NewCall Center Representative (Santa Fe) State Employees Credit UnionCall Center Representative (Santa Fe)Santa Fe, NMFull timeRequirements:Must be capable to execute all terms and conditions set forth in the Employee Handbook, including but not limited to:Works in a safety conscious manner which ensures that safe work practices are used in order not to pose a risk to self or others in the workplace. POSITION TITLE: Call Center Representative (Santa Fe)REPORTS TO: Call Center SupervisorSUPERVISES: N/AJOB STATUS: Non-ExemptJOB GRADE 8: Starting pay rate for this position is $21 hourly (which includes a $1 per hour pay differential).**This position works on-site.
NewPersonal Service Representative- St. Michael's Branch State Employees Credit UnionPersonal Service Representative- St. Michael's BranchSanta Fe, NMFull timeGeneral Requirements: Must be capable to execute all terms & conditions set forth in the Employee Handbook, including but not limited to:• Works in a safety conscious manner which ensures that safe work practices are used in order not to pose a risk to self or others in the workplace.• GENERAL REQUIREMENTS: Must be capable to execute all terms and conditions set forth in the Employee Handbook, including but not limited to:Works in a safety conscious manner which ensures that safe work practices are used in order not to pose a risk to self or others in the workplace.
Patient Services Representative I First Choice Community HealthcarePatient Services Representative IAlbuquerque, NMUnder the close supervision of the Health Center Manager, greets patients and visitors entering the health center, registers new and returning patients, and collects payments/visit deposits from patients for their visit, conducted in a manner that is supportive and responsive to patients and visitors. Machines, Tools, Equipment required to be operated: Capable of using office machines and personal computers for word processing, data entry and spreadsheet applications.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)NM$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)San Felipe Pueblo, NM$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
NewBilingual Spanish Temporary Call Center Representative Nusenda Credit UnionBilingual Spanish Temporary Call Center RepresentativeAlbuquerque, NMPart timeWe are currently seeking member-oriented both Full and Part Time Bilingual Spanish Contact Center Representatives to join us for a 3-month temporary assignment , with the potential to become a full-time permanent employee after the 3-month assignment. This special project involves enhancing our products provided to members and providing top-notch customer service.
NewMEMBER SERVICES REPRESENTATIVE Spanish Required Sandia Area Federal Credit UnionMEMBER SERVICES REPRESENTATIVE Spanish RequiredAlbuquerque, NMTeam members are expected to embody our core values of Service, Sustainability, Efficiency, Trust, Stewardship, and Growth while contributing to our vision of empowering lifelong achievement through better banking. At Sandia Area, every position plays a vital role in fulfilling our mission to deliver high-value banking and lending services that strengthen the financial well-being of our members and community.
Call Center Representative - DHA Social Security AdministrationCall Center Representative - DHAAlbuquerque, NM$40,736–$82,007 / yearExamples of specialized experience include: (1) Working with legal or medical records, documents or benefit/financial accounts which involve applying laws, rules or regulations and written established guidelines and procedures (e.g., basic accounting, accounts payable/receivable); OR (2) Experience conducting face to face and/or telephone interviews to obtain/provide information to resolve problems (e.g., collection agency, telemarketing, customer service, sales, etc.). This involves receiving incoming calls through SSAs National 800 number and conducting interviews to determining the nature of the call or provide information on SSA laws, rules and regulations and Medicare Insurance Programs; obtaining information in order to determine eligibility for programs administered by SSA; and using automation tools to access and update information about claims or potential eligibility.
NewCentral Billing Representative I First Choice Community Health CentersCentral Billing Representative IAlbuquerque, NMfollow-up on all assigned payer type accounts to affect collection of patient and insurance account balances; Review and resolve all EOB's including those without payment to initiate clean claim resubmission and claim reimbursement; Demonstrate ability to edit & submit insurance claims for fee for service and prospective payment system reimbursement; Resolve unapplied cash, errors in cash reconciliation and changes in payment allocation to insurance payer types; Communicate payment terms and establish agreed-upon payment plans for overdue patient and insurance account balances. General knowledge of computerized practice management systems, preferably Cerner PWPM Practice Management System, Cerner Electronic Health Record System and Dentrix Dental billing and E H R; Ability to learn billing and collection system within federally chartered community health centers (CHC) and RHI/UHI programs; Ability to communicate with tact and diplomacy with diverse groups of people including staff, providers, and insurance companies on behalf of the organization.
Patient Services Representative I First Choice Community Health CentersPatient Services Representative IAlbuquerque, NMUnder the close supervision of the Health Center Manager, greets patients and visitors entering the health center, registers new and returning patients, and collects payments/visit deposits from patients for their visit, conducted in a manner that is supportive and responsive to patients and visitors. Machines, Tools, Equipment required to be operated: Capable of using office machines and personal computers for word processing, data entry and spreadsheet applications.
Customer Care Representative Remote Morphius CorpCustomer Care Representative RemoteSanta Teresa, CARemoteWe work in conjunction with different Unions across California, and we provided them with the benefits they receive on behalf of their Union. The role of a Union Benefits Coordinator would be to assist each member in receiving their specific benefits.