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.