Credentialing & Enrollment Specialist JobotCredentialing & Enrollment SpecialistAlbuquerque, NM$50,000–$60,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The Credentialing & Enrollment Specialist will coordinate provider credentialing, recredentialing, and payer enrollment activities to ensure healthcare providers remain properly credentialed and eligible to provide and bill for services.
Medical Biller JobotMedical BillerAlbuquerque, NM$18–$22 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewREGISTRATION & ELIGIBILITY SPECIALIST University of New Mexico - HospitalsREGISTRATION & ELIGIBILITY SPECIALISTAlbuquerque, NMPosition Summary: Perform pre-registration and registration functions for Ambulatory/Outpatient Operations area assigned; verify insurance coverage eligibility and benefits; verify required referrals and/or prior authorization are in place prior to visit; contact patients for outdated or missing demographics; professional and efficient phone call handling via telephone ACD system in a call center setting; perform as first contact for Persons in Custody of Law Enforcement Agency (PICLEA) as they arrive for care; screen patients for coverage and assist them in navigating their financial options including UNMH or other UNM Health Systems financial assistance, NM Medicaid, or other State and Federal Programs; perform intake applications for State of NM Medicaid; Ensure adherence to Hospitals and departmental policies and procedures. * PRIOR AUTH/INSURANCE - Verify insurance coverage and benefits on patients needing an Auth; provide notification of admission and obtain auth for emergency admits; obtain authorizations for same day surgery, inpatient surgery, direct admits and any other pre scheduled stays or procedures.
Billing Research Specialist-Journal Center, (1456) TriCore Reference LaboratoriesBilling Research Specialist-Journal Center, (1456)Albuquerque, NMESSENTIAL FUNCTIONS: 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. 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.
NewBilling 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- Cash Posting Specialist HME Specialists LLCMedical Billing- Cash Posting SpecialistAlbuquerque, NMRemoteFull timeKnowledge and skills required for the position are:High school diploma or equivalent required; associate degree preferred1–3 years of experience in medical billing or cash postingKnowledge of EOBs, ERAs, CPT/ICD codes preferredExperience with billing software and electronic payment systemsStrong data entry skills with high level of accuracyProficient in Microsoft Office (especially Excel)Excellent organizational and problem-solving skillsJoin us! Key responsibilities include posting insurance and patient payments, applying adjustments and denials per EOBs/ERAs, reconciling daily deposits, and resolving discrepancies in payments.
NewMedical 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.
Utility Billing Specialist AF ($3,000.00 Hiring Incentive) City of Rio RanchoUtility Billing Specialist AF ($3,000.00 Hiring Incentive)Rio Rancho, NM$18.05–$22.56 / hourAbilities: Learn water and wastewater ordinances; Apply accounting principles, practices, and methods; Detect discrepancies in financial and accounting records; Maintain accurate records and prepare reports; Write routine correspondence; Interact in a courteous and professional manner with internal and external customers; Read, comprehend and carry out detailed but routine written or oral instructions; and, Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals and to compute rate, ratio, and percent. Knowledge: Utility billing concepts and processes; Utility customer accounts, meter routes and billing cycles; Software, computer hardware including field computers, and computer processes; Some knowledge of accounting principles, practices, and methods of accounting; Office practices and procedures; and, Some knowledge of laws and statutes concerning accounting procedures.
HUB Billing Coordinator Giving Home Health CareHUB Billing CoordinatorAlbuquerque, New Mexico$19–$20 / hourSince 2012, Giving Home Health Care has been supporting individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy. 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.
NewMedical Billing and Insurance Coding Instructor (64186) International Education CorporationMedical Billing and Insurance Coding Instructor (64186)Albuquerque, NMTo Do What: In this position, you will be responsible for the delivery of quality educational instruction by helping develop the technical and soft skills needed for our students to secure a job in their new career. We're Looking For: Someone with tenacity, passion, discipline and grit to join our team as a Medical Billing and Insurance Coding Instructor at our new campus in Albuquerque, NM!
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.
NewCentral Billing Representative I First Choice Community Health CentersCentral Billing Representative IAlbuquerque, NMfollow-up on all assigned payer type accounts to affect collection of patient and insurance account balances; Review and resolve all EOB's including those without payment to initiate clean claim resubmission and claim reimbursement; Demonstrate ability to edit & submit insurance claims for fee for service and prospective payment system reimbursement; Resolve unapplied cash, errors in cash reconciliation and changes in payment allocation to insurance payer types; Communicate payment terms and establish agreed-upon payment plans for overdue patient and insurance account balances. General knowledge of computerized practice management systems, preferably Cerner PWPM Practice Management System, Cerner Electronic Health Record System and Dentrix Dental billing and E H R; Ability to learn billing and collection system within federally chartered community health centers (CHC) and RHI/UHI programs; Ability to communicate with tact and diplomacy with diverse groups of people including staff, providers, and insurance companies on behalf of the organization.
Senior CABS Billing Analyst Lumos Networks Corp.Senior CABS Billing AnalystAlbuquerque, NM$27.20–$38.46 / hourAbout Segra: Segra owns and operates a wide and dense fiber-optic infrastructure footprint that provides state-of-the-art connectivity, cybersecurity, voice, cloud and colocation solutions, all backed by industry leading service and reliability. Role Overview: Senior Billing Analyst - Carrier Access Billing (CABS) is responsible for the accurate generation, validation, and reconciliation of carrier access billing in accordance with industry tariffs, regulatory guidelines, and interconnect agreements.
CX Revenue Support Representative (Billing) TXNM Energy IncCX Revenue Support Representative (Billing)Albuquerque, NM$49,313–$65,340 / yearESSENTIAL DUTIES AND RESPONSIBILITIES: Processes and determines needed actions for all statewide billing exceptions utilizing a number of exceptions reports: meter reading exceptions, out of cycle exceptions, service order exceptions, other specialized reports such as change data reports, new service report, and read entry report. SCOPE AND IMPACT: Revenue Support performs critical billing functions that directly impact the ability to timely and accurately collect and report millions of dollars in revenue to the general ledger and assuring the company''s financial health in doing so.
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.
A/R, Billing, and Project Setup Manager Applied Research Associates IncA/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.
Medical Coding Auditor - Must have a NM Residence UNM Medical Group IncMedical Coding Auditor - Must have a NM ResidenceAlbuquerque, NMDuties and Responsibilities of a Medical Coding Analyst: Audits 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.