Healthcare Payment Specialists Jobs in Rio Rancho

PATIENT ASSISTANT REPRESENTATIVE (PAR) - Radiology (Part-Time 20 hours per/wk) Department: Radiology Admin Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Register and/or admit patients to Sandoval Regional ..

RECEPTIONIST/SCHEDULER Full-Time (40 hours per/wk) Department: Patient Financial Services Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Register patients to Sandoval Regional Medical Center therapy services department. Obtain ..

Facilities Planner Department: Facilities Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Manage the planning and administration of the construction and delivery of hospital space in relation to ..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

... of liaison activities associated with healthcare provider contracting for the TriWest ... providers and the identified claims payment administrator for the program; identify ... for the program; identify claims..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Albuquerque New Mexico Description The Fraud and Waste Professional 2 conducts investigations of allegations ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Job Information Humana FP&A Lead, Medicaid Market in Albuquerque New Mexico Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

Job Information Humana Medicare Risk Adjustment Documentation and Coding Improvement Educator - CO/NM WAH - Travel Required in Albuquerque New Mexico Description Our search is focused on identifying an individual contributor ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Albuquerque New Mexico Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..

Patient Assistant Representative Department: Radiology Admin Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Register and/or admit patients to Sandoval Regional Medical Center. Obtain and enter into the ..

Patient Assistant Representative - Radiology- PRN Department: Radiology Admin Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Register and/or admit patients to Sandoval Regional Medical Center. Obtain and ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

Job Information Humana Senior Integration Specialist - Cloud in Albuquerque New Mexico Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between ..

Description The UM Specialist conducts and summarizes compliance audits. The UM Specialist performs varied activities and moderately complex administrative/operational/customer support assignments. How we Value You Benefits starting day 1 of employment ..

Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

... Qualifications Minimum 5 years of healthcare fraud investigations and/or auditing experience ... of Florida and Wisconsin Medicaid healthcare payment methodologies Strong organizational, interpersonal, and ... the required qualifications. Understanding..

Patient Assistant Representative - Part-time (Days) Department: Radiology Admin Location: Rio Rancho, NM START YOUR APPLICATION Job Summary and Scope Register and/or admit patients to Sandoval Regional Medical Center. Obtain and ..