Maine Department of Health and Human Services Direct Hire Vacancy Announcement Reimbursement Specialist

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CODE:  0441	RANGE: 20 (Pro/Tech Svcs bargaining unit)	$15.05-20.28/hr.

Value of State-paid Health & Dental Insurance:  $341.08 biweekly.

Value of State's share of employee's retirement:  11.54 % of pay.

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Opening Date: July 13, 2012	Contact:	Sarah McGuire
Closing Date: July 30, 2012	Telephone:	(207) 287-1873
Restrictions: Only employees with Promotional Status within the Department of Health and Human Services May Apply
Location: Augusta

Agency Information

The Department of Health and Human Services provides supportive, preventive, protective, public health and intervention services that protects the public health and assists our customers in meeting their needs; and that assist families in providing for the developmental, health and safety needs of their children. DHHS strives to provide these programs and services while respecting the rights and preferences of individuals and families. The Office of MaineCare Services within DHHS administers and coordinates several major health care financing programs for Maine's citizens. These programs include MaineCare, Medical Eye Care and Maine Rx Plus. MaineCare assures that the health care programs and services it administers operate in keeping with the Department's goals and federal mandates and are consistent with State policy. MaineCare also provides oversight necessary to ensure accountability and efficient and effective administration. The Third Party Liability Division is responsible for enforcing State and Federal Third Party Liability rules designed to ensure MaineCare is the payer of last resort. We have an immediate vacancy in our Private Health Insurance Program (PHIP). This position is located in Augusta.

Job Duties

As a PHIP Reimbursement Specialist, you will be responsible for reviewing applications and enrolling members into this cost savings program. You will carry a large caseload and keep member information current. This will frequently involve multi-step processes and require you to document all activities associated with the case, set reviews and perform timely follow-ups.

Requirements

In order to qualify, you must have a five-year combination of education, training and experience comprised of a Bachelors Degree in Accounting, Business Administration or related field and one year of experience in health care insurance or related insurance field. Additional years of equivalent experience may be substituted for education on a year-for-year basis.


The backgrounds of well-qualified candidates will demonstrate the following competencies:

1. As a Reimbursement Specialist you frequently communicate by phone and in writing with members, personal representatives and family members of MaineCare members. To successfully perform these duties, you will need strong oral and written communication skills. Please tell us about those aspects of your background that demonstrate you have the oral and written communication skills to be successful as a Reimbursement Specialist.

2. Reimbursement Specialists are independent and self-directed workers who operate with considerable autonomy in establishing their day-to-day work activities and priorities. Please provide us with examples from your experience that demonstrate you are a self-directed worker capable of successfully performing your duties with minimal supervision.