Demo

Patient Accounts Benefit Specialist

Spurwink Services
Portland, ME Full Time
POSTED ON 3/7/2025
AVAILABLE BEFORE 6/2/2025

The Patient Accounts Benefit Specialist contributes to the mission of Spurwink by ensuring that all clients of Spurwink have accurate and complete information regarding their insurance coverage in our records to ensure the appropriate billing of our services on their behalf.

A successful candidate will have knowledge of insurance terminology, types of policies, and insurance industry rules and standards. Ability to prioritize multiple tasks effectively is a must, as are excellent interpersonal, communication and organizational skills (most requests are time-sensitive). Candidate must possess a willingness to work in a team-oriented environment, be attentive to detail and possess patience when dealing with clients, family members, insurance providers and clinical / billing staff.

DUTIES :

  • Contact all payor types to gather health benefit information for new / scheduled clients within Agency determined timeframe.

Provide direct support to Programs regarding authorization and utilization activities.

Perform other insurance verifications and patient accounts duties :

Submit and process HIPPA 270 / 271 Eligibility with MaineCare on a weekly basis to confirm current eligibility for existing MaineCare clients.

  • Generate and review denial reports for coverage reason codes and resolve.
  • Assist all department staff with questions and follow up on accounts past due or denied for payment.
  • Perform verification requests for all coverage terminations.
  • Maintain tracking tools, client files, billing documents, and financial notes to ensure a proper trail for research and auditing purposes.
  • Respond to phone calls from Program Directors, clinicians, payers, clients, etc. within 24 hours.
  • Prepare reports for various department leadership, program directors, etc. from the various databases / spreadsheets.
  • QUALIFICATIONS :

    High School diploma or equivalent required. Two or more years of experience with Medicare, MaineCare, and other third-party payers, specifically with authorizations, insurance verifications and medical billing procedures. Experience with personal computer spreadsheets and database packages, including Excel, and Microsoft Word, and navigating insurance websites is also required.

    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
  • Spurwink is an Equal Opportunity Employer.

    Salary : $2,000

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Patient Accounts Benefit Specialist?

    Sign up to receive alerts about other jobs on the Patient Accounts Benefit Specialist career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $42,871 - $52,898
    Income Estimation: 
    $61,395 - $78,649
    Income Estimation: 
    $41,569 - $51,697
    Income Estimation: 
    $59,609 - $76,680
    Income Estimation: 
    $49,356 - $64,945
    Income Estimation: 
    $59,609 - $76,680
    Income Estimation: 
    $40,779 - $52,992
    Income Estimation: 
    $49,356 - $64,945
    Income Estimation: 
    $80,049 - $102,942
    Income Estimation: 
    $117,371 - $152,451
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Spurwink Services

    Spurwink Services
    Hired Organization Address ME Full Time
    Don't just make a difference. Be the difference. Our Shared Living Program seeks individuals and families willing to sha...
    Spurwink Services
    Hired Organization Address Auburn, ME Full Time
    Benefits and Perks: We offer a robust benefits package, including health insurance, dental insurance, vision insurance, ...
    Spurwink Services
    Hired Organization Address Auburn, ME Full Time
    Job Description: We are seeking a skilled addiction and mental health specialist to join our team. As a substance use di...
    Spurwink Services
    Hired Organization Address Auburn, ME Full Time
    Job Summary: A substance use disorder professional is needed to provide individual and group counseling to adults with a...

    Not the job you're looking for? Here are some other Patient Accounts Benefit Specialist jobs in the Portland, ME area that may be a better fit.

    Patient Accounts Specialist - Collections

    Spurwink Services, Portland, ME

    Public Benefit Specialist II

    Ensemble Health Partners, Lewiston, ME

    AI Assistant is available now!

    Feel free to start your new journey!