Outpatient Coordinator - New Mexico ALB

RIVER VALLEY BEHAVIORAL HEALTH • Albuquerque, NM

2d • $16 - $19

About The Position

Performs administrative duties to support agency operations; using basic office equipment and technology such as telephones; email; and web browsers to perform duties. Expected areas of focus include but are not limited to: 1) provide excellent customer service by phone and in person to customers, 2) creates and maintain medical records; 3) consumer eligibility and insurance claims processing support, 4) administratively support direct service providers such as case managers and therapists, 5) cultural competency and diversity, 6) documentation, 7) productivity and efficiency, 8) staff development and skill enhancement activities, 9) other duties and special projects as assigned and developed. Why Choose New Mexico Solutions? New Mexico Solutions is now a Certified Community Behavioral Health Clinic (CCBHC), expanding access to high-quality, integrated care in the communities we serve. Join a mission-driven organization committed to clinical excellence, professional growth, and meaningful impact. We offer: Competitive pay Comprehensive benefits (health, dental, vision, Telehealth) Paid time off + 9 holidays Retirement plan options Tuition reimbursement + free CEUs Clinical supervision Wellness & employee assistance programs Mileage reimbursement for work related travel Public Service Loan Forgiveness (PSLF) - eligible employer Eligible clinical positions may qualify for the National Health Service Corps (NHSC) Loan Repayment Program

Requirements

• High school diploma/GED or at least 1 year office experience.
• Excellent communication skills in all areas of office operations.
• Knowledge of office equipment and front desk procedure.
• Ability to conduct interviews and meetings and to manage time and prioritize projects.
• Good writing and verbal skills.

Nice To Haves

• Two year experience in mental health or medical setting preferred.
• Bilingual (Spanish) preferred.
• Proficient in Microsoft Word, Outlook, and Excel.

Responsibilities

• Customer Service: Provide excellent customer service to both internal (staff) and external (patients, vendors, community members and stakeholders) customers as evidenced by: Greeting incoming callers and visitors with positivity and professionalism. Interacting with internal and external customers by treating them professionally and with dignity and respect; considering their needs and preferences. Assisting consumers by asking necessary and appropriate questions to determine their need and connect them the appropriate information/individual. Working as an active member of the administrative office support team to support agency and patient needs.
• Assisting/Supporting Provider Staff: Providing support to individuals served and agency providers as evidenced by: Answering and routing incoming calls, determining needs of caller, and taking and delivering messages. Conducting daily reminder calls to scheduled patients and other patient outreach to support agency needs. Completing patient check-in and check-out for appointment attendance (including collection of any applicable fees). Scheduling, canceling, or changing appointments in the information system(s) and communicating changes to necessary parties. The ability to collect and document patient vitals, coordinate prescription refills, and complete prior authorization requests.
• Medical Records Maintenance: Completes enrollment and maintenance of patient medical records and profiles in agency information system(s) as evidenced by: Enrolling/opening new medical records and profiles in agency information system(s). Updating and maintaining files (including filing of documents, maintaining file organization, and updating of demographics and other patient information). Completing review of files to ensure required forms/documents are included. Accurately processing releases of information.
• Enrollment Coordination and Billing/Claims Processing Support: Support patient enrollment and successful claims processing through initial and ongoing eligibility verification, information system data entry, and effective problem solving related to billing errors or claim denials as evidenced by: Demonstrating thorough knowledge of applicable funding sources (insurance, etc.) and funding source requirements. The ability to explain eligibility issues to patients, referral sources, and staff members. Coordinating with funding sources related to client eligibility inquiries. Ensuring patient eligibility is checked and documented on a monthly basis for all enrolled individuals. Maintenance of current rosters for enrolled individuals and applicable funding source information for each. Entering and updating billing/claims data in information system(s). Reviewing eligibility and other factors as indicated to support claims denial review. Provides administrative support to clinical staff as requested.
• Cultural Competence and Diversity: Provides culturally appropriate services to diverse populations as evidenced by: Providing services/interactions that are person-centered. Providing a non-judgmental, open, and welcoming approach to diverse populations.
• Documentation: Completed documentation that meets identified expectations as evidenced by: Documenting all services provided within expected time frames. Documenting all services provided in a manner that meets service definitions, regulatory standards, and agency expectations. Documenting all services provided in a manner that is person-centered and meets quality improvement goals.
• Efficiency and Productivity: Consistently meeting established productivity standards as evidenced by: Demonstrating excellent organizational skills. Demonstrating effective use of time management techniques. Demonstrating the use of effective engagement skills. Consistently meeting established productivity standards and deadlines.
• Staff Development Activities: Participates in staff development activities to increase skills and professional development as evidenced by Participating in and completing all required trainings in an accurate and timely manner. Identifying and requesting training or skill enhancement opportunities. Engaging in cross-training activities with other team members (including provision of cross-training of employee’s own duties to others and receiving cross-training relating to other team members’ duties).
• Other: Completes other administrative support duties and special projects as developed and assigned.

Benefits

• Competitive pay
• Comprehensive benefits (health, dental, vision, Telehealth)
• Paid time off + 9 holidays
• Retirement plan options
• Tuition reimbursement + free CEUs
• Clinical supervision
• Wellness & employee assistance programs
• Mileage reimbursement for work related travel
• Public Service Loan Forgiveness (PSLF) - eligible employer
• Eligible clinical positions may qualify for the National Health Service Corps (NHSC) Loan Repayment Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED