Health Services Assistant: Claims & Care Coordination

0090 Presbyterian System Services; United States; On-site; USD 23,000 - 39,000; Full time

Job summary

Presbyterian Healthcare Services is seeking a Health Services Assistant in Albuquerque to support health services coordination and medical records-related tasks. The role involves processing prior authorizations, coordinating referrals and benefits, and assisting clinical leaders across multiple departments.

The position requires a high school diploma or GED with 1–3 years in a medical or health insurance setting; an associate degree or medical vocational training is preferred.

Qualifications

• High School Diploma or GED required.
• Associates Degree or completion of a medical vocational program preferred.
• One to three years' experience in a medical or health insurance position.

Responsibilities

• Perform prior authorization processing according to established guidelines.
• Screen requests not meeting guidelines and gather/forward additional information as needed.
• Document communications with providers/members and notify approvals or denials.
• Coordinate benefits and coordinate referrals and COB implications.
• Enter data and maintain accurate records across multiple systems.

Skills

Medical experience

Education

High School Diploma or GED

Job description

Presbyterian Healthcare Services is seeking a Health Services Assistant in Albuquerque to support health services coordination and medical records-related tasks. The role involves processing prior authorizations, coordinating referrals and benefits, and assisting clinical leaders across multiple departments.

The position requires a high school diploma or GED with 1–3 years in a medical or health insurance setting; an associate degree or medical vocational training is preferred.