Maine Breast

**Department of Health and Human Services (DHHS)**:
**Medical Care Coordinator**:
**Opening Date: April 25, 2024**:
**Closing Date: May 8, 2024**:
**Job Class Code: 5055**
**Grade: 04-16 (Pro / Tech)**
**Salary: $35,713.60 - $47,132.80 / yr.**:
**Position Number: 2000-2404**:
**Location: Augusta**:
**Position Location**: This is a full-time position located in Augusta. This opportunity allows partial telework with management approval.**

The Maine CDC Breast and Cervical Health Program is looking for a Medical Care Coordinator to join our dedicated team, helping to improve the health of eligible people by diagnosing breast/cervical cancer early when it is most treatable, as well as reduce health inequities by improving access to treatment for eligible Maine people diagnosed with breast or cervical cancer. As the medical care coordinator, you will work with clients to help determine program eligibility and answer program and procedure questions for clients and providers. You will coordinate and process provider medical billing and claims submissions, work to resolve errors and discrepancies in medical claims, and provide assistance to medical providers regarding individual claim submission as well as conduct research utilizing the Automated Client Eligibility System (ACES), Maine Integrated Health Management Solution (MIHMS - MaineCare claims processing system), and the MBCHP Data Management and Reporting System (DMRS).

**Core Responsibilities**

As a key member of the MBCHP team, your core responsibilities will include:

- Perform all aspects of the program’s enrollment process.
- Perform data entry.
- Coordinate multiple MBCHP reports.
- Coordinate claims resolution and payment authorizations for breast and cervical services.
- Answer and return client and provider calls.
- Assist with researching, tracking, diagnosing, and troubleshooting MBCHP-related issues.

**MINIMUM QUALIFICATIONS**:_(Entry level knowledges, skills, and/or abilities may be acquired through, _**_BUT ARE NOT LIMITED TO_**_ the following coursework/training and/or experience)._**

A four (4) year combination of education and experience in medical eligibility programs and/or experience which demonstrates interviewing and data gathering skills as needed to form basis for judgments in eligibility determinations, claims resolutions, and payment authorization.

**PREFERRED CANDIDATES WILL ALSO HAVE**:

- Excellent oral and written communication skills.
- Strong teamwork and customer service skills.
- Ability to maintain confidential client information.
- Ability to use Microsoft Word and Excel proficiently.
- Experience in medical billing and claims.
- Familiar with medical terminology and coding
- Familiar with MaineCare and Medical insurance

**_ Thinking about applying?_**

**Agency information**:
The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people. The Department provides health and social services to approximately a third of the State's population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders. The Department also promotes public health, operates two state psychiatric hospitals, and provides oversight to health care providers.

The mission for the Maine Center for Disease Control and Prevention (Maine CDC), within which this position is located, is to develop and deliver services to preserve, protect, and promote the health and well-being of the citizens of Maine.

**_ 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:

- **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 al