- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... effective, timely resolutions. + Use internal systems to manage accounts, process claims , and retrieve information. + Identify opportunities to upsell or upgrade… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... with other teams as needed + Accurately document and process customer claims and interactions + Follow scripts, policies, and procedures while using training… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... other departments to resolve complex inquiries. + Accurately document customer interactions and claims . + Use our knowledge base and training to answer questions and… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... other departments as needed + Accurately document customer interactions and process claims + Engage in solution-focused conversations to identify the best options… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... systems to support customer needs + Accurately document customer interactions and process claims + Guide customers through options to find the best solutions + Use… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... information across systems to support customer needs + Accurately document and process claims and inquiries + Guide customers through options to find the best… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to resolve issues when needed + Accurately document and process customer claims in appropriate systems. + Lead fact-finding discussions to determine the best… more
- Actalent (Albuquerque, NM)
- …requests and communicate determinations. + Collaborate with client teams for special processing projects and claim inquiries. + Assist Contact Center Services ... processes. + Achieve productivity and accuracy standards in prior authorization processing . + Analyze, research, and resolve prior authorization processing … more
- Humana (Santa Fe, NM)
- …to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** **Demonstrated deep ... to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its… more
- Highmark Health (Santa Fe, NM)
- …leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights ... databases (eg, Neo4j, ArangoDB, Amazon Neptune, Ontotext GraphDB), distributed graph processing frameworks (eg, Apache Spark GraphX, Dask-Graph), and leading GML… more