Medical Billing Specialist Mi Familia & Summit Home Health and HospiceMedical Billing SpecialistAugusta, MERemote$58,000–$74,000 / yearThe Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.
Coding Auditor - Ambulatory/Professional Coding/Profee Huron Consulting GroupCoding Auditor - Ambulatory/Professional Coding/ProfeeMaine, ME$26.44–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
NewMedical Billing Specialist State of MaineMedical Billing SpecialistAugusta, Maine$20.68–$28.88 / monthAreas of fiscal expertise include compliance with State and Federal laws and regulations, statewide budgetary policy, budget development and monitoring, application of generally accepted accounting and financial practices, grant management, financial analysis, cash management, accounting and financial processing, and legislative support. • Handling both incoming and outgoing collection calls, responding to written member or provider correspondence, negotiating payment arrangements, researching transaction history, and working with internal/ external teams to ensure the accuracy of member accounts.
NewInpatient Coding Manager Huron Consulting GroupInpatient Coding ManagerMaine, ME$90,000–$130,000 / yearREQURIED SKILLS: Effective and efficient organization and planning skills with the proven ability to manage complex multi-workstream performance improvement projects or multiple concurrent client engagements, while delegating and overseeing the work of junior team members. is directly responsible for the daily oversight of coding operational processes and workflow, including but not limited to delivering timely and accurately coded cases for facility billing and for reporting hospital and provider quality metrics.
Medical Receptionist ConvenientMDMedical ReceptionistPortland, Maine$19.50–$24 / hourWorking alongside the clinical team, you will be responsible for greeting patients and visitors, completing patient registration, updating new and existing patient records, collecting payment, and ensuring patients with or without pre-existing reservations are seen in a timely manner. To support this belief, we’re building a team of dedicated professionals who genuinely care about improving lives, are passionate about work that can make a difference, and are driven to learn from one another.
Medical Receptionist - Urgent Care ConvenientMDMedical Receptionist - Urgent CareWaterville, Maine$19.50–$24 / hourWorking alongside the clinical team, you will be responsible for greeting patients and visitors, completing patient registration, updating new and existing patient records, collecting payment, and ensuring patients with or without pre-existing reservations are seen in a timely manner. To support this belief, we’re building a team of dedicated professionals who genuinely care about improving lives, are passionate about work that can make a difference, and are driven to learn from one another.
NewMedical Receptionist - Primary Care ConvenientMD LLCMedical Receptionist - Primary CareWaterville, METhis position ensures a smooth and efficient check-in and check-out experience, maintains accurate and complete patient medical records, and provides essential administrative support to keep clinic operations running seamlessly. To support this belief, we're building a team of dedicated professionals who genuinely care about improving lives, are passionate about work that can make a difference, and are driven to learn from one another.
Senior Manager, Insurance and Claims Advocacy Sun Life Financial IncSenior Manager, Insurance and Claims AdvocacyPortland, ME$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Charge Nurse - Medical Surgical Unit - G5 Northern Light HealthCharge Nurse - Medical Surgical Unit - G5Bangor, MENorthern Light Eastern Maine Medical Center Bangor, ME Department: Medical Surgical Unit - G5 Position is located: Northern Light Eastern Maine Medical Center Work Type: Full Time Hours Per Week: 36.00 Work Schedule: 7:00 PM to 7:30 AM This Staff Nurse position is eligible to participate in our Professional Advancement Model which has SN, SN1, SN2 and SN3 levels. The Staff Nurse is responsible for the delivery of patient care to assigned patients, and for the supervision of other qualified staff to whom the Staff Nurse has delegated patient care in the exercise of his/her independent judgment.
NewPractice Manager - Sanford & Saco, ME ConvenientMDPractice Manager - Sanford & Saco, MESanford, MaineDual-site management experience: Proven ability to successfully oversee operations across multiple clinic locations, balancing priorities, optimizing workflows, and ensuring consistent team performance and patient experience at each site. As a dual Practice Manager at both our Sanford & Saco, Maine urgent care clinics, you will play a pivotal role in the day-to-day operational efficiency of the clinics while contributing to their long-term strategic goals.
Oncology Revenue Coordinator Northern Light HealthOncology Revenue CoordinatorBrewer, ME$19.50–$28.09 / hourNorthern Light Eastern Maine Medical Center Department: Infusion Services Position is located: Lafayette Building Work Type: Full Time Hours Per Week: 40.00 Work Schedule: Variable Salary Range: $19.50 - $28.09 Exempt: No Summary: Provides both inpatient and outpatient coding education to providers, staff. As a member of Northern Light Health, the medical center is part of an integrated statewide health system comprising nine hospitals, numerous primary and specialty care practices, long-term care facilities, home health and hospice agencies, and emergency ground and air transport services.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteMERemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.
Revenue Integrity Analyst InterMed, P.A.Revenue Integrity AnalystSouth Portland, MEPart timeGiven InterMed's payer mix and its blend of fee-for-service and value-based reimbursement, this role requires fluency across multiple reimbursement methodologies and the ability to prioritize work based on financial materiality and risk. Perform contract yield analysis: compare expected reimbursement (per commercial and Medicare Advantage fee schedules) to actual payments to identify underpayments and variance patterns.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)ME$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Care Management Associate, Engagement Hub CVS Health CorpCare Management Associate, Engagement HubME$18.50–$31.72 / hourStrong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members' needs and create behavioral change.
Senior Consultant, Supplemental Health Sun LifeSenior Consultant, Supplemental HealthPortland, MaineThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Practice Manager - Waterville, ME ConvenientMD LLCPractice Manager - Waterville, MEWaterville, ME$80,000–$95,000 / yearWhile this position is currently assigned to oversee a single clinic, all Practice Managers at ConvenientMD are expected to support surrounding clinics during team member PTO, leaves, and other coverage needs, with the potential to transition into permanent dual-site management. A strong Practice Manager will partner closely with the Advanced Primary Care Practice Manager to foster a one-team culture, promote seamless collaboration between Urgent Care and Advanced Primary Care staff, and ensure an exceptional patient experience from start to finish.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistME$17–$28.46 / hourPerforms claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department.
Senior Consultant, Supplemental Health Sun Life Financial IncSenior Consultant, Supplemental HealthPortland, ME$71,100–$106,700 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Account Follow-Up Representative I Harris Computer SystemsAccount Follow-Up Representative IMaine, MERemote$18–$26 / hourTimely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.