The Patient Accounts Benefit Specialist contributes to the mission of Spurwink by ensuring that all clients of Spurwink have accurate and complete information regarding their insurance coverage in our records to ensure the appropriate billing of our services on their behalf.\n

A successful candidate will have knowledge of insurance terminology, types of policies, and insurance industry rules and standards. Ability to prioritize multiple tasks effectively is a must, as are excellent interpersonal, communication and organizational skills (most requests are time-sensitive). Candidate must possess a willingness to work in a team-oriented environment, be attentive to detail and possess patience when dealing with clients, family members, insurance providers and clinical\/billing staff. \n

DUTIES:\n\nContact all payor types to gather health benefit information for new\/scheduled clients within Agency determined timeframe.\n\n

Provide direct support to Programs regarding authorization and utilization activities.\n\n\n

Perform other insurance verifications and patient accounts duties:\n\nSubmit and process HIPPA 270\/271 Eligibility with MaineCare on a weekly basis to confirm current eligibility for existing MaineCare clients.\nGenerate and review denial reports for coverage reason codes and resolve.\nAssist all department staff with questions and follow up on accounts past due or denied for payment.\nPerform verification requests for all coverage terminations.\nMaintain tracking tools, client files, billing documents, and financial notes to ensure a proper trail for research and auditing purposes.\nRespond to phone calls from Program Directors, clinicians, payers, clients, etc. within 24 hours.\nPrepare reports for various department leadership, program directors, etc. from the various databases\/spreadsheets.\n\n\n\n

QUALIFICATIONS:\n

High School diploma or equivalent required. Two or more years of experience with Medicare, MaineCare, and other third-party payers, specifically with authorizations, insurance verifications and medical billing procedures. Experience with personal computer spreadsheets and database packages, including Excel, and Microsoft Word, and navigating insurance websites is also required.\n

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Robust Benefits Package:\n\nHealth Insurance\nDental Insurance\nVision Insurance\nLife Insurance\nRetirement Account with Matching Contribution (after one year of service)\nIdentity Theft Insurance\nPet Insurance\n\n

BENEFITS MAY INCLUDE:\n\nFlexibility of Schedules\nCareer Advancement Opportunities\nTuition Reimbursement (up to $2000 annually)\nStudent Loan Assistance\nGenerous Paid Time Off\nVerizon & Sprint Cell Phone Discounts\nOpportunity for Same Day Pay\n\n

Spurwink is an Equal Opportunity Employer.