Medical Claims Specialist Jobs in Albuquerque, New Mexico

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10 Albuquerque, NM Medical Claims Specialist jobs found on Monster.

Jobs 1 to 10 of 10
Molina Healthcare Inc Albuquerque, NM
Job Summary Responsible for ensuring proper claim payments while systemic and training improvements are deployed, supporting other departments as related to claims, and identification of potential improvements and/or areas of improvement. Ensures accurate and timely reporting (standard and ad-hoc) as required within the scope of departmental functions and regulatory measures. Ensures team goals a...
Presbyterian Health Servi Albuquerque, NM
Minimum Skills/Requirements High school degree or GED required, short-term training on insurance collections and claims processing. Minimum two years experience in insurance follow-up, billing and collections. One year of similar medical facility, physician's office or experience with a major carrier in claims processing preferred. Demonstrated ability to communicate effectively via telephone an...
Presbyterian Healthcare Services Albuquerque, NM, 87102
High school degree or GED required, short-term training on insurance collections and claims processing. Minimum two years experience in insurance follow-up, billing and collections. One year of similar medical facility, physician's office or experience with a major carrier in claims processing preferred. Demonstrated ability to communicate effectively via telephone and in writing. Computer literat...
Molina Healthcare Albuquerque, NM, 87102
Job Summary Responsible for ensuring proper claim payments while systemic and training improvements are deployed, supporting other departments as related to claims, and identification of potential improvements and/or areas of improvement. Ensures accurate and timely reporting (standard and ad-hoc) as required within the scope of departmental functions and regulatory measures. Ensures team goals ar...
Presbyterian Healthcare Services Albuquerque, NM, 87102
High school degree or GED is required, short-term on insurance follow-up, billing and collections. Minimum two years experience in insurance follow-up, billing and collections. One year of similar medical facility, physician's office or experience with a major carrier in claims processing preferred. Demonstrated ability to communicate effectively via telephone and in writing. Computer literate. Mu...
Molina Healthcare Inc Albuquerque, NM
Job SummaryResponsible for implementing and monitoring local QI and HEDIS interventions. Essential FunctionsThe position’s essential functions are as follows: • Coordinates the preparation of annual HEDIS medical records project. • Coordinates medical record collection process with third party vendor and/or MHI. • Validates external data sources to ensure exchange of data (i.e. labs, claims ) ...
Molina Healthcare Albuquerque, NM, 87102
Job Summary Responsible for implementing and monitoring local QI and HEDIS interventions. Essential Functions The position’s essential functions are as follows: • Coordinates the preparation of annual HEDIS medical records project. • Coordinates medical record collection process with third party vendor and/or MHI. • Validates external data sources to ensure exchange of data (i.e. labs, claims ...
Presbyterian Healthcare Services Albuquerque, NM, 87102
High school diploma plus one to three years office/business experience call center experience preferred and/or is currently demonstrating customer service skills, meeting current department metric and attendance guidelines within department. Claims processing experience preferably in managed care with possible enrollment experience. Demonstrated ability to communicate effectively in person and via...
Presbyterian Healthcare Services Albuquerque, NM, 87102
High school diploma plus one to three years office/business experience call center experience preferred and/or is currently demonstrating customer service skills, meeting current department metric and attendance guidelines within department. Claims processing experience preferably in managed care with possible enrollment experience. Demonstrated ability to communicate effectively in person and via...
Presbyterian Healthcare Services Albuquerque, NM, 87102
Three to five years of experience in medical/clinical management in a healthcare organization or provider office management. A minimum of one year supervisory experience. Registered Nurse license required. Bachelor’s Degree in nursing, other healthcare or business related field preferred or equivalent work experience required. This position requires the ability to facilitate, influence, motivate, ...

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Healthcare Career Tools

Medical Claims Specialist/Examiner

Salaries

$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner in Albuquerque
(241 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
23.5%
Some College Coursework Completed
22.5%
Associates
16.6%
High School
14.4%
Certification
11.8%
Vocational
7.5%
(187 Respondents)
Source: Monster.com Careerbenchmarking Tool

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