Med Care Coordinator

State of Maine•Augusta, ME

About The Position

Riverview Psychiatric Center is seeking a highly organized and proactive Med Care Coordinator to oversee the daily operations of its dental clinic. The role supports timely and efficient patient care, staff coordination, and communication between departments. The ideal candidate is detail-oriented, communicates effectively, and can manage multiple responsibilities in a dynamic healthcare environment.

Requirements

A four-year combination of education and experience in medical eligibility programs and/or experience demonstrating interviewing and data-gathering skills needed to make judgments in eligibility determinations, claims resolutions, and payment authorization.

Nice To Haves

Previous experience in dental office management or healthcare administration.
Familiarity with dental insurance claims processing and prior authorization procedures.
Knowledge of MaineCare processes.
Proficiency with dental software and electronic health records (EHR) systems.

Responsibilities

Ensure patients are seen in a timely and efficient manner in the dental clinic.
Oversee clinic flow so dental staff remain on schedule and appointments run smoothly.
Liaise with hospital units to ensure necessary paperwork and appointments are completed.
Communicate with caseworkers, guardians, and patients to ensure required yearly dental documentation is completed.
Submit referrals to the oral surgeon for outpatient and in-house patients as needed.
Organize and schedule RPC trainings, including conducting and tracking three-month chart reviews in coordination with CCDH (Center for Community Dental Health).
Coordinate and schedule deaf interpreting services for dental appointments.
Register dental patients and submit dental insurance claims after treatment.
Complete prior authorization processes for patients with MaineCare.
Collaborate with medical records to review patient eligibility and dismiss patients who do not meet clinical criteria.

Benefits

13 paid holidays, 12 days of sick leave, and three or more weeks of vacation leave annually; vacation accrual increases with years of service, and overtime-exempt employees receive personal leave.
The State pays 85%–100% of employee-only health insurance premiums, depending on salary; a health insurance premium credit can reduce employee-only premiums by 5% when participation requirements are met.
The State pays 100% of employee-only dental insurance premiums.
The State contributes 14.06% of pay to the Maine Public Employees Retirement System (MainePERS).
Gym membership reimbursement of up to $40 per month.
Health and dependent care flexible spending accounts.
Eligibility for Public Service Student Loan Forgiveness.
Living Resources employee assistance program.
Six weeks of fully paid parental leave for employees welcoming a child; additional unpaid leave may be available under the Family and Medical Leave Act.
Voluntary deferred compensation through a MaineSaves 457(b) account.