Overview
Spec Registration & Eligibilty Jobs in Algodones – New Mexico – USA at University of New Mexico – Hospitals
Position: SPEC REGISTRATION & ELIGIBILTY
Location: Algodones
Department:
Ambulatory Pre Registration CtrFTE: 1.00
Full Time
Shift:
Rotating
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authorization for admission; verify required referrals and/or prior authorization are in place; interview patients for outdated or missing demographics; professional and efficient phone call handling via telephone ACD system in a call center setting; perform as first contact for Persons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:
* PATIENT CARE – Assist patients in locating departments; schedule and coordinate patient appointments; refer patients and families to appropriate services and resources
* CUSTOMER SERVICE – Provide information and assistance to internal and external customers; provide and ensure quality service and
customer satisfaction
* DATA – Perform data entry and research using various hospital system programs
* DATA ENTRY – Enter various data into computer; verify data, make corrections and ensure accuracy
* REGISTRATION – Interview patients and/or families to obtain demographic, financial information and signatures as required; schedule new and follow-up appointments
* 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
* PRIOR AUTHORIZATION – Complete pre-screening process for specialty clinic appointments for referral and/or prior auth
* 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
* FINANCIAL ASSISTANCE – Refer self-pay patients for financial assistance; make financial assistance appointments
* ELIGIBILITY – Determine and process eligibility for financial assistance (Including Medicaid, SCI, UNM Care, Commercial, Medicare, PHS/Indian Health Service, Salud, Self Pay)
* REFERRALS – Maintain a knowledge of community financial resources and refer patients appropriately (EMSA).
* TRAINING – Perform training with registration and admitting personnel to assure proper registration and knowledge of business practices to include financial assistance programs
* TRAINING – Per…
Title: Spec Registration & Eligibilty
Company: University of New Mexico – Hospitals
Location: Algodones – New Mexico – USA
Category: Healthcare, Administrative/Clerical
