UNKNOWN

FEED

Maintains ongoing tracking of and appropriate documentation regarding the status of provider-directed patient referrals, to include system sufficient to report data and status to others; Helps ensure complete and accurate patient registration information, to include demographic data and current health insurance information; Communicates with patients, providers and other staff regarding the status of referrals; May contact insurance companies to confirm that prior approval requirement are met and/or to provide needed patient information(e.g., health history, diagnosis, prognosis, provider visit documentation); May schedule patient referral appointment, to include provision and dispensation of necessary paperwork and related patient instructions; Attends and contributes to meeting as needed or required; Performs miscellaneous job-related duties as assigned. As a Referral Specialist, I may also intermittently perform additional tasks, including scheduling appointments, verifying insurance information, and providing other assistance to ensure that provider-generated referrals for FCCH patients are performed efficiently and effectively.

First Choice Community Healthcare

Referral Specialist I

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First Choice Community Health Centers

FULL_TIME

OTHER

Ensures accuracy and completion of authorization data from customer information, medical records, referral/authorization forms, Military Treatment Facility electronic transmission and other documents into medical management system. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

TriWest Healthcare Alliance

Lead Referral Specialist

equestftpin

Referral Specialist

Senior Referral Specialist

Technical Skills: Thorough knowledge of TRICARE policies and procedures, data collection and reporting, TriWest Care Radius medical management systems, and Referral Management Specialists function. • Two or more years of supervisory experience Managed care and operational experience in medical management systems, including referral management/prior authorization, or utilization management.

Supervisor, Referral Management

Skills/Knowledge: Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. Pharmacy Benefit Verification Summary The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs.

Onco360

Pharmacy Benefit Verification Specialist

This role provides independent quality oversight and approval of validation lifecycle deliverables, including protocols, reports, deviations, change controls, and associated controlled documentation supporting facility expansion projects, new technology implementation, equipment qualification and commercial manufacturing operations. Demonstrated experience providing Quality Assurance oversight and approval of validation lifecycle activities, including equipment qualification, facility and utility qualification, process validation, cleaning validation, computerized systems validation and commissioning activities.

Curia Inc

Senior Quality Operations Specialist

Additionally, the Validation Specialist III mentors junior validation staff, supports regulatory inspections and audits, manages validation-related investigations and deviations, and collaborates with external vendors and regulatory bodies. The Validation Specialist III leads cross-functional validation projects, coordinates validation activities across multiple departments, and ensures seamless integration with production and quality timelines.

Validation Specialist III

All resumes or profiles submitted by search firms to any employee at Curia, in any form without a valid, signed search agreement by an authorized signatory in place for the specific position, approved by Talent Acquisition, will be deemed the sole property of Curia. Curia is a global contract development and manufacturing organization (CDMO) with over 30 years of experience partnering with pharmaceutical and biotech companies to provide life-saving treatments to patients.

Senior Specialist Lims

The CDD Information Network is seeking a full-time Education Specialist to support the activities of the Information Network programs resources and training to include facilitating the collaboration of New Mexico stakeholders, identifying, prioritizing, and populating New Mexico-specific content within multiple databases. Demonstrated expertise in effectively communicating with a wide variety of constituency groups, including people with intellectual and physical disabilities and their families and caregivers, staff of state and non-profit agencies, advocacy groups and policymakers.

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

Education Specialist

ADAPTED_NOW

This practice is dedicated to providing exceptional veterinary care in the field of internal medicine, offering services that include advanced diagnostics and treatments for a wide range of medical conditions. Candidates must be board-certified or a graduate of a residency program in veterinary internal medicine accredited by the American College of Veterinary Internal Medicine (ACVIM) or an equivalent body.

Global Talent Partners

Veterinary Internal Medicine Specialist (Board Certified / Diplomate / Residency Trained)

idibu

DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services.

DocGo

Talent Acquisition Specialist

The Learning & Development Specialist is responsible for designing, developing, and building high-quality learning solutions that translate established learning strategies and architectures into engaging, scalable, and impactful learner experiences. This role executes within the development lifecycle, owning how solutions are brought to life through strong instructional design application, visual storytelling, and technical development (primarily Articulate suite and Vyond).

YEAR

Health Care Service Corp

Learning & Dev Specialist (ID)

Duties will vary depending on process but will involve serving as the intermediary with employees, managers, and outside individuals to provide interpretation and advise on policy/procedural information, and performs routine problem resolution or referral on matters pertaining to employment and hiring process. Qualifications: All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Presbyterian Healthcare Services

HR Specialist

Validate prior authorization/certification/referral are secured PRIOR to a scheduled procedure or test, alerting stake holders (patient, patient representative, OR, etc) if a breakdown occurs Message Management: Formulates complete and accurate telephone encounter messages and routes to the appropriate Epic in-basket pool to support operational aspects of patient care. Summary: Performs visit closure activities to coordinate patient care while providing an exceptional patient experience for successful completion of next steps ordered Presbyterian is seeking a dedicated Patient Visit Specialist to support visit closure activities, ensuring seamless coordination of patient care while delivering an exceptional experience.

Patient Visit Specialist

Here's what you can look forward to: $49,940-$64,500/year DOE — your reliability and hard work get rewarded regularly, not just at review time Full benefits package — comprehensive health, dental, and vision insurance PTO, paid sick leave, and paid holidays — because life happens, and we've got you covered Annual company goal trip — when the team wins, everyone celebrates together A supportive, growth-oriented culture with growth opportunities . Parnall Law Firm , one of New Mexico's largest personal injury firms, is looking for an experienced, people-first New Client Intake Specialist to be the first voice injured clients hear when they reach out for help.

Parnall Law

New Client Intake Specialist

What You’ll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests. Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds.

HOUR

Pharmacy Prior Authorization Specialist

PART_TIME

Join Home Clean Heroes as a cleaning specialist and enjoy a $14 - $18 hourly rate, along with quality paid training, a company car while working, no nights or weekends, paid holidays, paid vacation, access to virtual telehealth provider. Our cleaning specialists are responsible for providing top-notch cleaning services and a positive customer experience for each of our valued clients.

Home Clean Heroes of High Desert

House Cleaning Specialist

QUALIFICATION REQUIRMENTS: To qualify for this position, you must meet the qualification requirements outlined below: MINIMUM REQUIREMENTS FOR GRADE 12 LEVEL UP (GS or Equivalent) Applicants must have Information Technology related experience demonstrating each of the following nine competencies: 1) Attention to Detail, 2) Customer Service, 3) Decision Making, 4) Information Management, 5) Interpersonal Skills, 6) Oral Communication, 7) Problem Solving, 8)Teamwork and 9) Technical Competence. To update your application, including supporting documentation: Visit USAJOBS - How to Update Application during the announcement open period, make updates or add supporting documentation, then continue through the entire application process and click Submit Application to send updates to the hiring agency.

Department of the Treasury
<a href="https://home.treasury.gov/">https://home.treasury.gov/</a>
 The Department of the Treasury is organized into two major components - the Departmental Offices and the operating bureaus. Treasury Bureaus make up 98% of the Treasury work force and are responsible for carrying out specific operations assigned to the Department. The Department of the Treasury includes: 
  *Departmental Offices (DO)  The Departmental Offices (DO)are primarily responsible for the formulation of policy and management of the Department as a whole, while the operating bureaus carry out the specific operations assigned to the Department.   
*Bureau of Engraving & Printing (BEP)  The Bureau of Engraving & Printing (BEP) designs and manufactures U.S. currency, securities, and other official certificates and awards. 
*Internal Revenue Service (IRS)  The Internal Revenue Service (IRS) is the largest of Treasury's bureaus. It is responsible for determining, assessing, and collecting internal revenue in the United States. 
Alcohol and Tobacco Tax and Trade Bureau (TTB)  The Alcohol and Tobacco Tax and Trade Bureau (TTB) is responsible for enforcing and administering laws covering the production, use, and distribution of alcohol and tobacco products. TTB also collects excise taxes for firearms and ammunition.        Bureau of the Fiscal Service  The Bureau of the Fiscal Service was formed from the consolidation of the Financial Management Service and the Bureau of the Public Debt. Its mission is to promote the financial integrity and operational efficiency of the U.S. government through exceptional accounting, financing, collections, payments, and shared services.       The Financial Crimes Enforcement Network (FinCEN)                                                                                                                                                      The Financial Crimes Enforcement Network (FinCEN) supports law enforcement investigative efforts and fosters interagency and global cooperation against domestic and international financial crimes. It also provides U.S. policy makers with strategic analyses of domestic and worldwide trends and patterns.
Inspector General   The Inspector General conducts independent audits, investigations and reviews to help the Treasury Department accomplish its mission; improve its programs and operations; promote economy, efficiency and effectiveness; and prevent and detect fraud and abuse.   
Office of the Comptroller of the Currency (OCC)  The Office of the Comptroller of the Currency (OCC) charters, regulates, and supervises national banks to ensure a safe, sound, and competitive banking system that supports the citizens, communities, and economy of the United States.    
Treasury Inspector General for Tax Administration (TIGTA)   The Treasury Inspector General for Tax Administration (TIGTA) provides leadership and coordination and recommends policy for activities designed to promote economy, efficiency, and effectiveness in the administration of the internal revenue laws. TIGTA also recommends policies to prevent and detect fraud and abuse in the programs and operations of the IRS and related entities.       U.S. Mint  The U.S. Mint designs and manufactures domestic, bullion and foreign coins as well as commemorative medals and other numismatic items. The Mint also distributes U.S. coins to the Federal Reserve banks as well as maintains physical custody and protection of our nation's silver and gold assets.

Referral Specialist Jobs in Albuquerque, NM

Referral Specialist I First Choice Community Healthcare

Referral Specialist I First Choice Community Health Centers

Lead Referral Specialist TriWest Healthcare Alliance

Referral Specialist TriWest Healthcare Alliance

Senior Referral Specialist TriWest Healthcare Alliance

Supervisor, Referral Management TriWest Healthcare Alliance

Pharmacy Benefit Verification Specialist Onco360

Senior Quality Operations Specialist Curia Inc

Validation Specialist III Curia Inc

Senior Specialist Lims Curia Inc

Education Specialist University of New Mexico

Veterinary Internal Medicine Specialist (Board Certified / Diplomate / Residency Trained) Global Talent Partners

Talent Acquisition Specialist DocGo

Learning & Dev Specialist (ID) Health Care Service Corp

HR Specialist Presbyterian Healthcare Services

Patient Visit Specialist Presbyterian Healthcare Services

New Client Intake Specialist Parnall Law

Pharmacy Prior Authorization Specialist Onco360

House Cleaning Specialist Home Clean Heroes of High Desert

IT Specialist 6 month Register-Direct Hire Department of the Treasury, US

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