Medical Management Specialist I
2 weeks ago
Job Title: Medical Management Specialist I Is this your next job Read the full description below to find out, and do not hesitate to make an application. Job Location: Albuquerque, NM (Remote + Field Visit) Job Duration: 6 Months+ (Possible Extension) Shift timings: Standard hours - 8:00 AM to 5:00 PM (Mon-Fri) Job Summary: Responsible for conducting medical management and health education programs for customers on government health care programs. Other responsibilities include gathering, analysing, and providing data for regulatory reports. This position will represent the company to members. Job qualifications: Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtain their LPC or LMSW license. Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire. Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians. Knowledge of the health and wellness marketplace and employer trends. Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. Analytical experience including medical data analysis. Current driver's license, transportation, and applicable insurance. Ability and willingness to travel within assigned territory. xrczosw PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
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Medical Management Specialist I
4 weeks ago
Albuquerque, United States Careers Integrated Resources Inc Full timeJob Title: Medical Management Specialist I Job Location: Albuquerque, NM (Remote + Field Visit) Job Duration: 6 Months+ (Possible Extension) Shift timings: Standard hours - 8:00 AM to 5:00 PM (Mon-Fri) Job Summary: Responsible for conducting medical management and health education programs for customers on government health care programs. Other...
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Medical Management Specialist I
2 weeks ago
Albuquerque, United States Careers Integrated Resources Inc Full timeJob Title: Medical Management Specialist I Is this your next job Read the full description below to find out, and do not hesitate to make an application. Job Location: Albuquerque, NM (Remote + Field Visit) Job Duration: 6 Months+ (Possible Extension) Shift timings: Standard hours - 8:00 AM to 5:00 PM (Mon-Fri) Job Summary: Responsible for conducting medical...
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Medical Management Specialist I
21 hours ago
Albuquerque, New Mexico, United States BCVS Group Full timePosition:- Medical Management Specialist I / RN Clinical Care CoordinatorRate:- $45/hr.Location :- Hybrid (Candidates should reside in Albuquerque)Description:This position is responsible for conducting medical management and health education programs for customers on government health care programs. This role will include gathering, analyzing and providing...
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Referral Specialist I
2 weeks ago
Albuquerque, New Mexico, United States First Choice Community Healthcare Full time $35,000 - $55,000 per year:Job Title: Referral Specialist IPosition Code: C18N Non-ExemptDepartment: AdministrationPosition Category (330): Eligibility Assistance Workers (L27a)Position Category (Rphca): Other StaffThe following statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all...
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Patient Access Account Specialist I
2 weeks ago
Albuquerque, United States Presbyterian Healthcare Services Full timePatient Access Account Specialist I Presbyterian is seeking a Patient Access Account Specialist I. The Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification,...
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Patient Access Account Specialist I
4 weeks ago
Albuquerque, United States Presbyterian Healthcare Services Full timePatient Access Account Specialist IPresbyterian is seeking a Patient Access Account Specialist I. Under the direction of the Patient Access Supervisor, the Patient Access Account Specialist I provides basic functions to financially clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance...
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Patient Access Account Specialist I
3 weeks ago
Albuquerque, United States Presbyterian Healthcare Services Full timePatient Access Account Specialist IPresbyterian is seeking a Patient Access Account Specialist I. The Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification,...
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Patient Access Account Specialist I
1 week ago
Albuquerque, United States Presbyterian Healthcare Services Full timePresbyterian is seeking a Patient Access Account Specialist I The Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification, authorization, collection and documentation of...
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Patient Access Account Specialist I
1 week ago
Albuquerque, United States Presbyterian Healthcare Services Full timePresbyterian is seeking a Patient Access Account Specialist I The Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification, authorization, collection and documentation of...
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Patient Access Account Specialist I
1 week ago
Albuquerque, United States Presbyterian Healthcare Services Full timeOverview Presbyterian is seeking a Patient Access Account Specialist I The Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification, authorization, collection and...