- Fedcap (South Portland, ME)
- …detail oriented, and adaptable finance professional to join our team as a Claims Specialist ! The hired person will partner with finance supervisors, managers, ... training, professional development, and REAL advancement opportunities! Position Summary: The Claims Specialist is responsible for carrying out financial… more
- Kelly Services (South Portland, ME)
- …new and ongoing Life Waiver of Premium, Total and Permanent Disability claims to determine claim liability. - Accurately interpreting policy provisions to determine ... eligibility while adhering to established policies and procedures. - Managing and organizing your workload to meet multiple deadlines, ensuring department service standards and customer satisfaction. **This job might be an outstanding fit if you:** - Have a… more
- UNUM (Portland, ME)
- …an assigned caseload, while exercising discretion and independent judgment. The Benefit Specialist Trainee should provide timely claims decisions and strong ... is on-site at our Portland, Maine home office location** As a Benefit Specialist Trainee, you are primarily responsible for learning and developing the essential… more
- Robert Half Accountemps (Portland, ME)
- Description We are in search of a contract Medical Billing Specialist to join our team located in Portland, Maine. You will be a vital part of our team, handling a ... variety of tasks including processing medical claims , maintaining precise patient records, and resolving any billing queries. You will also be tasked with monitoring… more
- CDM Smith (Portland, ME)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- State of Maine, Bureau of Human Resources (Biddeford, ME)
- Eligibility Specialist Biddeford, ME | Community & Social Services | Full-time Apply by: Feb. 21, 2025 Apply with Linkedin Apply Department of Health and Human ... & 02000-7381Location: Biddeford Core Responsibilities: The position of Eligibility Specialist determines initial and continued eligibility for public assistance… more
- Walgreens (Gorham, ME)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- CDM Smith (Portland, ME)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (Portland, ME)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- Acosta Group (Scarborough, ME)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **Qualifications** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- ProTrain (Portland, ME)
- …+ Live Online instructor + Describe the role of the Certified Medical Billing Specialist + Describe the origin of medical language. + Analyze the component parts of ... the responsibilities assigned to insurance billing and coding specialists and electronic claims processors. + Describe the health care delivery system. + Explain the… more
- Elevance Health (South Portland, ME)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more