Employer Industry: Government Health Services

Why consider this job opportunity:
- Salary up to $60,070.40 per year
- Opportunity for career advancement within the Department of Health and Human Services
- Partial telework options available with management approval
- Comprehensive benefits package, including health insurance, dental coverage, and retirement contributions
- Generous paid leave policies, including 13 paid holidays and 3+ weeks of vacation annually
- Commitment to promoting health equity and improving access to care for low-income populations

What to Expect (Job Responsibilities):
- Manage a portfolio of cases to determine MaineCare recoupment amounts and communicate this information to relevant parties
- Review, interpret, and process cases in compliance with state and federal regulations
- Research and generate reports related to medical claims for deceased MaineCare members
- Negotiate recovery liens with attorneys and personal representatives to recover MaineCare funds
- Consult with senior management and legal representatives as needed to resolve complex cases

What is Required (Qualifications):
- Bachelor's Degree in Accounting, Business Administration, or a related field
- One (1) year of experience in healthcare insurance or a related field
- Knowledge of MaineCare or other healthcare insurance benefits and medical terminology
- Proficiency in Microsoft Word, Excel, and database systems
- Strong oral and written communication skills, with the ability to explain complex information clearly

How to Stand Out (Preferred Qualifications):
- Experience with the Medicaid program and health services for low-income populations
- Lived experience with Medicaid and health-related social needs
- Familiarity with claims-based applications for researching claims history
- Demonstrated ability to interpret rules, regulations, and policies

#GovernmentJobs #HealthcareServices #MaineCare #CareerAdvancement #WorkLifeBalance

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