Prior Authorization Specialist New Mexico Heart Institute Full Time Days

Prior Authorization Specialist New Mexico Heart Institute Full Time Days job in ,

Shift: Day
Schedule: Full - Time Regular

Prior Authorization Specialist, New Mexico Heart Institute, Full-Time job, Days, Albuquerque, NM

  We are looking for a Prior Authorization Specialist to join our Team in Albuquerque, NM.
  This full-time job is located at New Mexico Heart Institute, the largest private cardiology practice in the state serving patients in 25 different New Mexican communities, with care delivered in Albuquerque and Santa Fe. NMHI practices state-of-the-art medicine by employing the latest cardiovascular imaging and fully integrated interventional, cardio-thoracic, and vascular surgical approaches. The Institute’s services, a number of which are conducted in conjunction with the Heart Hospital of New Mexico, located next door, address a full-range of preventive, diagnostic, treatment, surgical, and rehabilitation needs.

  Prior Authorization Specialist Job Responsibilities:

  • Provides telephone triage, data entry and assistance to the department in order to ensure quality customer service and exceptional quality management; receives, screens, manages, resolves and/or transfers calls; assists callers with questions and concerns. 
  • Meets departmental goals for authorization entry accuracy. Enters authorization and recertification requests with accuracy to include: eligibility, provider status and benefit interpretations.

Prior Authorization Specialist Education and Experience Requirements:

  • High School Diploma or GED equivalent, Certified Medical Assistant Certification preferred
     
  •   Two (2) yrs experience in direct patient care at a medical office or facility, Five ( 5) yrs experience in direct patient care at a medical office or facility and/or 2-5 yrs with a managed care organization
     
  • Knowledge of Medical Terminology
     
  •   Computer training (Word/Excel), Medical Terminology, working knowledge of CPT, HCPC, ICD-9 codes, and ACD telephone system
  • Ability to type and enter data efficiently and accurately.  
  • Ability to work independently.  
  • Ability to communicate effectively, maintain confidentiality
  • Knowledge of office procedures
  •   Basic computer and typing skills

  Lovelace is a drug-free employer with smoke free campuses.

 
  ID: 5240
 
 

Department / Location

Clinic
Lovelace Medical Center -