- Incoming and outgoing collection calls, negotiating payment arrangements, researching transaction history, and coordinating with OFI's Overpayment Unit and the ACES Help Desk to ensure the accuracy of member accounts.
- Collaborating with internal and external customers, fully noting all correspondence and action taken on customer accounts in ACES and the Customer Relationship Management (CRM) platform.
- Maximizing funds recovered from individual members who have been overpaid benefits from OFI programs, including the Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF), among others.
- Adhering to all State and Federal regulations and the State's Claim Management Plan.
- Investigate and gather required documentation for the recovery of resources from individuals, legally liable guardian(s), or legally liable third parties. Responsibilities include conducting investigations on resources of recipients or their legally liable relatives, obligors, fiduciary, guardian, or any legally liable third party.
- Work-Life Fit - Rest is essential. Take time for yourself using 13 paid holidays, 12 days of sick leave, and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.
- Health Insurance Coverage - The State of Maine pays 85%-100% of employee-only premiums ($10,523.28-$12,380.40 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.
- Dental Insurance - The State of Maine pays 100% of employee-only dental premiums ($350.40 annual value).
- Retirement Plan - The State contributes the equivalent of 13.41% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS).
- Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child-including fathers and adoptive parents-receive six weeks of fully paid parental leave. Additional, unpaid leave may also be available, under the Family and Medical Leave Act.
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Benefit Recovery Specialist - Augusta, United States - State of Maine
Description
Department of Administrative and Financial Services (DAFS)Reimbursement Specialist
Opening Date: May 16, 2024
Closing Date: May 30, 2024
Job Class Code: 0441
Grade: 20 (P&T)
Salary: $20.08/hour - $26.96/hour
Position Number:
Are you an experienced accounting professional who is detail oriented and enjoys independent work in a dynamic, fast-paced environment? Do you possess a high degree of initiative? Then we are looking for you
This is a full-time position located in Augusta.
Core Responsibilities:
As a Benefit Recovery Specialist within the Recovery Division, you will be responsible for:
Minimum Qualifications:
5 years of experience in health care insurance or related insurance field -OR- a Bachelor's Degree in Accounting, Business Administration, or related field and 1 year experience in health care insurance or related insurance field.
The backgrounds of well-qualified candidates will demonstrate the following competencies:
•Experience and knowledge of customer service, collections, and negotiation techniques.
•Possess excellent communication skills and extraordinary attention to detail.
•Demonstrated ability to review and analyze data and reach logical conclusions.
Agency information:
The DHHS Financial Service Center is responsible for program accounting, cash management and revenue/expenditure controls for the Department of Health and Human Services (DHHS). The Service Center provides budgetary and fiscal analysis for many complex areas within DHHS, including TANF (i.e., Temporary Assistance for Needy Families) and MaineCare (Maine's Medicaid Program). The Service Center works collaboratively with senior leadership at State agencies, providing consultative financial and accounting services. Areas of fiscal expertise include compliance with State and Federal laws and regulations, statewide budgetary policy, budget development and monitoring, application of generally accepted accounting and financial practices, grant management, financial analysis, cash management, accounting and financial processing, and legislative support.
Application Information:
Please submit all documents or files in a PDF or Word format.
For questions, please contact
To request a paper application, please contact .
Benefits of working for the State of Maine:
No matter where you work across Maine state government, you find employees who embody our state motto-"Dirigo" or "I lead"-as they provide essential services to Mainers every day. We believe in supporting our workforce's health and wellbeing with a valuable total compensation package, including:
Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated for part-time employment.
There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role.
As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics.
If you're looking for a great next step, and want to feel good about what you do, we'd love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.
