- Mass Markets (Las Cruces, NM)
- …Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), ... and operations that extend across multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS)… more
- Molina Healthcare (Roswell, NM)
- JOB DESCRIPTION **Job Summary** Provides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to ... Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains… more
- Mass Markets (Las Cruces, NM)
- …Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), ... POSITION OVERVIEW CUSTOMER SERVICE REPRESENTATIVE SUPPORTING COMMERCIAL AND...for Customer Service Representatives to support inbound customer service, help desk, and back-office processing … more
- Ryder System (Santa Fe, NM)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …reflects patient perspectives. The Director is responsible for medical customer engagement, including the hiring, development, coaching, and strategic deployment ... team, using data to drive continuous improvement in scientific and medical customer engagement, efficiency, and insight collection + Oversee the consistent capture,… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …continuous improvement and compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews and/or other ad ... to customers, patients, employees, and the business. **Patient & Customer Centricity -** Maintain an ongoing focus on the...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Highmark Health (Santa Fe, NM)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing /submission/payment. **Preferred** + Associate degree + Pharmacy technician ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more