Medical Billing Specialist

Department of Administrative and Financial Services; Augusta (ME); On-site; USD 28,000 - 40,000; Full time

Benefits offered by this job

13 paid holidays

3+ weeks vacation

Health insurance premiums coverage

Retirement plan contributions

Parental leave

Job summary

The Department of Administrative and Financial Services in Augusta, ME is seeking a Reimbursement Specialist to manage medical billing for the State’s psychiatric hospitals. This full-time role focuses on submitting claims to government and private insurers, reconciling transactions, and posting payments with accuracy and integrity.

You will collaborate with providers and agencies, maintain clear CRM records, and ensure HIPAA compliance while delivering excellent customer service.

Qualifications

• Bachelor's degree in Accounting or related field and 1 year experience in health care billing.
• Knowledge of medical billing practices, ICD-10, CPT coding, and HIPAA compliance.
• Experience with medical billing software, EMR, and Microsoft Office Suite.

Responsibilities

• Create and send medical claims to government and private insurers for the State's two psychiatric hospitals.
• Reconcile insurance transactions, communicate with internal and external agencies, accounts receivable follow-up, and posting of payments.
• Assist overpayment recovery efforts and maximize funds recovered while upholding state and federal regulations.
• Handle inbound and outbound collection calls, respond to correspondence, negotiate payment arrangements, and verify transaction history.
• Collaborate with internal and external customers, noting all correspondence in CRM and other required records.

Skills

Medical billing

ICD-10/CPT coding

HIPAA compliance

Customer service

Microsoft Office

Education

Bachelor's Degree in Accounting or related field

Tools

Medical billing software

Electronic Medical Records

CRM systems

Microsoft Office

Job description

Reimbursement Specialist

Department of Administrative and Financial Services (DAFS) Opening Date: September 15, 2026 Closing Date: September 28, 2026 Job Class Code: 0441 Grade: 20 (P&T) Salary: $20.68 - $28.88 per hour Position Number: 02000-2460

Are you an experienced accounting professional who enjoys medical billing functions? Are you detail oriented and enjoy 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. Currently, this position is not eligible for visa sponsorship or STEM OPT extensions.

Core Responsibilities:

• Creating and sending medical claims to government and private insurance agencies on behalf of the State’s two psychiatric hospitals.
• Reconciliations of all insurance related transactions, communicating with internal and external agencies and customers, accounts receivable follow-up, and posting of payments received.
• Working directly with providers/ clients to support their overpayment repayment efforts and maximizing funds recovered, while adhering to all State and Federal rules and regulations.
• Handling both incoming and outgoing collection calls, responding to written member or provider correspondence, negotiating payment arrangements, researching transaction history, and working with internal/ external teams to ensure the accuracy of member accounts.
• Collaborating with internal and external customers, fully noting all correspondence and action taken on customer accounts in the Customer Relationship Management (CRM) platform as well as any other required system of record.

Minimum Qualifications:

• A Bachelors Degree in Accounting, Business Administration, or related field and one (1) year experience in health care insurance or related insurance field.
• The backgrounds of well-qualified candidates will demonstrate the following competencies: 1. Prior experience and/or education which demonstrates a knowledge of medical billing practices, medical terminology, ICD-10, and CPT coding. 2. Understanding of insurance guidelines including private insurance companies, Medicare and Medicaid as well as comprehension and upholding of patient confidentiality laws through HIPPA compliance. 3. Prior experience with medical billing software, electronic medical records, and Microsoft Office Suite.
• Experience and knowledge of customer service, negotiations techniques, the ability to communicate clearly and effectively both orally and in writing.

Thinking about applying? Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you’re currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your lived experience and passion set you apart.

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:

Benefits of working for the State of Maine:

• Work-Life Fit – Rest is essential. Take time for yourself using 13 paid holidays and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave. When you or immediate members of your family are ill, utilize 12 days of sick leave per year.
• Health Insurance Coverage – The State of Maine pays 85%-95% of employee-only premiums ($12,213.60 - $13,650.48 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.
• Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements.
• Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($365.28 annual value).
• Retirement Plan – The State contributes the equivalent of 14.06% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS), on behalf of the employee.
• Gym Membership Reimbursement – Improve overall health with regular exercise and receive up to $40 per month to offset this expense.
• Health and Dependent Care Flexible Spending Accounts – Set aside money pre-tax to help pay for out-of-pocket health care expenses and/or daycare expenses.
• Public Service Student Loan Forgiveness – The State of Maine is a qualified employer for this federal program. For more information, visit the Federal Student Aid office.
• Living Resources Program – Navigate challenging work and life situations with our employee assistance program.
• Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child—including non-birthing 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.
• Voluntary Deferred Compensation – Save additional pre-tax funds for retirement in a MaineSaves 457(b) account through payroll deductions.
• 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 anything less than full-time.

As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics.

If you’re looking for a great next step, and want to feel good about what you do, we’d love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.