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Case Control Quality Technician

State of Maine

Winthrop, Maine

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JOB DETAILS
SALARY
$19.02–$26.48 Per Hour
SKILLS
Accounting, Administrative Skills, Analysis Skills, Cost Control, Cost Reporting, Detail Oriented, Disability Accommodations, Hospital, Insurance, Legal, Mail Processing, Medical Coding, Organizational Skills, Pamphlets, Problem Solving Skills, Proofreading, Quality Control, Reporting Skills, Social Security Administration, Staff Training, Technical Analysis, Trend Analysis, Validation Documentation
LOCATION
Winthrop, Maine
POSTED
2 days ago
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.
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Department of Health and Human Services (DHHS)

Opening Date: May 21, 2026

Closing Date: June 4, 2026

Job Class Code: 3064
Grade: 18 (Professional/Technical B.U.)
Salary: $19.02 - $26.48 per hour

Position Number: 02024-1674

Location: Winthrop

This position allows for partial telework with management approval after the first 6 months.

Currently, this position is not eligible for visa sponsorship or STEM OPT extensions.

Are you an experienced accounting professional who is detail oriented and enjoys independent work in a dynamic, fast-paced environment? Do you possess a high degree of initiative? Then Maine Disability Determination Services (DDS) is looking for you!

Core Responsibilities:

The Case Control Quality Tech reviews and analyzes Disability Determination Services (DDS) and Social Security Administration (SSA) disability claims data to ensure proper receipt and closure of claims. The position's work requires excellent attention to detail and organizational skills as well as a knack for proofreading. Responsibilities include identifying trends in errors and instructing the professional staff concerning proper coding. The work of this class is distinguished from the Disability Claims Examiner classification by the substantive medical and legal determination knowledge required of the Examiner. The Case Control Quality Technician requires the ability to perform technical analysis of medical and vocational data. Work is performed under general supervision.

Core Responsibilities:
  • Reviews disability determination decisions to identify and correct technical coding errors for intake and closure of claims.
  • Identifying and resolving minor case intake issues. This includes requesting prior folders or initiating Assistance Requests for local Social Security offices to resolve filing issues.
  • Accurately prepares and routes paper claims folders to proper destinations.
  • Mailing appropriate notices and pamphlets to claimants and representatives.
  • Tracks, records, and determines systemic trends in errors to instruct professional staff in correct coding.
  • Writes and submits reports on coding problems and production trends to comply with state and federal mandates.
  • Reviews, completes, enters, and retrieves case control documents to maintain accurate computer records.
  • Analyzes, prepares, and submits case cost reports to provide cost control information.
  • Assists with outgoing mail processing including use of inserter and postage machines.
  • May assist with document validation, scanning or other clerical tasks

Minimum Qualifications:

A two (2) year combination of training and experience at the advanced clerical level in hospital, insurance, or related coding, or in the services of disability determination.

Preference given to candidates with SSA Disability related:
  • Knowledge of body systems.
  • Knowledge of vocational systems.
  • Knowledge of the program operations manual system.
  • Knowledge of Social Security Administration and department forms.
  • Familiarity with SSA disability policies and procedures.

Your conditional job offer and access to Social Security Administration's (SSA's) systems, data, information, and/or premises are contingent upon you passing the SSA suitability process.

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 experience and passion set you apart.

Agency information:

The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people. The Department provides health and social services to approximately a third of the State's population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders. The Department also promotes public health, operates two state psychiatric hospitals, and provides oversight to health care providers.

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