New Mexico Mutual · 4 months ago
Claims Intake Specialist Bilingual
Albuquerque, NM
Full-time
Onsite
Entry Level
1+ years expNew Mexico Mutual is a company that provides administrative support in the Claims Department, and they are seeking a Claims Intake Specialist who is bilingual in English and Spanish. The role involves intake of claims, data entry, and providing support to both customers and claims adjusting staff, ensuring a smooth workflow in a fast-paced environment.
Financial ServicesInsuranceService Industry
Responsibilities
Perform data entry of new First Reports of Injury information received by phone or other method
Provide limited claim instructions or information to customers; direct complex inquiries to appropriate Claims Adjusters for response
Contact insured or other involved persons to obtain missing claim information
Sort, scan, classify, code, and perform data entry of incoming documents and information for integration into software systems
Prepare and scan documents into the imaging system. Provide quality assurance for all documents scanned
Support the claims adjusting staff with billing issues, problems, and disputes. Coordinate response to these providers from our bill review vendor
Maintain records, reports, and/or files
Copy and organize large volume files for transmission to legal counsel or others as appropriate
Monitor the medical bill holds in the bill review vendor system. Notify the appropriate staff to receive direction related to these bill holds
Sort incoming mail and packages. Deliver to appropriate Adjusters
Serve as back-up for claims administration duties within the Provider Relations Department
Other related duties as assigned by supervisor
Qualification
Required
Must be fully bilingual in English and Spanish, with professional fluency in reading, writing, and speaking
High School diploma or GED equivalent
1-3 years directly related experience
Excellent customer service skills with ability to communicate professionally with stakeholders
Strong attention to detail and focus on accuracy
Positive attitude and willingly collaborates in a team environment
Ability to organize and prioritize work
Intermediate computer skills and ability to learn new computer applications
Ability to meet deadlines and respond well to direction
Demonstrated proficiency in MS Office (Word, Excel, Outlook, PowerPoint)
Preferred
General knowledge of payer specific or medical specialty billing, as well as knowledge of ICD-9, ICD-10 and CPT coding helpful
Company
New Mexico Mutual
New Mexico Mutual provides workers' compensation insurance and other related services.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Sara Gurule
Executive Assistant to the President & CEO
Recent News
Business Journals
2024-05-23
Business Journals
2022-05-17
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