Billing Research Specialist-Journal Center, (1456) TriCore Reference LaboratoriesBilling Research Specialist-Journal Center, (1456)Albuquerque, NM1. Performs billing research functions and problem solving activities utilizing internal computer systems and Internet sites as appropriate by locating missing requisitions, status inquiries for patient/client accounts, calling on problems, verifies insurance and diagnosis information, and resolving discrepancies. 3. Enters billing information into billing system and other Business Office applications for scrubber edits (i.e. Rhodes Fusion Scrubber, Antrim, Fast Orders etc.) as appropriate.
EMS Billing / Administrative Assistant County of SandovalEMS Billing / Administrative AssistantBernalillo, New MexicoOperates a variety of office equipment including copiers, facsimile machine, scanners, and computer; utilizes various computer applications and software packages; enters data; maintains and generates reports from a database or network systems; inputs, maintains, and utilizes data to develop reports using spreadsheet software; creates, formats, and revises charts, graphs, flowcharts, worksheets, booklets, brochures, and forms using word processing, desktop publishing, and other computer applications; monitors and updates inventory, budget, payroll, and account records for department or program; creates requisitions for purchases, monitors expenditures and performs routine analysis on accounts; orders equipment and supplies; assists with the coordination of personnel processes for the department/program; and organizes and maintains storage and filing. Provides support to the department management and others as assigned; serves on a variety of committees as assigned; attends and participates in professional group meetings; maintains awareness of new trends and developments in the fields related to area of assignment; incorporates new developments as appropriate; ensures processes, policies and practices are interpreted and applied consistently and effectively; ensures accountability and compliance with all current and applicable state and federal laws, County policies and procedures, rules and regulations.
Billing Specialist Parnall LawBilling SpecialistAlbuquerque, New MexicoThe mission of the Billing Specialist is to ensure all providers submit their bills to health insurance or automobile (MedPay) insurance in a timely manner and further ensures the proper insurance carriers pay the provider bills in a timely manner, maximizing the net recovery for the client. We're hiring a skilled and detail-oriented Billing Specialist to play a key role in ensuring providers submit bills accurately, insurance carriers pay promptly, and clients receive every dollar they're owed as quickly as possible.
Medical Billing Specialist Southwest Womens Oncology/OptimumMedical Billing SpecialistAlbuquerque, NMFull timeYou will be a critical link between clinical care and financial performance, partnering with:Clinical and front office teams to ensure clean claims from point of serviceThird-party payers, government programs, and managed care plansThe Patient Financial Advocate to support patient-facing financial resolutionLeadership to identify trends, resolve systemic issues, and optimize revenue cycle performanceYour accuracy, follow-through, and ownership will directly shape the financial health of the practice-and the experience of every patient whose account crosses your desk. Optimum Human and Optimum Infusion extend that mission into performance medicine, infusion services, longevity, recovery, hormone optimization, medical weight loss, peptide therapies, hyperbaric medicine, aesthetics, and human performance.
Billing Coordinator Giving Home Health CareBilling CoordinatorAlbuquerque, New MexicoThe Billing Coordinator works closely with Care Team members, Home Health Aides, Nurses, and multiple internal departments to obtain complete documentation, resolve discrepancies, and help maintain compliance with payer and organizational requirements. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
Entry Level Medical Billing Assistant Revel StaffingEntry Level Medical Billing AssistantAlbuquerque, New MexicoThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Operations Support Specialist - Service Coordinator/Billing VIP StaffingOperations Support Specialist - Service Coordinator/BillingAlbuquerque, New Mexico$20–$22Position Summary- As a Service Coordinator/Dispatch & Billing you will: VIP Staffing is currently recruiting for two experienced Operations Support Specialist, who will support branch operations by coordinating service dispatch, managing work order workflows, supporting technicians, and overseeing billing processes. This role plays a critical part in ensuring service efficiency, accurate documentation, and timely invoicing while maintaining strong communication with technicians, service managers, and customers.
Central Billing Representative II First Choice Community HealthcareCentral Billing Representative IIAlbuquerque, NMParticipate in billing Helpdesk customer support, by receiving, responding and documenting all incoming account inquiries including electronic, telephone and written correspondence related to billing issues. Follow up on claims denials, make appropriate corrections, obtain approvals and resubmit claims denials for payment; appeal denials through the payer required appeals process.
A/R, Billing, And Project Setup Manager Applied Research Associates, Inc.A/R, Billing, And Project Setup ManagerAlbuquerque, NMRemoteARA's Corporate Accounting Department seeks a passionate A/R, Billing, and Setup Manager with strong leadership skills and extensive government contracting billing and project setup knowledge. We are committed to exceptional customer service and delivering accurate and timely project setup, billing, collection services, project closeout, and audit support.
Medical Coding Auditor - Must have a NM Residence UNM Medical Group, Inc.Medical Coding Auditor - Must have a NM ResidenceAlbuquerque, NMAudits medical record documentation to identify undercoded and overcoded services, prepares reports and observations and meets with providers, support staff and coding personnel to provide education and training on accurate documentation and coding practices in compliance with regulatory requirements. Assists management in the review of external payer requests including but not limited to third party payers, Medicare Advantage plans, and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
BUSINESS MANAGER The GEO GroupBUSINESS MANAGERLos Lunas, New MexicoFull timeBachelor’s degree in business related field such as Business, Finance, or Accounting required and a minimum of five (5) years of work experience in a finance-related role required with budget preparation/control or administration of government contracts preferred, or an equivalent combination of work experience and education. From the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes.
Prior Authorization Specialist Southwest Womens Oncology/OptimumPrior Authorization SpecialistAlbuquerque, NMFull timeYou will work closely with:Providers and clinical staff on order review, documentation completeness, and peer-to-peer coordinationNurses and infusion schedulers to ensure authorizations are secured prior to every treatment appointmentSurgery schedulers on surgical authorization timelines and operative plan documentationPharmacy on specialty medication authorization and oral oncology coordinationBilling and coding staff to ensure authorized services align with CPT, HCPCS, and ICD-10 requirementsYour accuracy, urgency, and follow-through directly determine whether patients get to their care on time. The OpportunityThe Prior Authorization Specialist is responsible for obtaining timely insurance authorizations for clinic-based services-including infusion therapies such as chemotherapy, immunotherapy, and biologics; surgical procedures; and oral and specialty medications-ensuring patients receive medically necessary care without delays.
NewPatient Experience Specialist ALLEVIO CARE, LLCPatient Experience SpecialistALBUQUERQUE, NMCollect copays and other fees and perform proper money handling tasks (Total daily deposits, make copies of receipts, fill out daily deposit log). Proven initiative and a proactive mindset— you're someone who takes ownership, problem solves, works with a sense of urgency and drives projects forward.
Patient Accounting Specialist Eye Associates of New MexicoPatient Accounting SpecialistAlbuquerque, NMJoin EANM as a fulltime, Patient Accounting Specialist , responsible for supporting our revenue cycle and patient billing operations while also assisting with contact lens and other order processing. If you have a passion for solving billing challenges, delivering great service, and contributing to quality patient care behind the scenes, this role is for you!
Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistAlbuquerque, New MexicoJob Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
RCM Specialist / Medical Biller (Hybrid) Workit HealthRCM Specialist / Medical Biller (Hybrid)Albuquerque, New YorkRemoteWorkit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions.
Pharmacy Benefits Verification Specialist Onco360Pharmacy Benefits Verification SpecialistAlbuquerque, New MexicoSkills/Knowledge: Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. Pharmacy Benefit Verification Summary The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs.
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistAlbuquerque, New MexicoSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Sr. Patient Access Specialist Ensemble Health PartnersSr. Patient Access SpecialistAlbuquerque, New MexicoReviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information. Essential Job Functions: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey.
Front Desk Receptionist Southwest Womens Oncology/OptimumFront Desk ReceptionistAlbuquerque, NMFull timeYou will work closely with:Clinical providers and medical staff to ensure seamless patient flow and appointment coordinationThe concierge and wellness teams on member check-in and service coordinationBilling and administrative staff on insurance verification, payment processing, and patient inquiriesYou bring warmth, professionalism, and the organizational precision to keep everything moving-because patients and clients notice every detail of how they are treated. The OpportunityThe Front Desk Receptionist owns the patient and client experience at the point of arrival-managing check-in, scheduling, communications, billing support, and the day-to-day administrative operations that keep the front office running smoothly across a busy, multi-service medical practice.