- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life, ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life, ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Evolent (Santa Fe, NM)
- …of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable ... to analyze source & target integrity across various databases supporting transaction processing based on the end-to-end data flow + create & maintain queries… more
- CVS Health (Santa Fe, NM)
- …benefit review, interpretation, and systematic setup, essential for online viewing and processing , related to customer service, claims , enrollment, billing, and ... stakeholders on complex benefit administration. Advises on options to minimize manual processing and disruption for the clients. + Uses business knowledge and… 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
- 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
- Evolent (Santa Fe, NM)
- …customer accounts + Strong knowledge of health plan operations, care/utilization management, claims processing , value-based care, and the levers to optimize ... Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations, Medical , Quality, and Call Center Teams) to identify new… more
- CDM Smith (Albuquerque, NM)
- …CDM Smith has been supporting FEMA for two years in developing policy, procedures, and processing claims in support of the Hermit's Peak Calf/Canyon fire. We are ... looking for additional staff to process claims with a focus on high quality output. Staff must be quick learners with excellent computer skills. Successful final… more
- Humana (Santa Fe, NM)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more