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Medicare School Jobs in Rio Rancho, NM (NOW HIRING)

WorkBeast

Be Seen First

Remote ED Medical Coder contract

Albuquerque, NM · Remote

$25 - $35/hr

... for Medicare and Medicaid Services (CMS). PREFERRED QUALIFICATIONS: * Minimum three (3) recent ... Must have a High School Diploma; or equivalent combination of education and experience. * Three (3 ...

Gentiva

Hospice Physician

Albuquerque, NM

Certify and recertify hospice eligibility, ensuring timely compliance with Medicare and other ... Doctorate degree in allopathic or osteopathic medicine from an accredited medical school. * Board ...

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Showing results 21-40

All JobsMedicare School JobsMedicare School Jobs in Rio Rancho, NM

Medicare School information

See Rio Rancho, NM salary details

$13

$25

$44

How much do medicare school jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for medicare school in Rio Rancho, NM is $25.18, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $27.12 per hour, depending on experience, location, and employer.

What is Medicare School?

Medicare School is an educational resource designed to help individuals understand Medicare, the federal health insurance program for people aged 65 and older and certain younger individuals with disabilities. It provides comprehensive information about the different parts of Medicare, enrollment periods, coverage options, and how to choose the right plan based on personal needs. Medicare School offers workshops, online courses, and guides to empower beneficiaries to make informed decisions about their healthcare coverage.

What are the key skills and qualifications needed to thrive as a Medicare School instructor?

To thrive as a Medicare School Instructor, you need in-depth knowledge of Medicare regulations, insurance products, and educational methodologies, often backed by experience in healthcare or insurance and relevant certifications. Familiarity with presentation software, online learning platforms, and Medicare resources is important for delivering effective instruction. Strong communication, patience, and the ability to simplify complex topics are valuable soft skills that help engage and educate diverse learners. These skills ensure accurate, accessible education on Medicare, empowering participants to make informed decisions about their healthcare coverage.

What are some common challenges faced by instructors in a Medicare School, and how can they effectively address them?

Instructors at a Medicare School often encounter challenges such as ensuring students grasp complex Medicare regulations, keeping up with frequent policy changes, and addressing the diverse learning needs of adult learners. To effectively address these challenges, instructors can utilize a variety of teaching tools, provide real-world scenarios, and participate in ongoing professional development to stay current with regulations. Collaboration with other faculty members and open communication with students also help create a supportive learning environment.

What is the difference between Medicare School vs Medicare Insurance Agent?

AspectMedicare SchoolMedicare Insurance Agent
CredentialsTypically requires Medicare-specific training or certification programsRequires state licensing and Medicare certification
Work EnvironmentEducational setting, classroom or online trainingFieldwork, client meetings, and insurance offices
Employer & IndustryEducational institutions or training providersInsurance companies, brokerages, or independent agents
Search & Comparison IntentLearning about Medicare training programsUnderstanding roles and requirements of Medicare insurance sales

Medicare School focuses on providing training and education about Medicare, often in classroom or online settings. In contrast, a Medicare Insurance Agent actively sells and manages Medicare plans, requiring licensing and client interaction. Both roles are essential in the Medicare industry but serve different functions in the healthcare and insurance sectors.

What are popular job titles related to Medicare School jobs in Rio Rancho, NM?

For Medicare School jobs in Rio Rancho, NM, the most frequently searched job titles are:

What job categories do people searching Medicare School jobs in Rio Rancho, NM look for?

The top searched job categories for Medicare School jobs in Rio Rancho, NM are:

What cities near Rio Rancho, NM are hiring for Medicare School jobs?

Cities near Rio Rancho, NM with the most Medicare School job openings:

Medicare School jobs near you

Pharmacy Benefits Verification Specialist

Onco360

Albuquerque, NM • On-site, Remote

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

19th of 112 rated pharmacies

Job description

We are seeking a Pharmacy Benefit Verification Specialist at our Specialty pharmacy working in Mountain Time Zone. This will be a Full-Time position. This is a remote/hybrid opportunity,
Shift times start at 10am Mountain Time Zone until 8pm Mountain Time Zone.
Full-Time position may work remotely but MUST HAVE ACTIVE NEW MEXICO PHARMACY TECHNICIAN credentials from the State Board of Pharmacy.
**Starting salary at $23HR and up**
Sign-On Bonus: $5,000 for employees starting before September 30th, 2026.
We also offer quarterly incentive bonuses.
We offer a variety of benefits including:
  • Medical, Dental amp; Vision insurance
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Paid Volunteer Day
  • Floating Holiday
  • Referral Incentive
  • Paid Life, and short amp; long-term disability insurance
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. They will ensure accurate benefit documentation is made for all prescription orders.
Pharmacy Benefit Verification Specialist Major Responsibilities:
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile.
  • Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.
  • Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Pharmacy Benefit Verification Specialist Qualifications:
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
  • Work Experience
    • Required: 1+ years pharmacy or benefit verification experience
    • Desired: 3+ years pharmacy or benefit verification experience
  • 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.
  • Behavior Competencies
    • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skill
Onco360 is a Closed door specialty pharmacy that focuses on patients who are currently undergoing cancer treatment. Our patients are important to us, so we always strive to meet and exceed their needs. We are seeking Pharmacy Benefit Verification Specialists who go above and beyond for our patients, and also passionate about helping others.

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