Office Clerk-Advanced (DOH/NMBHI # 12673)
$16.
42 - $24.
63 Hourly$34,157 - $51,236 AnnuallyThis position is a Pay Band 40Posting DetailsThis posting will be used for 30 days to conduct ongoing recruitment and will remain open until the position and/or positions have been filled.
Why does the job exist?Incumbent will be responsible for following-up on all outstanding insurance claims, with payers to include but are not limited to Medicare, Medicaid, and commercial health insurance carriers.
How does it get done?Incumbent will be responsible for but not limited to work in a collaborative interaction with insurance representatives, other staff members and management, for accurate processing of all follow-up, on claim status, non-paid accounts, denied and rejected claims.
Adjust patient/client/resident accounts as appropriate in alignment with established procedures.
Obtain status of outstanding claims listed in the follow-up work AR reports and attempt to resolve.
Forward issues which cannot be corrected to next level in the correct format with problems noted.
Who are the customers?Patients/Residents/Clients Ideal CandidateIdeal candidate will have:
Experience working with insurances;Experience working with Microsoft Office and Outlook;Experience working in a clerical setting; Experience with HIPAA.
Minimum QualificationHigh School diploma or Equivalent and three (3) months experience in office administration and/or customer service.
Substitutions Apply.
See Substitution Table below.
Substitution TableThese combinations of education and experience qualify you for the position:
Education Experience 1 High School Diploma or Equivalent AND # of months or years of experience specified in the minimum qualification 2 Associate's Degree AND Zero years of experience oEducation and years of experience must be related to the purpose of the position.
oIf Minimum Qualification requires a specific number of semester hours in a field (e.
g.
6 semester hours in Accounting), applicants MUST have those semester hours in order to meet the minimum qualifications.
No substitutions apply for semester hours.
Employment RequirementsMust possess and maintain a valid New Mexico Driver's License.
Working ConditionsOffice setting, exposure to VDT, extensive personal computer and phone usage.
Some travel may be required.
This position will perform work in a hospital and office setting with exposure to Visual /Video Display Terminal (VDT) and extensive personal computer and phone usage.
Exposure to mentally and behaviorally challenged residents who may exhibit unpredictable and sometimes violent behaviors in volatile situations required.
Effective 01/01/2015, New Mexico Behavioral Health Institute became a 100% Tobacco Free/ E-Cigarette Free Campus.
As such, no tobacco, tobacco products or E-cigarette products are permitted on any part of the campus.
Department is Financial Management.
Work hours are 8 am to 5 pm.
Supplemental Information
Benefits:
Do you know what Total Compensation is? Click here Agency Contact Information:
Pablo Garcia (505) 454-2371 Email For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit PositionThis position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
Recommended Skills Administration Claim Processing Customer Service Insurance Management And Aftercare Medicaid Medicare Estimated Salary: $20 to $28 per hour based on qualifications.
42 - $24.
63 Hourly$34,157 - $51,236 AnnuallyThis position is a Pay Band 40Posting DetailsThis posting will be used for 30 days to conduct ongoing recruitment and will remain open until the position and/or positions have been filled.
Why does the job exist?Incumbent will be responsible for following-up on all outstanding insurance claims, with payers to include but are not limited to Medicare, Medicaid, and commercial health insurance carriers.
How does it get done?Incumbent will be responsible for but not limited to work in a collaborative interaction with insurance representatives, other staff members and management, for accurate processing of all follow-up, on claim status, non-paid accounts, denied and rejected claims.
Adjust patient/client/resident accounts as appropriate in alignment with established procedures.
Obtain status of outstanding claims listed in the follow-up work AR reports and attempt to resolve.
Forward issues which cannot be corrected to next level in the correct format with problems noted.
Who are the customers?Patients/Residents/Clients Ideal CandidateIdeal candidate will have:
Experience working with insurances;Experience working with Microsoft Office and Outlook;Experience working in a clerical setting; Experience with HIPAA.
Minimum QualificationHigh School diploma or Equivalent and three (3) months experience in office administration and/or customer service.
Substitutions Apply.
See Substitution Table below.
Substitution TableThese combinations of education and experience qualify you for the position:
Education Experience 1 High School Diploma or Equivalent AND # of months or years of experience specified in the minimum qualification 2 Associate's Degree AND Zero years of experience oEducation and years of experience must be related to the purpose of the position.
oIf Minimum Qualification requires a specific number of semester hours in a field (e.
g.
6 semester hours in Accounting), applicants MUST have those semester hours in order to meet the minimum qualifications.
No substitutions apply for semester hours.
Employment RequirementsMust possess and maintain a valid New Mexico Driver's License.
Working ConditionsOffice setting, exposure to VDT, extensive personal computer and phone usage.
Some travel may be required.
This position will perform work in a hospital and office setting with exposure to Visual /Video Display Terminal (VDT) and extensive personal computer and phone usage.
Exposure to mentally and behaviorally challenged residents who may exhibit unpredictable and sometimes violent behaviors in volatile situations required.
Effective 01/01/2015, New Mexico Behavioral Health Institute became a 100% Tobacco Free/ E-Cigarette Free Campus.
As such, no tobacco, tobacco products or E-cigarette products are permitted on any part of the campus.
Department is Financial Management.
Work hours are 8 am to 5 pm.
Supplemental Information
Benefits:
Do you know what Total Compensation is? Click here Agency Contact Information:
Pablo Garcia (505) 454-2371 Email For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit PositionThis position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
Recommended Skills Administration Claim Processing Customer Service Insurance Management And Aftercare Medicaid Medicare Estimated Salary: $20 to $28 per hour based on qualifications.
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