REGISTRATION & ELIGIBILITY SPECIALIST

Compensation Disclaimer Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations. Department: Case Management - SRMC FTE: 1.00 Full Time Shift: Days 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authorization for admission; verify required referrals and/or prior authorization are in place; interview patients for outdated or missing demographics; professional and efficient phone call handling via telephone ACD system in a call center setting; perform as first contact for Persons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 * 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 * CASH - Reconcile and complete cash reconciliation reports; balance and post payments, contractual allowances, and denials * TRAINING - Perform training with registration and admitting personnel to assure proper registration and knowledge of business practices to include financial assistance programs * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops * PATIENT CARE - Assist patients in locating departments; schedule and coordinate patient appointments; refer patients and families to appropriate services and resources * RELATED WORK - Perform related duties and responsibilities as required * INFORMATION - Interview patients and/or family at time of admission, pre-admission or discharge to obtain accurate demographic, and financial information; update information on Hospitals computer system to ensure correct billing; register patients for the Laboratory and clinics after hours; provide billing information #J-18808-Ljbffr