- Mass Markets (NM)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... of a globally expanding, industry-leading organization. We are looking for motivated Remote Call Center Sales Representatives to join our growing team. If you… more
- Molina Healthcare (Albuquerque, NM)
- …highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/medical reviews of previously ... likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge… more
- Molina Healthcare (Rio Rancho, NM)
- …industry (ie, hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care ... Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Mass Markets (NM)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... ranging from electronics to dream vacations and sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical, dental, and vision… more
- Conduent (NM)
- …incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and ... culture where individuality is noticed and valued every day. ** Remote Call Center Representative** Our call center associates are...accrued after 180 days (about 6 months) of employment. Health benefits medical, dental, and vision are available on… more
- Prime Therapeutics (Santa Fe, NM)
- …participates in committee review meetings within the Commercial, Medicare, Medicaid, and Health Insurance Marketplace for the assigned department. This position ... with us. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is responsible...related to, or within Pharmacy Benefit Management (PBM) or health insurance Must be eligible to work… more
- Datavant (Santa Fe, NM)
- …+ Experience in the following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of ... Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the… more
- Molina Healthcare (Santa Fe, NM)
- …portals to validate state, vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + ... Facilitates administrative support, data entry, and accurate maintenance of other insurance records. **Job Duties** + Provides telephone, administrative and data… more
- Cardinal Health (Santa Fe, NM)
- …the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... Hybrid or Remote position Schedule: Monday - Friday, 8:00 AM...from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and… more
- Cardinal Health (Santa Fe, NM)
- …to Cardinal Health_** Account Receivable Specialist is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, ... ** Remote Hours: Monday - Friday, 7:00 AM -...claims using billing software including electronic and paper claim processing + Following up on unpaid claims… more