Top 15 Insurance verification Jobs in Espanola, Nm

Payer Credentialing Specialist - Staff Credentialing
Christus Health —Santa Fe, NM
- 8 hour shift
- English
- Mid-level
- Administrative experience
1d
Payer Operations & Credentialing Coordinator
FronteraCare —Santa Fe, NM
- $21 - $29 an hour
- Full-time
- Remote
- Google Workspace
- Research
- Mid-level
Quick Apply
1d
Admin Assistant 3
University of New Mexico —Los Alamos, NM
- $20.56 - $26.11 an hour
- Multiple hires
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Patient Concierge
La Familia Medical Center —Santa Fe, NM
- Spanish
- English
- High school diploma or GED
- Health savings account
- Paid holidays
Quick Apply
Patient Care Coordinator
Midwest Dental —Santa Fe, NM
- $21 - $25 an hour
- Monday to Friday
- Dental office
- Medical office experience
- Mid-level
- Health savings account
- Disability insurance
Office Assistant Lead - Neurology
Christus Health —Santa Fe, NM
- Full-time
- Word processing
- Computer literacy
- Mid-level
Billing Specialist - Lab AdminGeneral
Christus Health —Santa Fe, NM
- 8 hour shift
- Writing skills
- HIPAA
- English
14d
Hospice Business Office
Del Corazon Hospice —Santa Fe, NM
- Full-time
- Microsoft Outlook
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Practice Support Associate - West Advisor Group
Thrivent —Santa Fe, NM
- Contract
- Microsoft Excel
- Research
- Administrative experience
Quick Apply

Discover related jobs

Based on your search for insurance verification jobs.

Medical Credentialing Specialist
Claim.MD —Pecos, NM
Maintain working knowledge of CMS guidance, state Medicaid enrollment requirements, CAQH processes, NPPES, PECOS, and other applicable credentialing standards.
$76,000 - $86,000 a year
Quick Apply
8d
Coordinator Patient Care - Oncology Surgery
Christus Health —Santa Fe, NM
This includes being the primary contact at the clinic for the patient for any questions of either a clinical or administrative nature (coordinating clinical…

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Central Auth Coord - HHH
Ohio Living —Westerville, OH
The Central Authorization Coordinator coordinates and processes all new and extended cases within the workflow of the Central Authorization Department through…
Quick Apply
Oral Surgery office reception, scheduling, billing, multi-line phone
East Ohio Oral and Maxillofacial Surgery —Westerville, OH
Duties will include answering multi-line phone system, scheduling patients, treatment plans, billing, insurance verification, posting charges and entering…
$19 - $26 an hour
Quick Apply
3d

Show more jobs in cities nearby

I want to receive the latest job alert for insurance verification in espanola, nm

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

insurance verification jobs near espanola, nm

Administrative Assistant jobs in Los Alamos, NM

Office Assistant jobs in Santa Fe, NM

Billing Specialist jobs in Santa Fe, NM

Patient Care Coordinator jobs in Santa Fe, NM

Pediatric Patient Care Technician jobs in Phoenix, AZ

School Age Child Care jobs in Rochester, MN

Care Concierge jobs in Ponte Vedra Beach, FL

Nurse Concierge jobs in Fort Worth, TX

Concierge jobs in Pittsburgh, PA

Care Concierge jobs in Michigan

Care Concierge jobs in New York State

Care Concierge jobs in Chattanooga, TN

Administrative Assistant jobs in Ashburn, VA

Administrative Assistant jobs in Edmond, OK

Medical Administrative Assistant jobs in Phoenix, AZ

Administrative Assistant jobs in Ocean County, NJ

Administrative Assistant jobs in Bangor, ME

Administrative Assistant jobs in Cupertino, CA

Administrative Assistant jobs in Vallejo, CA

Business Office Director jobs in Leander, TX

Payer Credentialing Specialist - Staff Credentialing

Christus Health -
Santa Fe, NM

Apply Now

Job Details

Full-time
1 day ago

Qualifications

Phone communication
Spreadsheets
Word embeddings
English
Administrative experience
High school diploma or GED
Desktop applications
Productivity software

Full Job Description

Description

Summary:

Provides assistance and support to the Credentialing Coordinator with the day to day operations and functions of payer enrollment.

Responsibilities:

Assists in the management and successful implementation of the entire payer enrollment credentialing and re-credentialing process for all providers participating at Payer Enrollment at CHRISTUS St. Vincent. Assists with maintaining timelines for enrollment/credentialing, communicates with providers and other departments to update as needed, clarify carrier information requirements, and maintain a strict level of confidentiality for all matters pertaining to provider credentials.
Develops effective working relationships with 3rd party payers and other outside entities involved in credentialing process.
Tracks expiration data for all licensure, certificates, insurance, etc. for employed providers and ensures that items are current.
Maintains current credentialing/re-credentialing status with third party payers. Provides prompt response to inquiries made from third party payers, institutions, and others requesting information regarding enrollment applications for processing. Follows up with the carriers on documentation submitted.
Assist in the ongoing management of the Managed Care database. Responsible for the accuracy and integrity of all computerized information related to appointment, reappointment, and any necessary additional data regarding enrollment.
Maintains provider information via Payer enrollment Spreadsheet and the provider enrollment software (MD Staff). Responsible for overseeing the migration of Payer Enrollment processes from the Payer Enrollment spreadsheet to MD Staff.
Assists to obtain credentialing data needed for enrollment, contracting, and other related purposes. Credentialing data includes but is not limited to medical degree verification, Drug Enforcement Administration (DEA) certificate, state licenses, Board certifications, Curricula Vitae (CV), malpractice insurance, and state insurance. Monitors and ensures that all documentation is current. Ensures file confidentiality and easy retrievability.
Responsible for overseeing the enrollment and re-enrollment/re-attestation for both the CAQH (Council for Affordable Quality Healthcare) system, and New Mexico Medicaid.
Works closely with the enrolled providers, and clinic managers to obtain missing documentation for providers pertaining to provider enrollment. Obtains required signatures and follows up with the carriers on documentation submitted.
Assists in the payer enrollment re-credentialing process for enrolled providers, which occurs every three years.
Assists with the execution of malpractice insurance applications with the outside carrier.
Prepares written reports, correspondence and technical reports of a highly confidential nature, utilizing personal computer for word processing, spreadsheet, graphic and other applications as needed.
Assists in responding to internal and external inquiries regarding routine enrollment and contract matters, as appropriate. Interfaces regularly with internal staff, clinic managers, and billing representatives.
Interfaces regularly and builds relationships with internal staff such as clinic managers, billing representatives, etc.
Maintains Delegated Payer Rosters, and send out rosters in a monthly cadence, and as needed.
Ensures Enrollment remains active for all employed providers, for both Delegated and Non-Delegated payers. Responsible for maintaining documentation for both Delegated and Non-Delegated Payers.

Requirements:

Education:

High school diploma or equivalent required.

Experience:

Two years secretarial or administrative experience. Experience with Microsoft Word and Excel.
Strong English reading and writing skills
Ability to communicate effectively utilizing strong written and verbal communication skills
Strong organizational skills
Ability to learn new software programs and operate general office equipment
Excellent telephone skills, with ability to transmit and receive information accurately
Ability to work independently with minimal supervision and in stressful situations and perform multiple tasks simultaneously

Certifications, Registrations, or Licenses:

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

Apply Now

Refine Your Search

insurance verification jobs in espanola, nm

Payer Credentialing Specialist - Staff Credentialing

Payer Operations & Credentialing Coordinator

Admin Assistant 3

Patient Concierge

Patient Care Coordinator

Office Assistant Lead - Neurology

Billing Specialist - Lab AdminGeneral

Hospice Business Office

Practice Support Associate - West Advisor Group

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for insurance verification in espanola, nm

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected