athenahealth IncCoding Denial Management Associate athenahealth IncCoding Denial Management AssociateAugusta, ME$50,000–$86,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Lead detailed claim adjudication analysis to triage rejections, denials, and payer edits; convert adjudication scenarios into consumable, effective processes that identify true root causes and lead to successful outcomes.
New England Cancer SpecialistsMedical Billing Specialist-Accounts Receivable New England Cancer SpecialistsMedical Billing Specialist-Accounts ReceivableWestbrook, MEYou are responsible for the full accounts receivable life cycle, including analyzing and researching unpaid claims, assisting in the resolution of denials, partial payments, and over-payments as well as communicating with payers, patients and other team members. Identify and resolve denials and improper payments by accessing payer web applications, completing forms and telephoning account representative per New England Cancer Specialists policies.
Central Maine Healthcare CorporationSpecialty Coder - Medical Records Central Maine Healthcare CorporationSpecialty Coder - Medical RecordsLEWISTON, MaineCoder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, Ninth Revision (ICD-9-CM) or Tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. Responsibilities: The Specialty Coder reviews and analyzes documentation present in the medical record for both inpatient and outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software.
Prime Healthcare Services IncSpecialty Coder Medical Records Prime Healthcare Services IncSpecialty Coder Medical RecordsLewiston, MECoder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, Ninth Revision (ICD-9-CM) or Tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. The Specialty Coder reviews and analyzes documentation present in the medical record for both inpatient and outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software.
PHS Bio-Medical ServicesField Service Specialist I - Imaging PHS Bio-Medical ServicesField Service Specialist I - ImagingLEWISTON, MainePrimary duties include, but are not limited to, performing preventive maintenance inspections, installation support, testing, calibration, troubleshooting and maintenance on multiple low to medium-end specialty imaging modalities (CT, Cath Lab, X-ray, Ultrasound, Injectors). Overview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Prime Healthcare Services IncBioMed Engineer I Prime Healthcare Services IncBioMed Engineer ILEWISTON, MEProvide technical assistance and support for proper utilization and maintenance of all Prime Healthcare Management, Inc.s medical equipment including equipment used in the Emergency Room (open 24 hours a day, every day of the year), equipment for heart treatments such as EKG, doppler, cardiac catheterization, angioplasty, open-heart surgical devices, equipment used in cardiac rehabilitation and exercise conditioning programs, equipment used for occupational and physical therapy, equipment used for in-patient and out-patient surgical techniques including laser surgery, arthroscopy and laparoscopic procedures, MRI machines, CT Scanners, Ultrasound equipment, Echo/Vascular equipment, Nuclear Medicine equipment, Mammography machines, and equipment used in our Intensive Care Unit. Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
State of MaineCase Control Quality Technician State of MaineCase Control Quality TechnicianWinthrop, Maine$19.02–$26.48 / hourThe 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 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.
Central Maine Healthcare CorporationCoder I - Medical Records Central Maine Healthcare CorporationCoder I - Medical RecordsLEWISTON, MaineOther system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services. Utilizing the International Classifications of Diseases, Ninth Revision (ICD-9) and Current Procedural Terminology (CPT), the Coder I translates the documented diagnosis and procedural information into coded data.
Martin's Point Health Care LLCVP Pharmacy Services Martin's Point Health Care LLCVP Pharmacy ServicesPortland, MEDirects the full scope of pharmacy operations, including formulary management, prior authorizations, formulary exceptions, medication adherence, patient accounting, billing practices, vendor billing oversight, and daily systems operations to ensure efficient, effective, and high-quality service delivery. Partners collaboratively across Pharmacy, Finance, Nursing, Medicine, Population Health, Practice, and other MPHC divisions to align clinical, administrative, and business processes, support patient-centered care, and promote appropriate prescribing, documentation, coding, reconciliation, and reimbursement practices.
Prime Healthcare Services IncCoder I Medical Records Prime Healthcare Services IncCoder I Medical RecordsLEWISTON, MEOther system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine''s southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services. Utilizing the International Classifications of Diseases, Ninth Revision (ICD-9) and Current Procedural Terminology (CPT), the Coder I translates the documented diagnosis and procedural information into coded data.
Martin's Point Health Care LLCRemote Utilization Review Nurse - Flexible 4 or 5 Day Schedule, Saturday Required Martin's Point Health Care LLCRemote Utilization Review Nurse - Flexible 4 or 5 Day Schedule, Saturday RequiredPortland, MERemoteThis position receives and reviews prior authorization requests for specific inpatient and outpatient medical services, notification of emergent hospital admissions, completes inpatient concurrent review, establishes discharge plans, coordinates transitions of care to lower/higher levels of care, makes referrals for care management programs, and performs medical necessity reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well as specified clinical guidelines/ criteria to guide medical necessity reviews and will use effective relationship management, coordination of services, resource management, education, patient advocacy and related interventions to ensure members receive the appropriate level of care, prevent or reduce hospital admissions where appropriate.
Martin's Point Health Care LLCUtilization Review Nurse - Remote Martin's Point Health Care LLCUtilization Review Nurse - RemotePortland, MERemoteThis position receives and reviews prior authorization requests for specific inpatient and outpatient medical services, notification of emergent hospital admissions, completes inpatient concurrent review, establishes discharge plans, coordinates transitions of care to lower/higher levels of care, makes referrals for care management programs, and performs medical necessity reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well as specified clinical guidelines/criteria to guide medical necessity reviews and will use effective relationship management, coordination of services, resource management, education, patient advocacy and related interventions to ensure members receive the appropriate level of care, prevent or reduce hospital admissions where appropriate.
Idexx Laboratories IncSenior Application Security Engineer Idexx Laboratories IncSenior Application Security EngineerWestbrook, ME$120,000–$150,000 / yearAn innovation leader in every industry we serve, we follow our Purpose and Guiding Principles to help pet owners worldwide keep their companion animals healthy and happy, to ensure safe drinking water for billions, and to help farmers protect livestock and poultry from diseases. This role combines hands-on security testing with strategic partnership - you will conduct security assessments, perform threat modeling, and work directly with developers to build security into products from the start.
PHS Bio-Medical ServicesBioMed Engineer I PHS Bio-Medical ServicesBioMed Engineer ILEWISTON, MaineResponsibilities: Provide technical assistance and support for proper utilization and maintenance of all Prime Healthcare Management, Inc.’s medical equipment including equipment used in the Emergency Room (open 24 hours a day, every day of the year), equipment for heart treatments such as EKG, doppler, cardiac catheterization, angioplasty, open-heart surgical devices, equipment used in cardiac rehabilitation and exercise conditioning programs, equipment used for occupational and physical therapy, equipment used for in-patient and out-patient surgical techniques including laser surgery, arthroscopy and laparoscopic procedures, MRI machines, CT Scanners, Ultrasound equipment, Echo/Vascular equipment, Nuclear Medicine equipment, Mammography machines, and equipment used in our Intensive Care Unit. Overview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
PHS Bio-Medical ServicesField Service Specialist III - Imaging PHS Bio-Medical ServicesField Service Specialist III - ImagingLEWISTON, MainePrimary duties include, but are not limited to, performing preventive maintenance inspections, installation support, testing, calibration, troubleshooting and maintenance on multiple high-end specialty imaging modalities (MRI, CT, Cath Lab, X-ray, Nuc-med) and on low end modalities (Ultrasound, injectors) as needed. Overview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
ComplexCare SolutionsNurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Lewiston, Maine$2,400–$10,000 / yearAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.
Prime Healthcare Services IncField Service Specialist I Imaging Prime Healthcare Services IncField Service Specialist I ImagingLEWISTON, MEPrimary duties include, but are not limited to, performing preventive maintenance inspections, installation support, testing, calibration, troubleshooting and maintenance on multiple low to medium-end specialty imaging modalities (CT, Cath Lab, X-ray, Ultrasound, Injectors). Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Prime Healthcare Services IncField Service Specialist III Imaging Prime Healthcare Services IncField Service Specialist III ImagingLEWISTON, MEPrimary duties include, but are not limited to, performing preventive maintenance inspections, installation support, testing, calibration, troubleshooting and maintenance on multiple high-end specialty imaging modalities (MRI, CT, Cath Lab, X-ray, Nuc-med) and on low end modalities (Ultrasound, injectors) as needed. Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Ryder System IncApplication Security Engineer Ryder System IncApplication Security EngineerAugusta, MECompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.