Claims Intake Specialist
2 months ago
Job Type Full-timeDescriptionJob Title: Claims Intake Specialist - BilingualDepartment: Provider Relations Reports to: Claims Administration SupervisorPosition Summary:The Claims Intake Specialist will function in a fast-paced and high-volume environment, providing administrative support to the Claims Department through intake of claims, filing, copying, data entry, responding to requests and directing work to its proper destination within the organization. The Claims Intake Specialist will perform other clerical and administrative duties to ensure smooth workflow and productivity. Essential Functions: Perform data entry of new First Reports of Injury information received by phone or other method. Provide limited claim instructions or information to customers; direct complex inquiries to appropriate Claims Adjusters for response.Contact insured or other involved persons to obtain missing claim information.Sort, scan, classify, code and perform data entry of incoming documents and information for integration into software systems.Prepare and scan documents into the imaging system. Provide quality assurance for all documents scanned.Support the claims adjusting staff with billing issues, problems and disputes. Coordinate response to these providers from our bill review vendor. Maintain records, reports, and/or files.Copy and organize large volume files for transmission to legal counsel or others as appropriate.Obtain W9 documents for new or changed provider address book contact according to established procedures.Monitor the medical bill holds in the bill review vendor system. Notify the appropriate staff to receive direction related to these bill holds. Sort incoming mail and packages. Deliver to appropriate Adjusters. Serve as back-up for claims administration duties within the Provider Relations Department. Other related duties as assigned by supervisor.Job Qualifications:Education: High School diploma or GED equivalent. Experience: 1-3 years directly related experience.Required Skills/Abilities:Bilingual in English and Spanish. Fluency in oral and written communication.Excellent customer service skills with ability to communicate professionally with stakeholders.Strong attention to detail and focus on accuracy.Positive attitude and willingly collaborates in a team environment. Ability to organize and prioritize work.Intermediate computer skills and ability to learn new computer applications.Ability to meet deadlines and respond well to direction.Specialized Knowledge, Licenses, etc.:Demonstrated proficiency in: MS Office (Word, Excel, Outlook, PowerPoint)General knowledge of payer specific or medical specialty billing, as well as knowledge of ICD-9, ICD-10 and CPT coding helpful.Values and Mission:Adheres to New Mexico Mutual's values and mission by demonstrating Service Excellence, Trust, Ownership, One Team and Boldness in thought and action.Positive Attitude:Develops and maintains positive working relationships with team members, customers, co-workers and management by demonstrating effective communication and collaborative skills.Working Conditions:NEW MEXICO MUTUAL maintains general office conditions with light physical demands. Employees of NEW MEXICO MUTUAL adhere to all safety rules and regulations including building security.Employees participate in ensuring safe and efficient operating conditions that safeguard employees and facilities.NEW MEXICO MUTUAL maintains a drug free environment, drug testing prior to employment as well as upon a work-related accident.Exposure to VDT screens.
-
Medical Claims Specialist
2 weeks ago
Albuquerque, New Mexico, United States CQ Partners Full timeJob SummaryCQ Partners is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for submitting claims, resolving denials, and managing accounts receivable.Key Responsibilities:Electronic claims submission and manual claims processingContacting insurance companies regarding denied...
-
Medical Claims Specialist
1 month ago
Albuquerque, New Mexico, United States TriCore Reference Laboratories Full timeJob SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at TriCore Reference Laboratories. As a Medical Claims Specialist, you will be responsible for collecting accounts receivables on patient accounts, non-government, and contracted insurances government payers and secondary billing.Key Responsibilities:Collect outstanding...
-
Medical Claims Specialist
2 weeks ago
Albuquerque, New Mexico, United States TriCore Reference Laboratories Full timeJob SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at TriCore Reference Laboratories. As a Medical Claims Specialist, you will be responsible for collecting accounts receivables on patient accounts, non-government, and contracted insurances government payers and secondary billing.Key Responsibilities:Collect outstanding...
-
Medical Claims Specialist
1 month ago
Albuquerque, New Mexico, United States TriCore Reference Laboratories Full timeJob SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at TriCore Reference Laboratories. As a Medical Claims Specialist, you will be responsible for collecting accounts receivables on patient accounts, non-government, and contracted insurances government payers and secondary billing.Key Responsibilities:Collect outstanding...
-
Medical Claims Specialist
1 month ago
Albuquerque, New Mexico, United States TriCore Reference Laboratories Full timeJob Summary We are seeking a highly skilled Medical Claims Specialist to join our team at TriCore Reference Laboratories. As a Medical Claims Specialist, you will be responsible for collecting accounts receivables on patient accounts, non-government, and contracted insurances government payers and secondary billing. Key Responsibilities: Collect...
-
Medical Claims Specialist
2 weeks ago
Albuquerque, New Mexico, United States TriCore Reference Laboratories Full timeJob SummaryAs a Medical Claims Specialist at TriCore Reference Laboratories, you will be responsible for collecting accounts receivables on patient accounts from various payors, including commercial, non-government, and contracted insurances. Your duties will include routine follow-up on accounts, working the Rejection Report, analyzing aged trial balance...
-
Medical Claims Billing Specialist
1 day ago
Albuquerque, United States LHH Full timeLHH is seeking two experienced Medical Claims Billing Specialists with a strong background in Medicare billing. In this role, you will be responsible for reviewing and resolving outstanding balances, addressing clearinghouse rejections, correcting billing issues, and resubmitting claims or appeals to insurance companies. You will also engage with patients to...
-
Medical Claims Billing Specialist
9 hours ago
albuquerque, United States LHH Full timeLHH is seeking two experienced Medical Claims Billing Specialists with a strong background in Medicare billing. In this role, you will be responsible for reviewing and resolving outstanding balances, addressing clearinghouse rejections, correcting billing issues, and resubmitting claims or appeals to insurance companies. You will also engage with patients to...
-
Medical Claims Billing Specialist
1 day ago
albuquerque, United States LHH Full timeLHH is seeking two experienced Medical Claims Billing Specialists with a strong background in Medicare billing. In this role, you will be responsible for reviewing and resolving outstanding balances, addressing clearinghouse rejections, correcting billing issues, and resubmitting claims or appeals to insurance companies. You will also engage with patients to...
-
Medical Claims Billing Specialist
23 hours ago
Albuquerque, United States LHH Full timeLHH is seeking two experienced Medical Claims Billing Specialists with a strong background in Medicare billing. In this role, you will be responsible for reviewing and resolving outstanding balances, addressing clearinghouse rejections, correcting billing issues, and resubmitting claims or appeals to insurance companies. You will also engage with patients to...
-
Animal Care Intake Specialist B24
2 weeks ago
Albuquerque, New Mexico, United States City of Albuquerque, NM Full timeJob SummaryAs an Animal Care Intake Specialist, you will serve as the first point of contact for the Animal Care Center, handling animal intake and release, maintaining inventory, and providing information on City ordinances and regulations. You will also assist in humane animal euthanasia, prepare animals for impoundment or viewing, and perform various...
-
Medical Claims Specialist
1 month ago
Albuquerque, New Mexico, United States Innova Solutions Full timeJob Title: Medical Claims RepresentativeInnova Solutions is seeking a highly skilled Medical Claims Representative to join our team. As a Medical Claims Representative, you will be responsible for reviewing and processing medical claims in a timely and accurate manner.Key Responsibilities:Review and process medical claims for accuracy and...
-
Medical Claims Specialist
3 weeks ago
Albuquerque, New Mexico, United States Innova Solutions Full timeMedical Claims Representative Job OpportunityInnova Solutions is currently seeking a highly skilled Medical Claims Representative to join our team. As a Medical Claims Representative, you will be responsible for reviewing and processing medical claims in a timely and accurate manner.Key Responsibilities:Review and process medical claims for accuracy and...
-
Medical Claims Specialist
2 weeks ago
Albuquerque, New Mexico, United States Innova Solutions Full timeMedical Claims Representative Job OpportunityInnova Solutions is currently seeking a highly skilled Medical Claims Representative to join their team.Job Summary:We are looking for a detail-oriented and organized individual to process medical claims efficiently and accurately.Key Responsibilities:Review and process medical claims in a timely mannerVerify...
-
Intake and Demand Specialist
1 month ago
Albuquerque, New Mexico, United States Health Care Service Corporation Full timeAt Health Care Service Corporation, we empower our employees with curated development plans that foster growth and promote rewarding, fulfilling careers.This role is responsible for supporting the intake of all projects, ensuring seamless review of business case initiation, documentation, assessment, and assignment. As a liaison for the enterprise and...
-
Medical Claims Specialist
2 weeks ago
Albuquerque, New Mexico, United States CCMSI Full timeOverviewAt CCMSI, we strive to deliver exceptional service to our clients as a leading Third Party Administrator in self-insurance services. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and...
-
Medical Claim Specialist
5 months ago
Albuquerque, United States TriCore Reference Laboratories Full timeJob Summary Responsible for collecting accounts receivables on patient accounts, non-government and contracted insurances government payers and secondary billing. Responsibilities include routine follow-up on accounts, working the Rejection Report for contracted insurances, analyzing aged trial balance report for assigned chargeto’s, working the...
-
Claims Adjuster Professional Trainee
4 weeks ago
Albuquerque, United States New Mexico Mutual Full timeJob Type Full-time Description Job Title: Claims Adjuster Professional Trainee Department: Claims Reports To: Claims Manager Position Summary: This position will be responsible, following the initial training phase, for the adjudication of all assigned claims in accordance with the Act, governing rules and regulations, related case law and company...
-
Intake Coordinator
7 days ago
Albuquerque, New Mexico, United States New Season Full timeJob SummaryThis position is responsible for managing the registration process of patients as they enter the healthcare facility. The ideal candidate will appropriately receive and coordinate referrals from physicians, hospitals, facilities, and other community referral sources.Key ResponsibilitiesSchedule evaluations, meetings, and consultations for...
-
Intake Coordinator
2 weeks ago
Albuquerque, New Mexico, United States New Season Full timeJob Summary:This position is responsible for managing the registration process of patients as they enter the healthcare facility. The ideal candidate will appropriately receive and coordinate referrals from physicians, hospitals, facilities, and other community referral sources.Key Responsibilities:Schedule evaluations, meetings, and consultations for...