Data/Sales Entry Agent JobconversionData/Sales Entry AgentAlbuquerque, New MexicoThe Sales Rep position welcomes both experienced Sales Reps as well as Entry Level Sales Reps. Job Conversion, LLC is looking for both experienced and entry level sales reps who are also good at data entry.
Central 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.
Asset Recovery Specialist Sandia Laboratory Federal Credit UnionAsset Recovery SpecialistAlbuquerque, NM$27.14–$33.93 / hourThis role evaluates charged-off loans and delinquent accounts for collectability, initiates and documents repayment options, and coordinates repossession assignments, loan modifications, extensions, and collateral disposition within established policies. Job Scope: The Asset Recovery Specialist manages day-to-day post-charge-off and secured collateral recovery efforts by applying working knowledge of asset recovery practices.
Claims Specialist I - Journal Center, (1783) TriCore Reference LaboratoriesClaims Specialist I - Journal Center, (1783)Albuquerque, NMResponsibilities 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. 1. 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.
Claims Specialist I - Journal Center, (1804) TriCore Reference LaboratoriesClaims Specialist I - Journal Center, (1804)Albuquerque, NMResponsibilities 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. 1. 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.
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.
Pharmacy Technician-Certified Costco Wholesale CorpPharmacy Technician-CertifiedALBUQUERQUE, NMAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist's supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, and directing members to product location.
Pharmacy Technician Non-Certified Costco Wholesale CorpPharmacy Technician Non-CertifiedALBUQUERQUE, NMAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist's supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, directing members to product location.
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.
Contact Center Customer Support Specialist Chickasaw Nation IndustriesContact Center Customer Support SpecialistAlbuquerque, NMThe specialist is responsible for receiving and responding to customer inquiries from Physicians, Patients, and/or Support Staff via phone, email, and chat; identifying and resolving issues; documenting interactions; and ensuring high-quality customer experience. Chickasaw Nation Industries, Inc. serves as a holding company with multiple subsidiaries engaged in several lines of business (Business Services, Health, Infrastructure and Engineering, Mission Optimization, Technology and Transportation) for the federal government and commercial enterprises.
Investigator Ethos Risk ServicesInvestigatorAlbuquerque, NMPart timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Medical Billing Specialist Dermatology Practice Dermatology Of New Mexico LlcMedical Billing Specialist Dermatology PracticeAlbuquerque, NM$20–$30 / hourPart timeThe ideal candidate will have a strong understanding of medical billing and collections, excellent attention to detail, and experience working with insurance companies and healthcare providers. To Apply: Please submit your resume and a brief description of your medical billing experience, including your experience with ModMed/Modernizing Medicine , if applicable.
Product & Parts Sales Representative Federal Signal OpeningsProduct & Parts Sales RepresentativeAlbuquerque, New MexicoThe Parts & Product Support Representative (PPSR) is a key figure in helping to keep our customer’s machines productive and efficient by promoting and selling parts, troubleshooting minor customer issues and traveling to site for assessment when necessary. Manage customer relationships for several key customer accounts regarding parts sales, and product support, while striving for excellent customer service and growth in business by maintaining solid customer relationships.
Outside Property Claim Associate The Travelers Companies IncOutside Property Claim AssociateAlbuquerque, NM$52,600–$86,800 / yearThis position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.
Medical Billing Specialist Dermatology Practice Dermatology Of New MexicoMedical Billing Specialist Dermatology PracticeAlbuquerque, New Mexico$20–$30 / hourOur mission at Dermatology of New Mexico is to strive for outstanding services and excellence in care with regards to all aspects of Dermatology, including medical, surgical, cosmetic and aesthetics. Albuquerque dermatologists, Dr. Suraj Reddy and Dr. Shilpa Reddy and their medical team at Dermatology of New Mexico believe everyone deserves a chance at healthy skin.
Product & Parts Sales Representative Federal Signal CorpProduct & Parts Sales RepresentativeAlbuquerque, NMEssential Job Duties and Responsibilities: Manage customer relationships for several key customer accounts regarding parts sales, and product support, while striving for excellent customer service and growth in business by maintaining solid customer relationships. The Parts & Product Support Representative (PPSR) is a key figure in helping to keep our customer's machines productive and efficient by promoting and selling parts, troubleshooting minor customer issues and traveling to site for assessment when necessary.
Sales & Data Agent - Work From Home/Remote JobconversionSales & Data Agent - Work From Home/RemoteAlbuquerque, New MexicoRemoteThe Sales Rep position welcomes both experienced Sales Reps as well as Entry Level Sales Reps. Job Conversion, LLC is looking for both experienced and entry level sales reps who are also good at data entry.
Outside Property Claim Associate TravelersOutside Property Claim AssociateAlbuquerque, New MexicoThis position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.
Field Site Inspector - Part Time Allied UniversalField Site Inspector - Part TimeAlbuquerque, NM$23–$28 / hourKnowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred. The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements.
Field Site Inspector Allied UniversalField Site InspectorAlbuquerque, New Mexico$23–$28 / hourKnowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred. The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements.