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Claims Analyst Jobs in New Mexico

3 jobs

Description Position Purpose: Process pended medical claims, verifying and updating information on submitted claims and reviewing work processes to determine reimbursement eligibility. Ensure payments and/or denials are made in accordance with company practices and procedures. Apply policy and provider contract provisions to determine if claim is payable, if additional information is needed, or ...
Type of Opportunity: Full Time FTE: 1.000000 Exempt: No Work Schedule: Days Shift: 1 Location: US:NM:Albuquerque ANALYST REQUIREMENTS: High School education (G.E.D.) required. One to two years’ experience in medical claims processing or two years working knowledge of Facets claims (inquiry/navigation) or medical billing systems. Requires data entry experience and typing speed of 45 words per...
Type of Opportunity: Full Time FTE: 1.000000 Exempt: No Work Schedule: Days Shift: 1 Location: US:NM:Albuquerque Education: Essential: * High School Diploma or GED Credentials: Summary: Responsible for monitoring all research functions within the Claims Department. This includes researching all written and verbal inquiries from members and providers, handling complaints and acting as a ...