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

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

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

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

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

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. 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 System Services

HR Specialist

As an for patients, the Certified Peer Specialist will be responsible providing expertise and consultation the multidisciplinary to promote a culture in which individual''s treatment and are recognized, understood, respected, and integrated into treatment, rehabilitation, and self-help activities. Models effective coping and self-help strategies and techniques to individuals or groups of patients overcome fears, anxieties, urges, * triggers.

New Season

Certified Peer Recovery Specialist

The ideal candidate for the Residence Life Specialist role is a creative and organized individual with experience in student housing, residence life, or community programming, who can support resident engagement through events and communication. The Residence Life Specialist is responsible for organizing engaging resident events that promote personal growth, healthy lifestyles, and academic success within the community, promoting an engaging living experience.

HOUR

American Campus Communities Inc

Residence Life Specialist - Casas del Rio

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. About Rapid Temps by DocGo: 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.

YEAR

DocGo Inc

Talent Acquisition Specialist

Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. 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.

Patient Visit Specialist

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

DocGo

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).

Health Care Service Corp

Learning & Dev Specialist (ID)

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.

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

Senior Quality Operations Specialist Curia Inc

Senior Specialist Lims Curia Inc

Education Specialist University of New Mexico

Validation Specialist III Curia Inc

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

HR Specialist Presbyterian System Services

Certified Peer Recovery Specialist New Season

Residence Life Specialist - Casas del Rio American Campus Communities Inc

Talent Acquisition Specialist DocGo Inc

Patient Visit Specialist Presbyterian System Services

Pharmacy Benefit Verification Specialist Onco360

Talent Acquisition Specialist DocGo

Learning & Dev Specialist (ID) Health Care Service Corp

Pharmacy Prior Authorization Specialist Onco360

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