- Cardinal Health (Santa Fe, NM)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will...- $22.57 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs… more
- Baylor Scott & White Health (Santa Fe, NM)
- …appropriate statistical trend analysis. + Performs root cause analysis of claims /encounters processing and submission issues; develops recommendations based on ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Cardinal Health (Santa Fe, NM)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...- $32 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs… more
- CVS Health (Santa Fe, NM)
- …every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a ... At CVS Health , we're building a world of health...problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing… more
- Health Care Service Corporation (Albuquerque, NM)
- …**Job Summary** Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination ... * Clear and concise written and verbal communication skills. * Experience processing medical claims . **Preferred Job Qualifications:** * Referral preference… more
- Highmark Health (Santa Fe, NM)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Are you an architect of interconnected data, driven by the belief that relationships hold the key ... network of patient journeys, disease progressions, and treatment efficacy? Highmark Health is seeking a groundbreaking Lead Data Scientist, Research & Development,… more
- Highmark Health (Santa Fe, NM)
- …in projects and activities that impact the Sales and Operations and claims finance business unit functions. HNAS ( Health Now Administrative Services) ... Experience in a range of operational settings in the health insurance industry (eg, customer service, claims ,...and be able to multi task with daily work processing deadlines + High energy level and ability to… more
- Mass Markets (NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... of a globally expanding, industry-leading organization. We are seeking aSpanish-speaking Licensed Health Insurance Agent. As a key member of our team, you will… more
- Cardinal Health (Santa Fe, NM)
- …Understand electronic claim interchange and the life cycle of primary and secondary claims . + Contribute to team efforts by accomplishing related results as needed. ... + Ensure that all processing and reporting deadlines are consistently achieved. + Oversee...range:** $21.00 - $21.20 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs… more
- CVS Health (Santa Fe, NM)
- …orientation and attention to detail. **Preferred Qualifications** + Background in healthcare or claims processing experience. + Experience with Aetna claims ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more