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Essential Job Functions : Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions. Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.

Ensemble Health Partners

Public Benefit Specialist

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Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information. Essential Job Functions: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey.

Sr. Patient Access Specialist

This role leads initiatives including duty drawback, Build America, Buy America (BABA), post-entry duty recovery programs, HTS classification optimization, trade agreement utilization, and CTPAT. The position works cross-functionally with internal stakeholders, customs brokers, and government agencies to identify savings opportunities, ensure compliance, and deliver measurable financial results.

YEAR

EnerSys

Strategic Trade Program Specialist

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Respect the Individual: Embraces differences in people, cultures, ideas, and experiences; creates a workplace where associates feel seen, supported and connected through a culture of belonging; creates opportunities for all associates to thrive and perform; helps to attract the best talent. 10600 COORS BLVD BYPASS NW, ALBUQUERQUE, NM 87114-3930, United States of America Walmart and its subsidiaries are committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job.

What started small, with a single discount store and the simple idea of selling more for less, has grown over the last 50 years into the largest retailer in the world. Each week, nearly 265 million customers and members visit our more than 11,200 stores under 55 banners in 27 countries and eCommerce websites in 10 countries. With fiscal year 2018 revenue of $500.3 billion, Walmart employs over 2.2 million associates worldwide. Walmart continues to be a leader in sustainability, corporate philanthropy and employment opportunity. It’s all part of our unwavering commitment to creating opportunities and bringing value to customers and communities around the world.

Walmart

(USA) Member Specialist

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Due to federal restrictions contained in the current National Defense Authorization Act, citizens of the People's Republic of China-including the special administrative regions of Hong Kong and Macau-as well as citizens of the Islamic Republic of Iran, the Democratic People's Republic of Korea (North Korea), and the Russian Federation, who are not Lawful Permanent Residents ("green card" holders) are prohibited from accessing facilities that support the mission, functions, and operations of national security laboratories and nuclear weapons production facilities, which includes Los Alamos National Laboratory. Additional Job Requirements for Material Control & Accountability Specialist 2: Experience analyzing, monitoring, correcting, and balancing inventory data following accounting good practices and routine inventory cycles.

Los Alamos National Laboratory

Nuclear Material Safeguards Oversight (MC&A Specialist Level 1/2)

Due to federal restrictions contained in the current National Defense Authorization Act, citizens of the People's Republic of China-including the special administrative regions of Hong Kong and Macau-as well as citizens of the Islamic Republic of Iran, the Democratic People's Republic of Korea (North Korea), and the Russian Federation, who are not Lawful Permanent Residents ("green card" holders) are prohibited from accessing facilities that support the mission, functions, and operations of national security laboratories and nuclear weapons production facilities, which includes Los Alamos National Laboratory. Strategic Communication: Ability to conceptualize and professionally communicate elements of facility maintenance processes supporting the maintenance programs stakeholders, including technical and non-technical personnel, in both verbal and written formats.

Maintenance Support Specialist 2/3

Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient’s ability to achieve the goals. Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process.

Fresenius Medical Care North America is a wholly owned subsidiary of Fresenius Medical Care AG & Co. KGaA, located in Bad Homburg, Germany. Through our dialysis services entity, Fresenius Medical Services, we operate more than 2,100 outpatient dialysis clinics in the U.S. Our Renal Therapies Group is responsible for the manufacture and distribution of a variety of dialysis products and equipment, including dialysis machines, dialyzers and other dialysis-related supplies. 

Fresenius Medical Care

Registered Dietitian Part Time

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Additional Requirements Campus Health Sciences Center (HSC) - Albuquerque, NM Department Neurosciences (993A) Employment Type Staff Staff Type Term - Full-Time Term End Date 06/30/2027 Status Exempt Pay Monthly: $3,841.07 The successful candidate will independently coordinate complex research activities, contribute to experimental design and implementation, perform advanced data acquisition and analysis, and assist in the interpretation and reporting of research findings.

Why work at UNM?
 For firsthand information on why UNM is a great place to work and learn, visit UNM Proud to hear directly from University employees, faculty, students, and alumni. In addition to all the University has to offer, you have the added benefit of living in New Mexico, a land rich with art, history, culture, and outdoor activities, all with a very affordable cost of living. For more about life in New Mexico, visit NewMexicoTrue. Women, minorities, veterans, and individuals with disabilities are encouraged to apply.
 Positions
 UNM has a number of positions available for staff, faculty, and student employees in various academic fields and levels of experience. Everyone hired into the UNM community serves a vital role in supporting our mission. We&rsquo;re here to educate and encourage students to develop the values, habits of mind, knowledge, and skills that they need to be enlightened citizens, contribute to the state and national economies, and lead satisfying lives.

University of New Mexico

HS Research Splst

Exposure to creating, editing, and analyzing information within Geographic Information Systems (GIS) software to produce maps and spatial analysis for a variety of topic areas, including: natural resources, land use / land cover, ecotypes, habitat, etc. Any unsolicited resumes, including those submitted to hiring managers or other business leaders, will become the property of WSP and WSP will have the right to hire that candidate without reservation - no fee or other compensation will be owed or paid to the recruiter, employment agency, or other staffing service.

WSP Global Inc

On-Call Field Biologist / Environmental Planner

Provides support via auditing and training the enterprise-wide corrective action plans for coding, audit, physician and clinician personnel identified as low performers; perform medical record and billing reviews of denied and appealed claims and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including the communication process with affected payers; research and interpret all regulatory agency regulations
Type of Opportunity: Full time
Job Exempt: Yes
Job is based: Remote Workers New Mexico
Work Shift: Days (United States of America)
Responsibilities: With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding compliance questions.

Presbyterian System Services

Remote CPMA Educator & Auditor

Summary: With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding compliance questions. Provides support via auditing and training the enterprise-wide corrective action plans for coding, audit, physician and clinician personnel identified as low performers; perform medical record and billing reviews of denied and appealed claims and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including the communication process with affected payers; research and interpret all regulatory agency regulations.

Medical Review Specialist Jobs in New Mexico

Public Benefit Specialist Ensemble Health Partners

Sr. Patient Access Specialist Ensemble Health Partners

Strategic Trade Program Specialist EnerSys

(USA) Member Specialist Walmart

Nuclear Material Safeguards Oversight (MC&A Specialist Level 1/2) Los Alamos National Laboratory

Maintenance Support Specialist 2/3 Los Alamos National Laboratory

Registered Dietitian Part Time Fresenius Medical Care

HS Research Splst University of New Mexico

On-Call Field Biologist / Environmental Planner WSP Global Inc

Remote CPMA Educator & Auditor Presbyterian System Services

Remote CPMA Educator & Auditor Presbyterian Healthcare Services

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