Claims Specialist I - Journal Center, (1536) TriCore Reference LaboratoriesClaims Specialist I - Journal Center, (1536)Albuquerque, NMESSENTIAL FUNCTIONS: Collects outstanding accounts receivables on patient accounts from patient, commercial, nongovernment, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration. Responsibilities include routine follow-up on accounts, working the No activity and Unresolved accessions Report for contracted and non-contracted insurances, analyzing aged AR in assigned EP searches working in XIFIN.
Claims Specialist-Journal Center, (783) TriCore Reference LaboratoriesClaims Specialist-Journal Center, (783)Albuquerque, NMResponsibilities include routine follow-up on accounts, working the Rejection Report for contracted insurances, analyzing aged trial balance report for assigned charge to's, working the Antrim, Rhodes reports and miscellaneous accounts receivable reports. ESSENTIAL FUNCTIONS: Collects outstanding accounts receivables on patient accounts from patient, commercial, non-government, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration.
Claims Specialist- Journal Center, (784) TriCore Reference LaboratoriesClaims Specialist- Journal Center, (784)Albuquerque, NMResponsibilities include routine follow-up on accounts, working the Rejection Report for contracted insurances, analyzing aged trial balance report for assigned charge to's, working the Antrim, Rhodes reports and miscellaneous accounts receivable reports. ESSENTIAL FUNCTIONS: Collects outstanding accounts receivables on patient accounts from patient, commercial, non-government, contracted insurances or government payors via phone call to the patient or insurance company or by means of written appeal or reconsideration.
Senior Workers Compensation Claims Adjuster - NM GallagherSenior Workers Compensation Claims Adjuster - NMAlbuquerque, New MexicoRemoteFull timeHow you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
Senior Workers Compensation Claims Adjuster GallagherSenior Workers Compensation Claims AdjusterAlbuquerque, New MexicoRemoteFull timeAbout you : Ideal candidates for this position will have: • Claims Background: A minimum of 3-5 years experience handling lost time/indemnity claims and have extensive experience with litigated files • Jurisdictional Experience: NM • Active Adjusters' licenses : NM As a key member of our experienced Claims Adjuster team, you will: How you'll make an impact : • Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
Independent Insurance Claims Adjuster in Rio Rancho, New Mexico MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Rio Rancho, New MexicoRio Rancho, New MexicoHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Belen, New Mexico MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Belen, New MexicoBelen, New MexicoHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Los Lunas, New Mexico MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Los Lunas, New MexicoLos Lunas, New MexicoHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Workers Compensation Claims Supervisor - NM GallagherWorkers Compensation Claims Supervisor - NMAlbuquerque, New MexicoRemoteFull timeHow you'll make an impact : Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service. Prioritize and Develop: Effectively manage multiple competing priorities, identify coaching opportunities, and position team members for successful development.
NewSenior Casualty Claims Specialist - Pacific or Mountain Time Zone Liberty Mutual Holding Company IncSenior Casualty Claims Specialist - Pacific or Mountain Time ZoneAlbuquerque, NMRemoteThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Independent Insurance Claims Adjuster in Rio Rancho, New Mexico MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Rio Rancho, New MexicoRio Rancho, NMWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Los Lunas, New Mexico MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Los Lunas, New MexicoLos Lunas, NMWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Albuquerque, New Mexico MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Albuquerque, New MexicoAlbuquerque, NMWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Belen, New Mexico MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Belen, New MexicoBelen, NMWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Multi-Line Claim Specialist, Senior CCMSIMulti-Line Claim Specialist, SeniorAlbuquerque, New Mexico$75,000–$95,000 / yearAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. Experience handling claims for public entities , such as school districts, municipalities, state or local government agencies, cities, or counties , is highly preferred and will contribute to success in this role.
NewMedical Only Claim Representative I CCMSIMedical Only Claim Representative IAlbuquerque, New MexicoAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem‑solving, and an unwavering commitment to their success. As the largest privately‑owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.
Disability Case Manager TELUS CorpDisability Case ManagerAlbuquerque, NMRemoteOur Absence and Disability Management business helps employers achieve improved health and productivity outcomes with services focused on absence reporting, proactive case management and effective return-to-work support for a variety of employee health risks or conditions, whether related to physical, mental, social or workplace health. Additional course work in occupational health, rehabilitation, legislation related to disability management, helping relationship skills, mediation, human resource management, disability insurance, psychological and workplace factors in disability would be an asset.
T&D Inspector I-sr. TXNM Energy IncT&D Inspector I-sr.Albuquerque, NM$82,463–$111,325 / yearCoordinates field activities for electric distribution projects which may include but not limited to field inspections for service entrance equipment, job site readiness, blue staking, coordinating special equipment needs, meter spots, services mapping, and obtaining required permits. Under direct supervision, coordinates field activities for electric distribution projects, including but not limited to large subdivisions, commercial developments, industrial, transmission, and major system improvement projects.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystAlbuquerque, NMRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
Dental Front Office Coordinator - Parkway Dental American Dental CompaniesDental Front Office Coordinator - Parkway DentalAlbuquerque, NMFull timeJoin us at Parkway Dental where we value teamwork, patient care, and continuous improvement. - Greet patients with a warm smile and assist with check-in and check-out processes.
Account Operations Tech 1 UNM Medical Group, Inc.Account Operations Tech 1Albuquerque, NMPerforms a variety of routine day-to-day operations related to the administration of billing accounts for a defined University medical service or billing agent. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity , Integrity and Respect as we strive for Excellence .
Supervisory Veterans Service Representative (Coach) U.S. Department of Veterans AffairsSupervisory Veterans Service Representative (Coach)Albuquerque, NM$107,592–$139,871 / yearThe Supervisory Veterans Service Representative (Coach) leads an assigned team within the Veterans Service Center (VSC), BEST, or Pension Management Center division through a staff of personnel responsible for providing information, advice, and assistance on all types of Veterans benefits claims administered to veterans and their dependents and for providing outreach services to various stakeholders. Volunteer Experience: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social).
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)NM$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
NewProvider Data Analyst - work From Home Health Care Service CorpProvider Data Analyst - work From HomeAlbuquerque, NMRemote$38,100–$80,000 / yearThis role supports enterprise provider directory accuracy by conducting audits, identifying and analyzing data quality issues, and monitoring corrective actions to drive continuous improvement. Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.
NewManager - Arbitration Operations MaximusManager - Arbitration OperationsAlbuquerque, NMFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
Analytics Consultant - Payment Integrity Health Care Service CorpAnalytics Consultant - Payment IntegrityAlbuquerque, NM$61,500–$136,100 / yearRequired Job Qualifications: Bachelor's degree and 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree in related field OR 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field. The Analytics Consultant's primary responsibility is to leverage strong technical skills and healthcare industry knowledge to support clinical and business stakeholders within Payment Integrity.
Bilingual Call Center Representative Ascensus LLCBilingual Call Center RepresentativeAlbuquerque, NMRemoteService center teams are accountable for servicing Flexible Spending Accounts (FSA), 529 Educational Savings accounts, Qualified Plan Retirement accounts and State Sponsored Retirement Program accounts. Ascensus is the leading independent technology and service platform powering savings plans across America, providing products and expertise that help nearly 16 million people save for a better today and tomorrow.
Associate Director, Access & Reimbursement (ADAR) Immunology Full Portfolio - Western TX & NM Novartis AGAssociate Director, Access & Reimbursement (ADAR) Immunology Full Portfolio - Western TX & NMAlbuquerque, NMRemoteMaintain expertise in regional and local access landscape, anticipating changes in the healthcare landscape, and act as their aligned therapeutic area product(s) reimbursement expert (as needed).Interface with Patient Support Center (hub) and Access & Reimbursement Managers on important matters related to patient case management, including tracking cases, issue resolution, reimbursement support, and appropriate office staff education. COVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers' (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination.
Manager, Clinical & Business Insight TriWest Healthcare AllianceManager, Clinical & Business InsightAlbuquerque, NMRemoteFull timeTechnical Skills: Strong knowledge of Microsoft Excel, Access, Preferred strong knowledge of Crystal Reports, SQL Reporting Services, and other query software; Knowledge of relational databases; Working knowledge of medical management systems; Working knowledge of referral and authorization systems; Working knowledge of healthcare; Working knowledge of medical coding, HIPAA regulations, claims processing, and healthcare reimbursement systems. • Drive improvements in cost efficiency, quality of clinical care, and effectiveness of clinical programs by performing data analysis to deliver actionable insights that are backed by empirical evidence.
Account Operations Tech 1 UNM Medical Group IncAccount Operations Tech 1Albuquerque, NMSummary: Performs a variety of routine day-to-day operations related to the administration of billing accounts for a defined University medical service or billing agent. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence.
MVD Clerk MADISON INSURANCE GROUP, INC.MVD ClerkAlbuquerque, NMKey Responsibilities: Fingerprinting: Fingerprint the public for MVD; TSA Prescreen, registrations, driver license finger printing, and state required fingerprinting. The ideal candidate is a proactive communicator dedicated to providing exceptional service and building long-term client relationships.
Customer Service Representative - State Farm Agent Team Member Rachel Bloom - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberAlbuquerque, NMFull timeAs an Account Manager/Customer Service Rep with our agency, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Carlos Salazar - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberAlbuquerque, NMFull timeAs a Customer Service Representative - State Farm Agent Team Member with Carlos Salazar - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Rick Buckner - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberAlbuquerque, NMFull timeWe also take pride in helping to educate our customers on all aspects of the policies the customer has chosen giving them a clear understanding of what their coverages means not just selling them a product. As a Customer Service Representative with Rick Buckner State Farm, you will generate the kind of exceptional customer experiences that reinforces the growth of a successful insurance agency.
NewInsurance Account Position - State Farm Agent Team Member Rigo Castillo-Sanchez - State Farm AgentInsurance Account Position - State Farm Agent Team MemberAlbuquerque, NMFull timeROLE DESCRIPTION: Rigo Castillo-Sanchez State Farm Agency is searching for a competitive Producer who can recognize opportunities and strategically turn leads into long-lasting customer relationships. As our Sales rep, your knowledge of insurance products and industry trends equips you to communicate directly with customers, identify their needs, and market products or services that maximize value.
Xfinity Retail Service Associate Comcast CorpXfinity Retail Service AssociateAlbuquerque, NMOn-Demand Delivery, BAPIS & XM Upsell: Fulfill Xfinity Mobile on-demand deliveries and BAPIS pickups by staging orders accurately, ensuring smooth handoff, and identifying opportunities to upsell accessories or add-ons. RSAs handle mobile activation, education, troubleshooting, and escalations while assisting with operational priorities to ensure that customers leave confident and excited about their Comcast products and services.
Customer Service Representative - State Farm Agent Team Member Paul Gallegos - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberAlbuquerque, NMFull timeAs a Customer Service Representative - State Farm Agent Team Member with Paul Gallegos - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Over the years, our team has supported local high school athletes, partnered with food banks, donated to shelters, and provided school supplies to those in need.
Legal Assistant Parnall LawLegal AssistantAlbuquerque, New MexicoAs a Legal Assistant at Parnall Law, you are an essential part of the Pre-Litigation team — supporting Case Managers and ensuring every client and file gets the attention and organization needed to move toward resolution quickly and effectively. We're hiring a motivated and detail-oriented Legal Assistant to play a key role in supporting our Pre-Litigation Case Managers and ensuring every client's case moves forward as efficiently and effectively as possible.
Customer Service Representative - State Farm Agent Team Member Theresa Saiz-Wilmert - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberAlbuquerque, NMFull timeAs a Customer Service Representative - State Farm Agent Team Member with Theresa Saiz-Wilmert - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Principal Network Management Consultant - (Ancillary) Work from Home Health Care Service CorpPrincipal Network Management Consultant - (Ancillary) Work from HomeAlbuquerque, NM$92,700–$167,500 / yearThis position is responsible for provider recruitment and contracting of national ancillary providers including large or complex dialysis, laboratory, home infusion, and durable medical equipment providers, for all HCSC plans and lines of business. JOB REQUIREMENTS: Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience.
NewSr Network Mgmt Consultant Health Care Service CorpSr Network Mgmt ConsultantAlbuquerque, NMRemote$61,500–$136,100 / yearJob Profile Summary: This position is responsible for small to mid-size provider recruitment and contracting activities for physicians, physician groups and facilities (independent hospitals, independent physicians with negotiations, small group / IPAs, etc.). Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.
Customer Service Representative - State Farm Agent Team Member Erin Carnett - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberAlbuquerque, NMFull timeAs a Customer Service Representative - State Farm Agent Team Member with Erin Carnett - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.