Medical Billing Specialist

State of Maine; Virginia (MN); On-site; USD 43,000 - 60,000; Full time

Job summary

State of Maine is seeking a Reimbursement Specialist in Augusta. The role focuses on creating medical claims, reconciling insurance transactions, and recovering funds in a fast-paced environment.

Qualifications include a Bachelor's degree in Accounting or related field and 1 year of healthcare insurance experience. The position is full-time, with no visa sponsorship. Apply through the internal process or career page.

Qualifications

• Bachelor’s degree in Accounting, Business Administration, or related field with 1 year health care insurance experience.
• Experience may substitute education on a year-for-year basis.
• Knowledge of medical billing and CPT coding.
• HIPAA compliance awareness.

Responsibilities

• Create and send medical claims to government and private insurers for the State’s two psychiatric hospitals.
• Reconcile insurance transactions; follow-up AR; post payments.
• Assist with overpayments and maximize funds recovered while complying with rules and regulations.
• Handle incoming/outgoing collection calls; respond to correspondence; negotiate payment arrangements.
• Document correspondence in the CRM and other systems; track actions taken on accounts.

Skills

Medical billing

Customer service

Negotiation

Communication skills

Education

Bachelor’s degree in Accounting or related field

Tools

Medical billing software

Electronic medical records

Microsoft Office

Job description

If you are a current State of Maine employee, please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the State’s career page and indicate on the application that they have previously worked for the State.

Department of Administrative and Financial Services (DAFS)

Reimbursement Specialist

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:

This position’s primary responsibilities include:

• 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. Directly related work experience may be substituted for education requirements on a year-for-year basis.

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.

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