- Martin's Point Health Care (Portland, ME)
- …claims processing and health plan benefits necessary for the Appeals Specialist to exercise decision-making authority to reprocess claims in accordance ... knowledge and expertise in processing both Generations Advantage and US Family Health plan appeals and grievances. This includes expertise in case… more
- Martin's Point Health Care (Portland, ME)
- …+ Serves as the subject matter expert for TRICARE and US Family Health Plan manuals and benefits pertaining to Member Appeals + Prepares appeals ... Place to Work" since 2015. Position Summary Position Summary: Medicare and US Family Health Plan (USFHP) Appeal Specialists are responsible for processing of all… more
- MaineGeneral Health (Waterville, ME)
- …an impact in healthcare? Join our team as an Accounts Receivable Resolution Specialist and help ensure timely and accurate reimbursement while supporting our revenue ... cycle operations. Job Description: The Role:As an Accounts Receivable Resolution Specialist , you'll prepare and submit claims, resolve denials and incorrect… more
- MaineGeneral Health (Waterville, ME)
- …Registered Nurse (RN) for a 32-40 hour per week position. The Hospice Quality Specialist ensures that patient care services are delivered in a manner that balances ... related to coding, medical records/documentation, pre-certifications, reimbursement and claim denials/ appeals . + Plans, implements, and evaluates patient care plans… more
- UNUM (Portland, ME)
- …products and services at time of sale, as needed. This requires that the Specialist understand requested plan designs through the analysis of complex inforce ... + Performance Based Incentive Plans + Competitive benefits package that includes: Health , Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid… more