Insurance Claims Analyst
3 weeks ago
InterMed, P.A. is seeking an experienced Insurance Claims Analyst to join our team. This full-time position offers a competitive salary of $58,000 - $68,000 per year.
About the Role:The successful candidate will have a strong understanding of medical billing procedures and possess excellent analytical skills. As an Insurance Claims Analyst, you will be responsible for investigating unusual contractual adjustments, communicating problematic trends to the Revenue Cycle Manager, and ensuring all pending and variance items are resolved within designated time frames.
Responsibilities:- Investigate unusual contractual adjustments. Communicate problematic trends to the Revenue Cycle Manager.
- Ensure all pending and variance items are resolved within designated time frames.
- Fluently work in EMR to perform daily job duties
- High School diploma or GED required
- One to three years of Medical Billing Office experience preferred
- Excellent analytical skills
- Ability to maintain the confidentiality of patient information in accordance with company policy & procedure, and HIPAA regulations.
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Insurance Claims Specialist
6 days ago
Portland, Maine, United States MEMIC Full timeJob SummaryMEMIC is seeking a highly motivated Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will play a critical role in ensuring injured workers receive the support they need while helping businesses thrive.In this position, you will investigate, evaluate, and manage medical-only and low-complexity lost time claims....
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Insurance Claims Handler Expert
2 days ago
Portland, Maine, United States American Automobile Association Full timeKey ResponsibilitiesInvestigate claims and determine coverage and damagesEvaluate and negotiate settlements with insureds within settlement authorityCommunicate effectively with insureds, vendors, and witnessesMaintain proper activities and service levelsRecognize and address common coverage issuesCoordinate with internal and external departments as...
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Insurance Claims Examiner
4 days ago
Portland, Maine, United States MEMIC Full timeAbout MEMIC">At MEMIC, our mission is to provide exceptional workers' compensation insurance services through compassionate care, trusted partnerships, and a relentless focus on workplace safety. Our core values - Be Conscientious, Be an Expert, Be a Partner, Be Curious, and Be Transparent - guide everything we do.We've been a leader in helping businesses...
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Medical Claim Specialist
5 days ago
Portland, Maine, United States Unum Insurance Full timeWe are seeking a highly skilled Medical Consultant to join our team at Unum. This key role plays a crucial part in providing expert medical analysis of claims files and underwriting applications across our US product lines.ResponsibilitiesDeliver high-quality, timely, and efficient medical consultative services to the Benefits CenterMaintain adherence to...
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Medical Claims Specialist
3 weeks ago
South Portland, Maine, United States InterMed, P.A. Full timeJob DescriptionWe are seeking a highly skilled Medical Claims Specialist to join our team at InterMed, P.A. This is a full-time position with an estimated annual salary of $55,000 - $65,000.About the Job:Review insurance claims for accuracy and completeness.Ensure provider information is correct.Resolve claim rejections or denials.Manage Electronic...
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Insurance Claims Processing Professional
3 weeks ago
South Portland, Maine, United States InterMed, P.A. Full time**Job Description:**We are looking for a detail-oriented and organized individual to fill the role of Payment Posting Specialist at InterMed, P.A.**Key Responsibilities:Process insurance payments and denials in a timely and accurate manner.Work closely with the Revenue Cycle Manager to investigate unusual contractual adjustments.Ensure all pending and...
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Insurance Denial Resolution Expert
3 weeks ago
South Portland, Maine, United States InterMed, P.A. Full timeJob OverviewWe have an exciting opportunity for a Insurance Denial Resolution Expert to join our team at InterMed, P.A. This role offers a competitive salary of $60,000 - $70,000 per year.About the Role:Review patient demographics and insurance information for accuracy.Ensure claims are processed correctly and efficiently.Manage ERA and resolve claim...
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Expert Medical Analyst Lead
5 days ago
Portland, Maine, United States Unum Insurance Full timeAt Unum, we value the expertise of our Medical Consultants, who play a vital role in supporting the Benefits Center. As a Medical Consultant, you will provide high-quality, timely, and efficient medical consultative services to our team, adhering to current regulatory, claim process, and internal workflow standards.Responsibilities include partnering with...
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Risk Services Director
3 weeks ago
Portland, Maine, United States United Insurance Full timeJob DescriptionAbout the Role:The Senior Vice President of Risk Operations will oversee the management of the risk services team at United Insurance. This senior executive will be responsible for managing a diverse range of tasks, including claims advocacy, risk control services, coverage analysis, and marketing services.Key Responsibilities:Provide expert...
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Executive VP of Risk Governance
20 hours ago
Portland, Maine, United States United Insurance Full timeKey Responsibilities:Develop and implement effective risk management strategies to mitigate potential losses.Collaborate with cross-functional teams to deliver comprehensive risk solutions.Provide expert guidance on risk control services, claims advocacy, and coverage analysis.
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Employee Benefits Professional
5 days ago
Portland, Maine, United States Unum Group Full timeAbout UsUnum Group is a leading provider of employee benefits to companies worldwide. Our mission is to help our customers thrive by providing innovative solutions that support the well-being of their employees.Job SummaryWe are seeking a highly motivated and detail-oriented Complex Claims Analyst Trainee to join our team. As a trainee, you will have the...
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Claims Resolution Specialist
3 weeks ago
Portland, Maine, United States MaineHealth Full timeAbout the Role">The Financial Performance Analyst will play a key role in ensuring accurate preparation and reconciliation of third-party payer logs, provider time studies, graduate medical education data, and all related industry surveys. This position will also assist in the completion of month-end accounts receivable analysis and yearly contractual...
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Employee Benefits Analyst
5 days ago
Portland, Maine, United States Unum Group Full timeKey Responsibilities:Manage an assigned caseload of complex claims while ensuring appropriate sign-offs are obtained.Apply contract/policy knowledge to analyze technical and complex contractual provisions.Enhance problem-solving skills by demonstrating analytical/logical thinking and recognizing multiple connections.
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Clinical Medical Expert
4 days ago
Portland, Maine, United States Unum Insurance Full timeWelcome to Unum, where we strive to provide the best employee benefits and service solutions to enable our clients' employees to thrive throughout life's moments.As a key member of our team, you will be part of an organization committed to helping individuals succeed both professionally and personally. We achieve this by offering:Award-winning culture that...
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Medical Billing and Compliance Manager
3 weeks ago
South Portland, Maine, United States InterMed, P.A. Full timeKey ResponsibilitiesReview patient demographics and insurance information for accuracy and completenessEnsure provider information is correct and up-to-dateResolve claim rejections and denials through effective communication with patients, providers, and insurersProcess refunds according to insurer protocolsSalary: $45,000 - $60,000 per year, depending on...
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Commercial Credit Analyst Lead
18 hours ago
Portland, Maine, United States Norway Bancorp Full timeCompany OverviewNorway Bancorp values a positive, team-based culture that fosters growth and success. Our team is dedicated to leveraging each person's unique gifts and strengths to achieve great things. As a Senior Commercial Credit Analyst, you'll be part of a skilled Commercial team working to identify, assess and monitor all aspects of risk associated...
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Field Sales and Marketing Coordinator
3 days ago
Portland, Maine, United States Concord Group Insurance Full timeJob OverviewThe Concord Group is seeking a skilled Field Marketing Representative to join our team. As a key member of our team, you will be responsible for developing and implementing marketing strategies to increase sales with agents. You will communicate and train on company products and services, analyze market trends, and provide exceptional customer...
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Portland, Maine, United States Stone Coast Fund Services Full timeAbout the PositionWe are seeking an experienced Financial Analyst to join our Fund Accounting team at Stone Coast Fund Services.In this role, you will be responsible for analyzing financial data, preparing financial statements, and assisting in the calculation of carried interest.Responsibilities:Financial Data Analysis: Analyze financial data to identify...
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Product Strategist
22 hours ago
South Portland, Maine, United States American United Life Ins Co Full timeAt American United Life Ins Co, our mission is to deliver innovative solutions that drive growth and stability in the insurance industry. We strive to create a workplace culture that fosters collaboration, creativity, and mutual respect.About the RoleWe are seeking a seasoned Product Strategist to join our team of professionals dedicated to developing and...
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Customer Service Advocate
5 days ago
South Portland, Maine, United States Elevance Health Full timeCompany OverviewElevance Health is a healthcare company dedicated to improving lives and communities. We are a leading provider of health solutions, committed to making healthcare simpler for our members.Salary and BenefitsOur team offers a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus...