Office Support Clerk-Finance (DOH/NMBHI #12673)

Salary: $17.00 - $25.49 hourly ($35,350 - $53,024 annually). This position is classified as Pay Band C2 and is used for ongoing recruitment; the posting may close at any time.

About the role

The NMBHI Reimbursement Department provides customer service to the facility, vendors, patients, clients, and residents. This position ensures timely follow-up of all outstanding insurance claims with payers including Medicare, Medicaid, and commercial health insurance carriers.

Responsibilities

• Follow up on outstanding insurance claims and resolve non-paid, denied, or rejected claims.
• Obtain status of outstanding claims listed in follow-up accounts receivable reports.
• Collaborate with insurance representatives, staff, and management for accurate claim processing.
• Forward unresolved issues to the next level with problems documented in the correct format.
• Adjust patient/client/resident accounts as needed, following established procedures.
• Answer telephone inquiries regarding assigned accounts from patients or insurance providers.
• Ensure client confidentiality in accordance with HIPAA policy.
• Attend mandatory annual staff development trainings required by NMBHI and DOH.
• File documents numerically or alphabetically.
• Perform other duties as assigned by management.

Requirements

• Working knowledge of Windows, MS Office, Outlook, and Internet Explorer.
• Experience with collaborative interactions involving insurance representatives and management.
• Must possess and maintain a valid New Mexico driver’s license.
• No prior experience or training required.

Ideal Candidate

• Customer service experience.
• Medical or financial background.
• Strong attention to detail and accuracy.
• Exceptional organization and communication skills.
• Experience with conflict and discrepancy resolution.
• Ability to organize daily operations and provide feedback to management.

Working Conditions

• Office setting with exposure to Visual/Video Display Terminal (VDT) and extensive computer/phone usage.
• Some sitting, standing, bending, and reaching required.
• Direct client interaction and occasional travel may be required.

Benefits

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