Finance Specialist (DOH/LLCP # 40954)

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.
• Aid with system updates, process improvements, and special projects related to revenue management and claims processing.

Who are the customers?

• Individuals receiving DDW and ICF services.
• Program management.
• The Finance Department.
• State oversight agencies.
• Medicaid funding sources.
• Other internal and external stakeholders who rely on accurate service and financial information for reimbursement, reporting, and compliance purposes.

Minimum Qualification

• A high school diploma or equivalent and six (6) months experience in bookkeeping, office administration, auditing, accounting, and/or finance.
• An alternative 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).

Supplemental Information

• Do you know what Total Compensation is? Click here.
• To learn about Statutory Requirements for this position, click the Classification Description link on the job advertisement.
• This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.