Medical Support Spec Claims

Department of Health and Human Services (DHHS)

Augusta, Maine, USA
Base: $18.76 - $27.03 ph; bonus/equity: not specif...
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Proficient knowledge of medical terminology
Research pharmacy claims
Educate members on medicare plans
** The Department of Health and Human Services is seeking a Medical Support Spec Claims professional in Augusta, Maine, to assist MaineCare members with pharmacy claims and enrollment processes. The role requires strong knowledge of medical terminology and healthcare programs, particularly Medicare and Medicaid. **

Job Summary

  • This position allows for partial telework with management approval.
  • The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people.
  • All employees who are welcoming a child—including non-birthing and adoptive parents—receive six weeks of fully paid parental leave.

Matching Summary

Match Score: 75

** The Department of Health and Human Services is seeking a Medical Support Spec Claims professional in Augusta, Maine, to assist MaineCare members with pharmacy claims and enrollment processes. The role requires strong knowledge of medical terminology and healthcare programs, particularly Medicare and Medicaid. **

Salary

Base: $18.76 - $27.03 per hour; Bonus/Equity: Not specified; Benefits: Health Insurance, Dental Insurance, Retirement Plan, Paid Holidays, Sick Leave, Vacation Leave, Parental Leave

Skills & Requirements

Must-have

  • Proficient knowledge of medical terminology
  • Research pharmacy claims
  • Educate members on Medicare plans
  • Evaluate claims processing
  • Call center experience

Nice-to-have

  • Kind, courteous, exceptional customer service
  • Experience with health and human services programs
  • Lived experience with Medicaid

Key Requirements

  • Office and administrative support experience
  • Advanced work in adjusting medical claims errors
  • Ability to use independent judgment
  • Knowledge of healthcare benefit programs
  • Experience with Medicare Part D

Work Rights

Not specified

Tailored Resume

Cover Letter