- Humana (Santa Fe, NM)
- …+ Minimum 1 year of experience medical claims payment and processing in a medical claim 's environment + Experience creating pivot tables ... health care industries or related adjacent industries **Additional Information** **Work-At- Home Requirements:** + WAH requirements: Must have the ability to… more
- Humana (Santa Fe, NM)
- …+ Grievance and appeals experience + Prior experience interpreting Member Benefits and Medical Claims + Previous experience processing medical ... speak English and Spanish + Prior experience with Medicare + Experience with the Claims Administration System (CAS) + Knowledge of medical terminology + Ability… more
- Humana (Santa Fe, NM)
- …skills to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...analyzing and researching medical claims + Proficient in Microsoft Office… more
- Humana (Santa Fe, NM)
- …**Use your skills to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- Mass Markets (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 + Utilize knowledge base and training to accurately… 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
- Mass Markets (NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts,...support in a contact center environment + Work at home experience + State or Federal work experience COMPENSATION… more
- Mass Markets (NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and...are not allowed for accessing the client's Work at Home systems. + You must provide your own headset.… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts,...support in a contact center environment + Work at home experience + State or Federal work experience COMPENSATION… 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