- 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 ... Rep is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid… more
- APTIM (Santa Fe, NM)
- …Xactimate) preferred. + A minimum of five (5) years of combined experience in claims or case processing roles, including customer service, data entry, reviewing, ... **Summary:** The Mid-Level Estimator supports the claims review process by generating accurate cost assessments for disaster-related property damage. This role… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …as the primary technical subject matter expert (SME) for downstream processing (chromatography, TFF/UFDF, viral clearance/filtration, etc.). + Lead and manage the ... sections of regulatory submissions (IND, BLA, MAA, etc.) related to downstream processing . + Collaborate closely with Upstream MSAT, Validation MSAT, QA, Regulatory,… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …+ Serve as the primary technical subject matter expert (SME) for upstream processing (cell culture/fermentation, harvest). + Lead and manage the technical aspects of ... sections of regulatory submissions (IND, BLA, MAA, etc.) related to upstream processing . + Collaborate closely with Downstream MSAT, Validation MSAT, QA, Regulatory,… more
- CVS Health (Santa Fe, NM)
- … or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... support inbound customer service, help desk, technical support, and back-office processing representatives for commercial and public sector support positions. In… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... service representatives to support inbound customer service, help desk, and back-office processing for commercial and public sector support positions. In this role,… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... support inbound customer service, help desk, technical support, and back-office processing representatives for commercial and public sector positions. In this role,… more
- Cognizant (Santa Fe, NM)
- …advanced work related to resolving physician claim denials. + **Accounts Receivables processing ** : getting the payment processed. + **Root Cause Analysis** : ... degree preferred. + **Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. + **Accounts Receivables** : AR follow up on a physician's… 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