Role Description This is a remote position. - Contract type: Independent Contractor - Night Shift Schedule: - Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5am Manila Time) - Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time) - The desired result of the State Payor Credentialing Representative role is confident, end-to-end ownership of provider enrollment for assigned high complexity states. - This role consistently ensures that provider enrollment applications for both commercial and government payors are submitted accurately, compliantly, and within expected turnaround times. - As the subject matter expert for assigned state(s), the Credentialing Representative demonstrates deep understanding of state specific credentialing requirements and applies that expertise to guide submissions, resolve issues, and navigate complex regulatory environments. - Enrollment activity is well-managed from initial application through final approval, with clear accountability and minimal need for escalation. - Clients, Account Teams, and internal leadership experience credentialing as reliable, organized, and proactive. - Re-credentialing timelines are anticipated, documentation gaps are identified early, and payor requirements are consistently met. Measures of Success - 100% verification of required data: All client required information is confirmed prior to initiating enrollment applications. - Submission timeliness: - New provider applications are submitted within 8 working hours of receiving complete information. - Applications for new payor contracts are submitted within 3–5 business days of receiving complete information. - Proactive communication: Daily activity and follow-up reports are consistently sent to the Credentialing Representative II or State Payor Credentialing Coordinator. - Application accuracy: Application denial rate remains below 1% across all submissions. Responsibilities - Lead the submission of provider enrollment applications for assigned states with complex regulations or high provider volume. - Serve as the primary subject matter expert for credentialing and enrollment requirements in assigned state(s). - Maintain current knowledge of both In-network and out-of-network enrollment processes. - Partner with Account Coordinators to validate provider data and documentation prior to initiating enrollment applications. - Establish and maintain productive working relationships with payor representatives in assigned states to support clear communication and timely issue resolution. - Prepare and submit provider enrollment documentation through appropriate channels, including payor portals and mailed submissions. - Track application status and perform proactive follow-ups to drive timely approvals. - Manage re-credentialing submissions and communicate upcoming client requirements to Account Management. - Complete quarterly and other required payor attestations to ensure ongoing compliance. - Provide daily status reports to Credentialing Coordinator, including updates for personal workload and any Credentialing Representative I staff supporting assigned states. - Maintain thorough documentation of all submissions, follow-ups, and payor correspondence within internal tracking systems. Requirements - Exceptional attention to detail and strong organizational skills. - Critical thinking and problem-solving abilities in complex or ambiguous situations. - Ability to work effectively in a fast-paced, deadline-driven environment. - Clear and professional verbal and written communication skills. - Strong reading comprehension and ability to interpret regulatory and procedural guidance. - Professional yet assertive communication style when working with payors to drive timely outcomes. - At least 2 years in college. - Two years experience in US-based medical billing practice or medical practice dealing with billing including but not limited to, provider credentialing, authorizations, reimbursement, etc. preferably in Behavioral Health to some degree. MBH Core Values - Respectful of our unique cultural environment - Absolute Confidentiality - Embracing Teamwork - Loyal Behavior & Positive Attitude - Accountability - Proactiveness - Thoroughness - Focused on results - Inspired to learn & grow constantly - Devoted to providing top-tier services to our clients through the "Unique Service Oriented Philosophies" Benefits - Independent Contractor Perks - Permanent work from home - Immediate hiring - Steady freelance job - Profit sharing incentive - Paid time off - Holiday pay - Annual Performance and Raise Evaluation - Quarterly Perfect Attendance Incentive - HMO - BruntWork Loan Assistance Please note that since this is a permanent work-from-home position and an “Independent Contractor” arrangement, the candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional fees are on hourly rates and the rate depends on your performance in the application process.

Role Description To investigate and adjust property and casualty claims, both residential and commercial, with little to no supervision. - Inspects claims and contacts involved parties in a timely manner. - Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages/reserves. - Examines insurance policies and other records to determine insurance coverage. - Prepares estimates for cost of repair and/or replacement. - Conducts interviews with claimant and witnesses regarding submitted claim(s). - Negotiates and settles both 1st and 3rd party claims. - Addresses salvage and subrogation as required by the client. - Maintains client relationships to assure repeated business referrals. - Performs other duties as assigned. - Supports the organization's quality program(s). - Travels as required. Qualifications - Bachelor's degree from an accredited college or university preferred. - IIA-AIC designation required. - Appropriate state adjuster license is required. - Two (2) years of related experience or equivalent combination of education and experience required. - Strong oral and written communication, including presentation skills. - PC literate, including Microsoft Office products. - Demonstrated commitment to timely reporting. - Strong customer service skills. - Strong interpersonal skills. - Attention to detail and accuracy. - Good time management and organizational skills. - Ability to work independently or in a team environment. - Ability to meet or exceed Performance Competencies. Requirements - Clear and conceptual thinking ability; excellent judgment and discretion. - Ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. - Must be able to stand and/or walk for long periods of time. - Must be able to kneel, squat or bend. - Must be able to work outdoors in hot and/or cold weather conditions. - Have the ability to climb, crawl, stoop, kneel, reaching/working overhead. - Be able to lift/carry up to 50 pounds. - Be able to push/pull up to 100 pounds. - Be able to drive up to 4 hours per day. - Must have continual use of manual dexterity. - Hearing, vision and talking. Benefits - Work-life balance. - Caring culture.

Role Description The Claims Specialist is responsible for properly reviewing and processing claims for various Employer benefit plans according to IRS regulations and specific employer plan rules. A Claims Specialist should be prepared to work in a detail-oriented and fast-paced environment with a high level of accuracy. - Daily claim processing. - Accurately process all FSA claim types. - Determine eligibility by utilizing available resources. - Ensure priority of workload is followed and turnaround times are met. - Properly process claim appeals. - Troubleshoot software issues accordingly. - Assist with other operational functions. - Coordinate with other departments when appropriate. - Assist Claims Supervisors with projects as assigned. - Work with Claims Supervisors to develop new processes and procedures. - Continuous improvement approach to work. - Communicate changes needed for processes. - Develop and update procedures as needed. - Promote continuous learning and sharing of knowledge. Qualifications - Detail-oriented. - Ability to work in a fast-paced environment. - High level of accuracy. Requirements - Base pay range: $17.00 - $22.50. - Actual pay rates will vary based on qualifications, skills, competencies, and proficiency for the role. - Most sales positions are eligible for commission under the terms of an applicable plan. - Non-sales roles are typically eligible for a quarterly or annual bonus based on their role and applicable plan. Benefits - Health, dental, and vision insurances. - Retirement savings plan. - Paid time off. - Health savings account. - Flexible spending accounts. - Life insurance. - Disability insurance. - Tuition reimbursement. - Comprehensive and market competitive benefits designed to support personal and professional well-being.

Role Description The Department of Neurosurgery in the UNM School of Medicine plays a critical role in improving the health of all New Mexicans. Our department is the Southwestern hub for advanced neurological diagnosis and patient care. We seek a dynamic individual to join our team as a Medical Practice Specialist and be a part of our important mission and exciting growth. This position will play an important role in advising and assisting faculty providers with strategic billing and documentation issues including group level and individual coding to enhance the financial well-being of the department. This position will act as a strategic partner with the Chair of Neurosurgery and the Department Administrator to advance the strategic plans and goals of Neurosurgery. The Department of Neurosurgery values professional development and continuing education and in this spirit will support this position obtaining professional certification(s) such as the American College of Medical Practice Executive (ACMPE) or a Professional Coding Certification such as the American Academy of Professional Coders (AAPC). Duties for this position include but are not limited to: - Oversee and evaluate the department’s productivity and billing operations, while working with the department administration, the department leadership, UNMMG and UH to ensure compliance with appropriate procedures and applicable laws, regulations and policies. - Train and update providers on proper billing and coding practices. - Create and distribute ad hoc reports on practice and compliance issues on a weekly/monthly basis as required. - Act as department intermediary between UNMMG and department leadership and oversee the department contracting of our Professional Service Agreements. - Collect and analyze data and report findings. - Improve processes and training materials related to the clinical revenue and billing practices. Qualifications - High school diploma or GED; at least 7 years of experience directly related to the duties and responsibilities specified. - Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis. Requirements - Strong analytical skills with the ability to interpret and share data with internal and external customers at a level understood by intended audience. - Ability to use Microsoft Office tools to collect and analyze data. - Experience working effectively in a team environment to meet deadlines and improve processes. - Experience as a medical practice professional with experience working in medical systems and platforms (e.g., Cerner, Anodyne). - Ability to research and plan, organize and oversee short- and long-term projects. - Knowledge of coding Inpatient/Outpatient charges and specialty services using appropriate ICD and CPT classification systems for the purpose of reimbursement, research and compliance in accordance with federal regulation. - Possession of a current American Health Information Management Association (AHIMA) OR American Academy of Professional Coders (AAPC) certification. Benefits - This is a benefits eligible position. The University of New Mexico provides a comprehensive package of benefits including medical, dental, vision, and life insurance. - In addition, UNM offers educational benefits through the tuition remission and dependent education programs.