Benefit Recovery Specialist

3 weeks ago

Augusta, United States State of Maine Full time

**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: 02000-2460**:
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:

- 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.

This position will contribute to the Department’s mission by helping us ensure state and federal funds are utilized in an efficient manner to meet the health and welfare needs of Maine’s citizens. The Recovery Division’s primary scope of work includes, depositing money, establishing receivables, and collecting millions of dollars in identified debt owed to DHHS annually, from a variety of sources.

**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.
- 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**:
**Application Information**:
Please submit all documents or files in a PDF or Word format.

**_ 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 also be available, under the Family and Medical Leave Act.

State employees are eligible for an extensive and highly competitive benefits package, covering many aspects of wellness. Learn about **additional wellness benefits** for State employees from the Office of Employee Health and Wellness.
- 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 Governmen

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