Employer Industry: Government Health Services

Why consider this job opportunity:
- Salary up to $60,070.40 per year
- Flexible work arrangement with partial telework options available
- Comprehensive health and dental insurance coverage, with the state covering a significant portion of premiums
- Generous leave policies including 13 paid holidays, 12 days of sick leave, and 3+ weeks of vacation annually
- Opportunities for career advancement and professional development within the Department of Health and Human Services
- Commitment to creating a diverse and inclusive workplace environment

What to Expect (Job Responsibilities):
- Manage a portfolio of cases to determine MaineCare recoupment amounts and provide information to heirs, attorneys, and courts
- Review and interpret state and federal regulations to ensure compliance in processing cases
- Research and generate reports related to medical claims for deceased MaineCare members
- Negotiate recovery liens with attorneys and personal representatives to reclaim MaineCare funds
- Consult with management and legal representatives on complex case resolutions

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 insurance field
- Knowledge of MaineCare or other healthcare insurance benefits, medical codes, and terminology
- Proficiency in Microsoft Word, Excel, and database systems for report generation
- Excellent oral and written communication skills and customer service abilities

How to Stand Out (Preferred Qualifications):
- Experience with the Medicaid program and/or other health and human services programs for low-income populations
- Lived experience with Medicaid or health-related social needs common to individuals receiving Medicaid coverage

#GovernmentJobs #HealthcareServices #CareerOpportunity #CompetitiveBenefits #HealthEquity

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