Top 20 Prior authorization specialist Jobs in New Mexico

Remote Client Operations Manager
Verisma —New Mexico
- $70,000 - $75,000 a year
- Full-time
- HIPAA
- Mid-level
- Driver's License
1d
Revenue Qualification Specialist
X-Ray Associates of New Mexico —Albuquerque, NM
- Medical office experience
- Mid-level
- High school diploma or GED
Quick Apply
7d
REGISTRATION & ELIGIBILITY SPECIALIST
UNM Hospitals —Rio Rancho, NM
- $16.47 - $21.59 an hour
- Weekends as needed
- Spanish
- Hospital
- English
- Employee discount
9d
Referral / Medical Records Specialist
Roosevelt General Hospital —Portales, NM
- $15.50 - $23.00 an hour
- 8 hour shift
- Computer literacy
- Public speaking
- HIPAA
Quick Apply
Intake Specialist (Nights)
Haven Behavioral Health —Albuquerque, NM
- CPR Certification
- Computer literacy
- Writing skills
2d
Front Desk Receptionist
Esperanza Neurological Group Inc —Las Cruces, NM
- Spanish
- HIPAA
- English
Quick Apply
7d
Scheduler - Oncology Surgery
Christus Health —Santa Fe, NM
- Full-time
- Spanish
- Surgery
- Customer service
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
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
9d
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
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
2d
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
2d
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
2d
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
2d
Patient Visit Specialist
Presbyterian Healthcare Services —Santa Fe, NM
- $16.79 - $27.67 an hour
- Full-time
- Hospital
- High school diploma or GED
- 1 year
- Disability insurance
- Health insurance
Quick Apply
2d

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Remote Client Operations Manager
Verisma —New Mexico
A valid driver’s license and a history of safe driving. Reviews release of information requests for validity according to applicable state or federal statutes;…
$70,000 - $75,000 a year
1d
Surgery Scheduler/Prior Authorizations- SJHP Obstetrics & Gynecology 610
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Previous receptionist, clerical and/or secretarial experience preferred. Strong data entry and computer skills. High school diploma or GED.

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Billing Specialist
LOWER LIGHTS CHRISTIAN HEALTH CENTER INC —Columbus, OH
Familiarity with Medicare LCD/NCD guidance and state-specific Medicaid policies. Reconcile daily charges, payments, and balances; escalate discrepancies.
$19 - $26 an hour
Quick Apply
Prior Authorization Specialist
WSD —Westerville, OH
Must have prior experience with insurances and prior authorizations. Collaborate with clinical staff to ensure timely approvals for patient treatments.
$18 - $25 an hour
Quick Apply
3d

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prior authorization specialist jobs near new mexico

Remote Client Operations Manager

Verisma -
New Mexico

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Job Details

Full-time
$70,000 - $75,000 a year
1 day ago

Qualifications

HIPAA
Driver's License
Team management
Health information regulatory compliance
Clinical confidentiality policies

Full Job Description

Client Operations Manager

Summary of Position:
Under the direction of the Director of Client Operations and the general instruction of the primary Facility Contact at various facilities, the Client Operations Manager is responsible for the efficient operation of assigned accounts. In addition, the Client Operations Manager will also assist in training, staffing, and providing coverage at various sites. This is not a remote position and on-site attendance at accounts is required.

Duties & Responsibilities:

Responsible for meeting facility revenue goals on a consistent basis
Answers day-to-day questions posed by clients and Release of Information Specialists (ROIS)
Identifies and recommends opportunities to increase productivity
Complies with all release of information related functions, as stipulated by service agreement.
Prepares weekly dashboard and month-end Operational performance reports
Monitors productivity and quality to ensure high customer service satisfaction
Assists the Director of Client Operations in the training and evaluation of ROIS staff, both onsite and remote.
Assists in selecting, interviewing, hiring, training and terminating of employees
Participates in counseling sessions of site personnel and makes disciplinary or termination recommendations, when necessary
Manages scheduling of onsite staff to include time off requests and payroll approval
Distributes work to local site personnel and assists remote supervisors with the coordination of workflow. Will be expected to provide physical coverage at various sites when workload dictates.
Maintains confidentiality by keeping all information seen and heard in the facility secure
Provides input into the review and revision of site procedure
Performs quality reviews and site evaluations as required by clients
Reviews release of information requests for validity according to applicable state or federal statutes; returns inappropriate authorizations and requests to the requester
Looks up medical record numbers, fills out guides and pulls medical records, when appropriate
Reviews the requests to determine which encounters are being requested
Scans and/or captures electronically, the medical record and chooses the appropriate information to be duplicated
Captures the appropriate pages for the requested records, when appropriate
Re-assembles the charts (if paper) for re-filing
Logs information that is being sent to the requester either manually or using company software in accordance with the facility procedure
Documents the release of information in the patient medical record or other means determined by the facility.
Calculates billing and prepares invoices, as needed
Certifies medical records copies, when appropriate
Attends all mandatory meetings and/or training sessions
Ensures supplies are available at designated facility
Submits company-related travel expense reports and original receipts to manager in a timely fashion
Develops and maintains strong, professional relationship/partnership with the Client management team
Runs reports and analyzes content to appropriately manage the operations
Complies with and provides guidance on Company Policies, as identified in the Company Handbook
Performs other appropriate duties, as assigned, to meet the needs of the department and the company

Minimum Qualifications:

Bachelor’s Degree Preferred
Prior Supervisory experience
A valid driver’s license and a history of safe driving
Ability to communicate effectively with clients, staff members and management.
Experience with medical records or healthcare, beneficial.
Knowledge of HIPAA privacy information standards, required.
Medical terminology coursework, preferred
RHIT certification or the ability to take and pass an ROI Certification course with a score of 85% or higher, within 90 days is required.
Ability to travel to various assigned accounts
Ability to report to work consistently with minimal unplanned schedule deviations

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Refine Your Search

prior authorization specialist jobs in new mexico

Remote Client Operations Manager

Revenue Qualification Specialist

REGISTRATION & ELIGIBILITY SPECIALIST

Referral / Medical Records Specialist

Intake Specialist (Nights)

Front Desk Receptionist

Scheduler - Oncology Surgery

Office Support Staff - Full-time

Lead Patient Service Coordinator - Patient Access, Scheduling

Dental Office Treatment Coordinator / Insurance Specialist

Patient Access Account Specialist I

Patient Visit Specialist

Patient Visit Specialist - PMG Gastroenterology

Patient Access Account Specialist I

Patient Visit Specialist

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