Clinic Registration Specialist - Must have a NM Residence

UNM Medical Group • Albuquerque, NM

7d • Remote

About The Position

UNM Medical Group, Inc. is hiring for a Clinic Registration Specialist to join our Clinical Operations Group. This opportunity is a full-time day shift opening located in Albuquerque, New Mexico. This opportunity is a REMOTE, full-time and day shift opening located in New Mexico. This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico This position is remote, however the selected candidate would need to be available to come into the office in Albuquerque, New Mexico if they experience network or laptop issues The ideal candidate will have experience partnering with clinical check-in and registration staff to verify insurance, register patients, and obtain prior authorizations. This key position ensures patients services are billed and paid correctly. Minimum $41,305 - Midpoint $51,621 Salary is determined based on years of total relevant experience. Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary Under general supervision, serves as a liaison between UNMMG and its stand-alone satellite clinics in the coordination of frontline services. Works in collaboration with Practice Management Specialists in coordinating and providing frontline training to new hires. Assists by providing guidance and support to clinic staff in areas of scheduling, registration, pre-registration, insurance verification and prior authorization.

Requirements

• High school diploma or GED with at least 2 years of directly related experience acquired working in a medical environment.
• Verification of education and licensure (if applicable) will be required if selected for hire.
• Must have a NM Residence

Responsibilities

• In collaboration with Practice Management Specialists, serves as a point-of-contact for frontline inquiries.
• Develop a relationship with UNM Medical Group, Inc. (UNMMG) clinic staff by directing the day-to-day activities of registration, scheduling, order processing, insurance verification, and prior authorizations.
• Work closely with Practice Management Specialists to develop and maintain Frontline Resource Manual.
• Conduct Frontline Training for processes to include: Registration, Financial/Cash Management, Billing, Prior Authorizations, Scheduling, Mail/Courier process, End of day processes, computer programs- IDX and Cerner.
• Obtain Healthxnet access for employees who will need to verify insurance eligibility.
• Maintain ongoing communication and dialog with UNMMG frontline staff and notify of any insurance notifications or changes to contracted/non-contracted insurance companies.
• Communicates all Payer Alerts, from Office of Clinical Contracting, with all UNMMG clinics.
• Responsible for coordinating and processing all referrals and prior authorization enter into Power Chart.
• Interface with insurance companies to obtain prior authorizations; may coordinate multiple authorizations and coverage; compiles medical documentation necessary to ensure prior authorization is obtained; updates computer systems to ensure final prior authorization is documented in UNMMG computer systems.
• Maintain record keeping and filing systems; gathers, enters, and updates required data.
• Serves as backup support for clinic Pre-Registration as assigned.
• Work with Practice Management Specialists in Process Development.

Benefits

• Competitive Salary & Benefits : UNMMG provides a competitive salary along with a comprehensive benefits package.
• Insurance Coverage : Includes medical, dental, vision, and life insurance.
• Additional Perks : Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees