Financial Specialist (DOH/LLCP #14809)

Salary: $18.69 - $28.04 hourly / $38,885 - $58,327 annually. This position is a Pay Band C3 and will be used for ongoing recruitment.

About the role

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 role 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.

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.

Responsibilities

• 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.

Requirements

• 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.
• 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 the certificate within 45 days of employment.
• Successful completion of the Health Insurance Portability and Accountability Act (HIPAA) training.

Skills

• Knowledge of accounting principles
• Knowledge of claims processing
• Experience working on time-sensitive projects
• Experience working with confidential records

Working Conditions

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

Pay

$18.69 - $28.04 hourly / $38,885 - $58,327 annually.

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