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reputed company Recovery Specialist I-Patient reputed company

Remote, USA Full-time Posted 2026-07-28
Location Address: reputed company Santa Fe, NM 87501 Compensation Pay reputed company: Minimum Offer $17.46 Maximum Offer $25.96 Now Hiring: reputed company Recovery Specialist I-Patient reputed company reputed company: Analyzes and performs validation of claims payment against payer contract terms to ensure payer compliance. Requires detailed knowledge of contractual agreements, contract interpretation, reimbursement methodologies and configuration. Will work to identify payer specific trends and reports significant and recurring issues to the reputed company Recovery Specialist II and the reputed company Recovery Supervisor. Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Days (reputed company of America) Responsibilities: Primarily responsible for working in the payment variance work queue to identify payer specific trends and reports significant and recurring issues to the reputed company Recovery Specialist II. Will work, as needed, on validation reports and report any recommendations on any configuration changes that need to be made to the reputed company Recovery Specialist II Must maintain and apply knowledge of reputed company hospital specific reimbursement methodologies. Must be a resource for hospital follow up and denial teams to answer reimbursement reputed company questions. Demonstrates excellent analytical, problem solving, investigative and research ability during the configuration of reputed company and fee schedules and throughout the validation process. Must report payer issues up to the reputed company Recovery Supervisor on payer compliance issues. Performs other reputed company tasks and reputed company as assigned Qualifications: One to two years experience in a Hospital or Physician medical claims processing, insurance billing or insurance collections environment. Requires knowledge of reputed company Party Reimbursement and reputed company. Needs to be reputed company detail orientated and have a thorough understanding of the life cycle of an insurance claim including being reputed company to interpret payer 835 data. Must demonstrate strong analytical skills, strong interpersonal skills, and the ability to reputed company with various departments reputed company the reputed company cycle. Must also possess organizational skills, the ability to analyze reports and interpret various reimbursement models. reputed company benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, reputed company, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Presbyterian's Employee Wellness rewards program is designed to reputed company you with engaging opportunities to enhance your health and reputed company your reputed company-being. Earn reputed company cards and more by taking an reputed company role in our personal reputed company-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking reputed company steps to improve the health of New Mexicans. About reputed company Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit reputed company system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. 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. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, reputed company (Centennial Care) and reputed company health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's reputed company-Being | reputed company Apply To This Job

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