Apply
RN Supervisor, Appeals, Managed Care, UM
Centene —New Mexico
- $75,300 - $135,400 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
11d
Medical Scheduler and IR Support
X-Ray Associates of New Mexico —Santa Fe, NM
- Hybrid work
- HIPAA
- High school diploma or GED
- 1 year
Quick Apply
Medical Receptionist
X-Ray Associates of New Mexico —Albuquerque, NM
- HIPAA
- High school diploma or GED
- 1 year
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
PRIOR AUTHORIZATIONS-1570
Artesia General Hospital —Artesia, NM
- $15.75 - $29.96 an hour
- Overtime
- Bilingual
- Customer service
- High school diploma or GED
Quick Apply
Clinical Administrative Coordinator
Optum —Albuquerque, NM
- $18 - $32 an hour
- Full-time
- Microsoft Outlook
- Medical office experience
- Pass drug screening
- Flexible schedule
1d
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

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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 new mexico

Billing Supervisor-Prior Authorization and Financial Navigation

Dental Office Treatment Coordinator / Insurance Specialist

Care Facilitator

Registered Nurse Case Manager

Medical Assistant

Registered Nurse

Registered Nurse

Medical Assistant

Remote Client Operations Manager

ER Registrar - Nights - PRN

ER Registrar-PRN - Nights

Surgery Scheduler/Prior Authorizations- SJHP Obstetrics & Gynecology 610

Medical Receptionist / Scheduler

RN Supervisor, Appeals, Managed Care, UM

Medical Scheduler and IR Support

Medical Receptionist

Referral Program Coordinator

PRIOR AUTHORIZATIONS-1570

Clinical Administrative Coordinator

Virtual Reimbursement Manager

I want to receive the latest job alert for prior authorization in new mexico

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