20.00-24.00 per hour | Portland, ME, USA | Hourly | Administrative | Full Time

Spurwink's Finance department seeks an experienced Collections Representative to follow up on denials and outstanding accounts receivable for the agency. Including outstanding Medicare and third-party insurance and miscellaneous billing accounts older than 60 days. The Collections Representative will also follow up, correct and resubmit claims for all government and non-government denials in a timely manner and respond to any inquiries regarding complex billing issues.

Robust Benefits Package:

• Health Insurance

• Dental Insurance

• Vision Insurance

• Life Insurance

• Retirement Account with Matching Contribution (after one year of service)

• Identity Theft Insurance

• Pet Insurance

  BENEFITS MAY INCLUDE:

• Flexibility of Schedules

• Career Advancement Opportunities

• Tuition Reimbursement (up to $2000 annually)

• Student Loan Assistance

• Generous Paid Time Off

• Verizon & Sprint Cell Phone Discounts

• Opportunity for Same Day Pay

  DUTIES:

• Follow up on all outstanding Maine Care accounts greater than 30 days old. Submit bills electronically using internal software compatible with the State of Maine. Achieve a 2-3week turnaround time for payment receipt. Reconcile all submissions to Maine Care.

• Follow up on all outstanding Medicare, Third Party Insurance, and Miscellaneous Billing accounts greater than 60 days. Resubmit claims on payer-preferred HIPAA compliant format. Review aging report to determine which claims require follow up and prioritization Follow up, correct, and resubmit claims for all denials received within 5 days of receipt of Explanation of Benefits.

• Identify billing inconsistencies and communicate these inconsistencies back to the staff.

• Respond to any patient inquiries regarding the self-pay bills Establish payment arrangements on outstanding balances. Identify accounts that need to be sent to the collection agency.

• Perform as a backup for insurance verifications and cash posting.

• Help to develop and use tools to trend denial reasons by most common denial reason which programs and staff are receiving the most denials total dollars held up by denials.

• Assist with development and ongoing updates of Collection Policies and Procedures.

• Assist in A/R-related matters for the year-end audit, internal QA audits or audits by third-party funding agencies.

• Perform various other duties as deemed appropriate and necessary by the Accounts Receivable Manager, Director of Accounts Receivable, or the CFO/Treasurer.

  QUALIFICATIONS:

  High school diploma or equivalent. Three or more years experience preferred.

  A minimum of two years experience in Medicare, Maine Care and Third Party billing/reimbursement and one year of collections. Ability to prioritize multiple tasks effectively. Excellent interpersonal and communication skills are a must. Willingness to work effectively in a team oriented environment. Familiarity with personal computer spreadsheets and database packages including Excel, Microsoft Word, and Accounts Receivable financial software.

  Spurwink is an Equal Opportunity Employer.