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Registration & Eligibility Specialist
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$16.11 - $22.28 an hour
- 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.
- PRIOR AUTHORIZATION - Complete pre-screening process for specialty clinic appointments for referral and/or prior auth
- ELIGIBILITY - Determine and process eligibility for financial assistance (Including Medicaid, SCI, UNM Care, Commercial, Medicare, PHS/Indian Health Service, Salud, Self Pay)
- Document final authorization in Cerner and scan all paperwork into Siemens scanning
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