Qureos Mentor

UNM Hospital

UNM Hospital is New Mexico's only Academic Medical Center and serves as a teaching hospital and Level 1 Trauma Center. It provides impactful career opportunities for healthcare professionals and treats over 90,000 emergency patients annually, serving more than 450,000 outpatients each year. The hospital is recognized for its pediatric subspecialties and operates various clinics throughout Albuquerque. With a commitment to community-responsive and culturally competent care, UNM Hospital aims to improve health outcomes in New Mexico through education and clinical research.

<div>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: Operating Room - CCT 
FTE: 1.00 
Full Time 
Shift: Days 
Position Summary: 
Responsible for the coordination of appointments and support services for departments/physicians. Interface with insurance companies and other payors on prior authorization and referral requests, abstract charts and assign CPT, ICD and HCPCS codes for purposes of obtaining prior authorization. Assist billing personnel with preparation of denials and submitting appeals for payment. Assist in resolving patient problems, concerns and complaints; serve as patient advocate and liaison, interface with patients, families, staff and department/physicians. Serve as a role model to promote organizational values, a positive work environment and efficient, quality patient care. Ensure adherence to Hospitals and department policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.<div> 
Detailed responsibilities: 
<ul><li>PATIENT CARE - Assist patients in locating departments; schedule and coordinate patient appointments; refer patients and families to appropriate services and resources</li><li>PRIOR AUTHORIZATION - Complete pre-screening process for specialty clinic appointments for referral and/or prior auth</li><li>PRIOR AUTHORIZATION - Verify coverage eligibility on patients needing prior authorization</li><li>CODING - Abstract chart information and assign CPT, ICD, and HCPCS codes for purpose of predetermination or prior authorization</li><li>LIAISON - Perform as liaison between clinic staff, providers, and the insurance company or other payors to coordinate financial benefits/ coverage and prior authorizations</li><li>DOCUMENTATION - Complete and fax paperwork and pertinent medical documentation to insurance companies and other payors for approval; document final prior authorization in financial systems</li><li>FINANCIAL ASSISTANCE - Refer self-pay patients for financial assistance; make financial assistance appointments</li><li>COORDINATION - Coordinate with hospital and clinic surgical representatives, providers, and other applicable areas for day surgery prior authorization and/or financial coverage or assistance</li><li>TRAINING - Perform outreach/training with clinical areas to ensure process flow remains tight and to maintain open communication</li><li>DENIALS - Track and investigate payment denials due to &quot;no authorization&quot;; report detail information to supervisors and work with billing office representatives to coordinate appeal efforts</li><li>CUSTOMER SERVICE - Identify Primary Care Physicians for all patients and communicate with the PCP as necessary; take messages for department personnel</li><li>CUSTOMER SERVICE - Acquire prior patient records, patient billing, referral information and lab results</li><li>CUSTOMER SERVICE - Assist referring providers in resolving problems, locate UNM physicians and forward documents</li><li>PATIENT CARE - May assist clinical staff with routine non-invasive patient treatment procedures and initial screenings</li><li>LEAD - May exercise functional and technical lead over lower level staff</li><li>PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols</li><li>PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes</li><li>PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk</li><li>PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner</li><li>PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may &quot;not seem right&quot;</li><li>PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable</li></ul></div><h4 class="jobSectionHeader"> 
Qualifications</h4><div> 
Education: 
Essential: 
<ul><li>High School or GED Equivalent</li></ul>
Nonessential: 
<ul><li>Course</li></ul>
Education specialization: 
Nonessential: 
<ul><li>Medical Terminology Course w/in Six Months of Position</li></ul></div> 
Experience: 
Essential: 
2 years directly related experience 
 
Nonessential: 
Bilingual English, Spanish, Keres, Tewa, Tiwa, Towa, Zuni, or Navajo<div> 
Credentials: 
Essential: 
<ul><li>Not Applicable/Not Required</li></ul></div> 
Physical Conditions: 
Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.<div> 
Working conditions: 
Essential: 
<ul><li>No or min hazard, physical risk, office environment
</li><li>Tuberculosis testing is completed upon hire and additionally as required</li></ul></div></div>

PATIENT CARE COORDINATOR

<div>Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials
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: Patient Transport 
FTE: 1.00 
Full Time 
Shift: Rotating 
Position Summary: 
Responsible for providing safe, timely patient transportation and additional non-patient pick-up and delivery service in assigned areas. Cross-train and function as the departmental dispatcher as requested. Act as a role model to promote a positive work environment so that quality patient service and constructive staff attitudes are facilitated. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include Neonate, pediatric, adolescent, adult and geriatric age groups.<div> 
Detailed responsibilities: 
<ul><li>PATIENT TRANSPORT - Transport patients to and from requesting areas; ensure adherence to all safety measures</li><li>PROCEDURES - Ensure timely completion of tasks according to departmental policies and procedures</li><li>PATIENT CARE - Obtain essential information from Nurse regarding patient condition</li><li>COMMUNICATION - Communicate with patients to inform of reason for transport and to promote learning</li><li>COMMUNICATION - Communicate with staff to assure that patient is ready for transport</li><li>PATIENT CARE - Maintain unit sign-in/sign-out sheets</li><li>POLICIES - Comply with work environment routines according to hospital, nursing division and departmental policies and procedures</li><li>EQUIPMENT - Safely and appropriately maintain and utilize equipment</li><li>TELEPHONE AND PAGER - Use telephone and pager system</li><li>TRAINING - Act as role model and precept the training, education and orientation of new staff as assigned</li><li>PATIENT CARE - Cooperate in resolving conflict with those involved in a constructive manner</li><li>PATIENT CARE - Maintain and enhance positive patient and staff interactions</li><li>PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols</li><li>PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes</li><li>PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk</li><li>PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner</li><li>PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may &quot;not seem right&quot;</li></ul></div><h4 class="jobSectionHeader"> 
Qualifications</h4>
Related Education and Experience may be substituted for one another on a year for year basis.<div> 
Education: 
Essential: 
<ul><li>High School or GED Equivalent</li></ul></div> 
Experience: 
Essential: 
 
Nonessential: 
Bilingual English/American Sign Language 1/2 year (6 months) directly related experience Nurse aide or patient transporter experience<div> 
Credentials: 
Essential: 
<ul><li>CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days</li></ul></div> 
Physical Conditions: 
Heavy Work: Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects or people. Physical Demand requirements are in excess of those for Medium Work.<div> 
Working conditions: 
Essential: 
<ul><li>Minor Hazard - physical risks, dirt, dust, fumes, noise
</li><li>Tuberculosis testing is completed upon hire and additionally as required</li></ul></div></div>

PATIENT TRANSPORTER

<div>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: Surgical Specialty Unit (4-S) 
FTE: 0.05 
PRN 
Shift: Days 
Position Summary: 
Provide direct, non-invasive, and routine patient care and related support services within an in-patient or out-patient environment. Interview patients and take vital signs. Perform activities of daily living (ADLs). Maintain supplies and equipment. Delivers dirty instrument trays. Transport patients. Assist orientation of new staff members. Position patients unable to do self- care. Assist patients with prescribed exercise regimen; perform routine tube care; change catheter bags; collect non sterile specimens; perform oral suctioning; perform I&amp;O including documentation of bowel &amp; bladder function. Observe patients. Operate Hoyer lift; perform daily heights and weights. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include Neonate, Pediatric, Adolescent, Adult and Geriatric age groups.<div> 
Detailed responsibilities: 
<ul><li>PATIENT OBSERVATION - Observe patient to ensure their safety and well being; report observations to Charge Nurse or appropriate designee</li><li>PATIENT CARE - Provide basic patient care; take and record vital signs to include temperature, pulse, respiration, weight, height, blood pressure and intake-output measurements</li><li>PATIENT CARE - Assist with activities of daily living (ADL): meals, ambulation, hygiene, linen change and toileting as instructed</li><li>PATIENT CARE - Maintain therapeutic plan of care and minute to minute care of patient who is at extreme risk to self or others</li><li>PATIENT CARE - Complete documentation as required on the Electronic Medical Record</li><li>PATIENT CARE - Complete specific skills listed in the &quot;University of New Mexico, Unlicensed Assistive Personnel Specific Functions&quot; Matrix</li><li>DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops</li><li>PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols</li><li>PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes</li><li>PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk</li><li>PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner</li><li>PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may &quot;not seem right&quot;</li></ul></div><h4 class="jobSectionHeader"> 
Qualifications</h4><div> 
Education: 
Essential: 
<ul><li>High School or GED Equivalent</li><li>Certificate</li></ul>
Education specialization: 
Essential: 
<ul><li>CNA or Cert EMTB (ICU &amp; ED) or 1 semester accredit nurs pgm</li></ul></div> 
Experience: 
Essential: 
 
Nonessential: 
Bilingual English, Spanish, Keres, Tewa, Tiwa, Towa, Zuni, or Navajo 6 months patient care experience<div> 
Credentials: 
Essential: 
<ul><li>CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days</li></ul></div> 
Physical Conditions: 
Heavy Work: Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects or people. Physical Demand requirements are in excess of those for Medium Work.<div> 
Working conditions: 
Essential: 
<ul><li>Sig Hazard: Chemicals, Bio Hazardous Materials req PPE
</li><li>Limited access to med room. Med Admin Policy, Att A
</li><li>Tuberculosis testing is completed upon hire and additionally as required</li></ul></div></div>

PATIENT CARE TECH

<div>Pelvic Floor Physical Therapy position working in an outpatient clinic in close collaboration with Uro-gynecology providers. Services are primarily focused on Women&rsquo;s Health / Pelvic Floor issues however also serve men with pelvic floor pain and dysfunction. UNMH is New Mexico&rsquo;s only Level 1 trauma center and the state&rsquo;s premier teaching hospital. Members of the Women&rsquo;s Health P.T. team often collaborate with the providers to present continuing education programs and frequently participate in Uro-gynecology fellows&rsquo; interviews and research. Educational opportunities abound. Many of our therapists also teach in the UNM Physical Therapy program. Experience preferred however, new grads are welcome and, if selected, will be supported with a strong mentorship program.
Sign-On Bonus Available
Relocation Assistance Available
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials
Minimum Offer
$ 40.04/hr.
Maximum Offer
$ 56.28/hr.
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: WHC Physical Therapy 
FTE: 0.75 
Full Time 
Shift: Days 
Position Summary: 
Organize and deliver medically-prescribed physical therapy to restore function and prevent disability following disease, injury or loss of a body part. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include Neonate, Pediatric, Adolescent, Adult, and Geriatric age groups.<div> 
Detailed responsibilities: 
<ul><li>THERAPY - Evaluate patient to determine treatment goals; outline delivery of therapy according to assessed needs; plan therapy program involving physical means to include exercise, massage, heat, sound, water, light, and electricity</li><li>EVALUATION - Apply methodology for evaluation of functional ability</li><li>CONSULTATION - Consult with medical staff on patient care</li><li>EDUCATION - Educate patient in use of specialized equipment, posture control, and therapeutic procedures</li><li>INSTRUCTION - Instruct caregivers on prescribed physical therapy regimen; instruct patients and caregivers on home and personal safety in various environments</li><li>THERAPY - Adapt therapy techniques to meet patient needs</li><li>TRAINING - Conduct training for medical, nursing and ancillary personnel in therapy techniques and objectives; provide clinical direction through mentoring, planning and implementing staff in-service training</li><li>SUPERVISION - Supervise and instruct Physical Therapy students and volunteers as delegated; delegate patient treatment responsibilities to ancillary staff as appropriate</li><li>DOCUMENTATION - Document all patient care activities; process patient billing</li><li>MODIFICATIONS - Assess home environment for modifications; make recommendations on modifications needed to maximize daily living activities</li><li>SUPPLIES &amp; EQUIPMENT - Order supplies and equipment</li><li>INSURANCE - Complete insurance documentation as required</li><li>CUSTOMER RELATIONS - Establish and maintain good rapport and effective working relationships with patients, visitors, physicians and Hospitals employees</li><li>DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops</li><li>PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols</li><li>PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes</li><li>PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk</li><li>PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner</li><li>PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may &quot;not seem right&quot;</li></ul></div><h4 class="jobSectionHeader"> 
Qualifications</h4><div> 
Education: 
Essential: 
<ul><li>Bachelor's Degree</li></ul>
Education specialization: 
Essential: 
<ul><li>Related Discipline</li></ul></div> 
Experience: 
Essential: 
 
Nonessential: 
Bilingual English, Spanish, Keres, Tewa, Tiwa, Towa, Zuni, or Navajo 1 year directly related experience<div> 
Credentials: 
Essential: 
<ul><li>CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days</li><li>NM Physical Therapist License or Temporary License</li></ul></div> 
Physical Conditions: 
Heavy Work: Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects or people. Physical Demand requirements are in excess of those for Medium Work.<div> 
Working conditions: 
Essential: 
<ul><li>Med Haz: Mod exposure to chemicals/dangerous equip/materials</li><li>Tuberculosis testing is completed upon hire and additionally as required</li></ul></div></div>

PHYSICAL THERAPIST OUTPATIENT

<div>Minimum Offer
$ 16.99/hr.
Maximum Offer
$ 24.79/hr.
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: Patient Financial Services - UH 
FTE: 1.00 
Full Time 
Shift: Days 
Position Summary: 
Responsible for all patient accounts receivable functions as assigned. Reconcile, research, correct and submit third party claims and resubmit errors or denied claims. Communicate with insurance companies and government payers to resolve claim issues and ensure payment. Research and correct ICD 9, CPT coding, modifiers, revenue coding, occurrence codes and value codes as appropriate. Collaborate with the Income Support Division and the Medical Assistance Division in regards to eligibility for Medicaid. Interview and approve patients for UNMH charity programs. Provide customer service to patients by researching billing issues with various departments and resolving the issues. Reconcile remittance advices and patient accounts and resolve discrepancies. Ensure adherence to Hospital sand departmental policies and procedures. No patient care assignment.<div> 
Detailed responsibilities: 
<ul><li>CLAIMS - Reconcile, review, research, coordinate and justify changes to claim forms and submit completed claim forms to third party payers</li><li>CLAIMS - Reconcile and review remittances; research as necessary to determine proper accounts; research and obtain correct information; complete remittance process</li><li>DENIALS - Follow up on claims denials; contact appropriate party to research, coordinate and justify needed information; make appropriate corrections, obtain approvals and resubmit claims denials for payments; appeal denials through the payer required appeals process
</li><li>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</li><li>COLLECTIONS - Follow up on the collection of patient accounts, contact appropriate party (third party payers, other hospitals, patients) to obtain needed information; make appropriate corrections; obtain approvals and resubmit claim for payment</li><li>CLAIMS - Research unpaid claims; contact patients to obtain necessary information to assist with claims process; secure payments or negotiate payment plans</li><li>CASH - Reconcile and complete cash reconciliation reports; balance and post payments, contractual allowances, and denials</li><li>CREDIT - Research, resolve and reconcile credit balances to include processing the refund request or take back with a payer</li><li>COORDINATION - Work with various University Hospital departments to obtain additional information regarding services rendered to include correct coding and documentation</li><li>TRAINING - Perform training with registration and admitting personnel to assure proper registration and knowledge of business practices to include financial assistance programs</li><li>COMMUNICATION - Handle patient inquiries, complaints and customer service issues by phone, in person or via the email; research and resolve the issue
</li><li>DATA - Perform data entry and research using various hospital system programs</li><li>PATIENT ACCOUNTING - Maintain current knowledge of regulations for Third Party Payers, Medicare, Medicaid and knowledge of claims coding and formats</li><li>DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops</li><li>CUSTOMER RELATIONS - Establish and maintain good rapport and effective working relationships with patients, visitors, physicians and Hospitals employees</li></ul></div><h4 class="jobSectionHeader"> 
Qualifications</h4>
Related Education and Experience may be substituted for one another on a year for year basis.<div> 
Education: 
Essential: 
<ul><li>High School or GED Equivalent</li></ul></div> 
Experience: 
Essential: 
2 years directly related experience 
 
Nonessential: 
Bilingual English, Spanish, Keres, Tewa, Tiwa, Towa, Zuni, Va\ietnamese, or Navajo<div> 
Credentials: 
Essential: 
<ul><li>Not Applicable/Not Required</li></ul></div> 
Physical Conditions: 
Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.<div> 
Working conditions: 
Essential: 
<ul><li>No or min hazard, physical risk, office environment
</li><li>Tuberculosis testing is completed upon hire and additionally as required</li></ul></div></div>

PATIENT SERVICES REPRESENTATIVE