Top 3 Insurance claims processing occupations Jobs in New Mexico

Financial Specialist (DOH/LLCP #14809)
State of New Mexico —Los Lunas, NM
- $18.69 - $28.04 an hour
- Full-time
- Research
- Office
- Administrative experience
10d
Supervisory Paralegal Specialist
US Executive Office for U.S. Attorneys and the Office of the U.S. Attorneys —Las Cruces, NM
- $89,508 - $116,362 a year
- Part-time
- Background check
- Customer service
- Writing skills
- Paid holidays
- Life insurance
Paralegal Specialist
US Executive Office for U.S. Attorneys and the Office of the U.S. Attorneys —Las Cruces, NM
- $61,722 - $97,087 a year
- Part-time
- Background check
- Customer service
- Writing skills
- Paid holidays
- Life insurance

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Financial Specialist (DOH/LLCP #14809)

State of New Mexico -
Los Lunas, NM

Apply Now

Job Details

Full-time
$18.69 - $28.04 an hour
10 days ago

Qualifications

High school diploma or GED
Driver's License

Full Job Description

Posting Details

This position exists to ensure accurate and timely entry, review, and processing of service and financial data necessary for Medicaid reimbursement and financial reporting. The position helps maintain compliance with regulations by validating service documentation, monitoring claim activity, resolving data discrepancies, and supporting revenue collection activities for DDW and ICF programs.

This posting will be used for ongoing recruitment and may close at any time. Applicant lists may be screened more than once.
Why does the job exist?

This position exists to ensure accurate and timely entry, review, and processing of service and financial data necessary for Medicaid reimbursement and financial reporting. The position helps maintain compliance with regulations by validating service documentation, monitoring claim activity, resolving data discrepancies, and supporting revenue collection activities for DDW and ICF programs.
How does it get done?

Enter, review, and maintain service and financial data within Avatar, TruBridge, Turquoise Claims, and QuickBooks.
Verify the accuracy and completeness of service documentation and supporting records.
Monitor claim activity and identify data discrepancies requiring correction.
Research, reconcile, and resolve data entry errors and claim exceptions.
Generate reports and maintain records to support reimbursement, audits, and financial reporting.
Communicate with program staff and external partners to obtain required information and ensure data accuracy.
Maintain confidentiality of client and financial information in accordance with applicable regulations.
Assist with system updates, process improvements, and special projects related to revenue management and claims processing.
Who are the customers?

The work performed supports individuals receiving DDW and ICF services, program management, the Finance Department, state oversight agencies, Medicaid funding sources, and other internal and external stakeholders who rely on accurate service and financial information for reimbursement, reporting, and compliance purposes.
Ideal Candidate

The work performed supports individuals receiving DDW and ICF services, program management, the Finance Department, state oversight agencies, Medicaid funding sources, and other internal and external stakeholders who rely on accurate service and financial information for reimbursement, reporting, and compliance purposes.
Minimum Qualification

High School diploma or Equivalency and six (6) months experience in bookkeeping, office administration, auditing, accounting, and/or finance. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling six (6) months may substitute for the required experience.
Employment Requirements

Must possess and maintain a valid New Mexico Driver's License. Must possess and maintain a current Defensive Driving Course Certificate from the State of New Mexico or must pass and receive a Defensive Driving Course Certificate as a condition of continued employment within 45 days of employment. Successful completion of the Health Insurance Portability and Accountability Act (HIPAA)
Working Conditions

Work is performed primarily in an office setting with exposure to Visual/Video Display Terminal (VDT) and extensive personal computer to include working with computers, faxes, copiers and printers, and phone usage with extended periods of sitting, standing, bending, squatting, climbing, reaching, kneeling and crawling. Ability to lift up to 25 lbs. Some travel may be required.
Supplemental Information

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Agency Contact Information: Bailee Monk, (505) 328-7944., Email

For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.

Bargaining Unit Position

This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.

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insurance claims processing occupations jobs in new mexico

Financial Specialist (DOH/LLCP #14809)

Supervisory Paralegal Specialist

Paralegal Specialist

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