- Highmark Health (Santa Fe, NM)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding,… more
- Walgreens (Rio Rancho, NM)
- …to pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and ... prevent payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and… more
- Humana (Santa Fe, NM)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Walmart (Las Cruces, NM)
- …types programs and benefits to current and prospective members processing memberships upgrades and credit accounts encouraging membership renewals participating ... up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink… more
- Cognizant (Santa Fe, NM)
- …following benefits for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + ... team is responsible for 24x7x365 monitoring of all IBM i LPARS, along with processing all backups. This role will also involve monitoring the IBM i RxClaim health,… more
- Fluor (Las Cruces, NM)
- …productivity, schedule adherence, subcontract change management, invoicing and claims avoidance * Perform closeout of subcontracts, finalize outstanding ... and software skills to include the use of word processing and email as well as the intermediate use...employee health, wellness, and financial security. Our offerings include medical , dental and vision plans, EAP, disability coverage, life… more
- Walmart (Santa Fe, NM)
- …federal laws and Company policies and procedures by assisting with processing prescription and/or over-the-counter (OTC) orders and purchases, stocking and securing ... in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise/supplies,… more