- GAP Solutions Inc (Santa Fe, NM)
- …into various personnel record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative ... of HR topics including but not limited to staffing, classification, processing , benefits, recruitment, compensation, SES programs, work life programs, policy and… more
- Humana (Santa Fe, NM)
- …team at Humana is essential in delivering core services through effective claims processing and management solutions. This position involves coding software ... part of our caring community and help us put health first** **Requires a strong foundation in COBOL mainframe...offers a variety of benefits to promote the best health and well-being of our employees and their families.… more
- Lumen (Santa Fe, NM)
- …Utilize Vector Databases and Knowledge Graphs to enhance AI applications in underwriting, claims processing , and customer engagement + Develop data pipelines for ... and automation of complex decision-making processes + Apply natural language processing (NLP) techniques to analyze and extract insights from unstructured data… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Representatives to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions. In… more
- Mass Markets (NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... completion of assigned projects, event/meeting planning, filing, mail handling, and processing of letters/correspondence + Organize meetings summits from start to… more
- Mass Markets (NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... + Identifying and resolving payment discrepancies during daily reconciliations. + Processing daily payment returns and keying payments efficiently. + Ensuring the… more
- UIC Government Services and the Bowhead Family of Companies (Chaparral, NM)
- …is full-time, benefits eligible at an hourly rate of $21.12 plus $5.09 H&W ( Health and Welfare) rate per local wage determination. The location is in Chaparral, NM. ... required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be… more
- GovCIO (Santa Fe, NM)
- …Healthcare Claims X.12 Transaction (837, 835, 277, etc.), Healthcare Claims and Payment Processing knowledge, Healthcare Eligibility Verification knowledge + ... their personal and professional well-being, beyond the standard company offered health benefits, including: + Employee Assistance Program (EAP) + Corporate Discounts… more
- Molina Healthcare (NM)
- …applicants. * Completes data corrections in the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems ... ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This position… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... client account managers to ensure adherence to corporate policies and procedures and the health of the account. Key Responsibilities: + Lead and mentor a team of… more
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