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.
athenahealth IncMedical Coding Automation Senior Associate athenahealth IncMedical Coding Automation Senior AssociateME$77,000ā$131,000 / yearThe Medical Coding Services team partners closely with Product, Operations, Commercial, Revenue Cycle, and R&D stakeholders to improve coding quality, reduce denials, optimize claim adjudication outcomes, and strengthen service integrity. In this role, the Medical Coding Automation Senior Associate will partner across Product, Operations, Commercial and R&D teams to identify workflow improvements, support automation initiatives, and drive operational excellence through data analysis and process optimization.
Sun Life Financial IncSenior Manager, Insurance and Claims Advocacy Sun Life Financial IncSenior Manager, Insurance and Claims AdvocacyPortland, ME$76,200ā$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.
CVS Health CorpNewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, ME$17ā$28.46 / hourAnalyzes 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. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Pivotal Placement ServicesRN, DRG Coder / Clinical Auditor Pivotal Placement ServicesRN, DRG Coder / Clinical AuditorPortland, ME$90,000ā$104,841 / yearHeadquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionalsāfrom staff to leadershipāwith both clinical and non-clinical employers. Our comprehensive and customer-focused workforce solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.
CVS Health CorpCare Management Associate, Engagement Hub CVS Health CorpCare Management Associate, Engagement HubME$18.50ā$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.
CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)ME$46,988ā$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Williams Scotsman IncProduction Supervisor Williams Scotsman IncProduction SupervisorAuburn, MEManage the Work Order system and the drivers that impact inaccuracies (condition coding), develop strategy to ensure variances are <10% by ensuring work orders for idle fleet are accurate and idle fleet work orders are less than 9 months old. Manages employee/vendor health and safety through creating a safer workplace, conducting daily safety meetings, DuPont STOP, training and observations, and regularly scheduled assessments of the branch.
State of MaineProgrammer Analyst State of MaineProgrammer AnalystAugusta, Maine$57,775.17ā$81,065.71 / monthThis differs from that of Computer Programmer in that Programmer Analysts are increasingly responsible for developing program specifications, analyzing and designing small systems or sub-systems, and performing programming work of greater breadth and complexity. Writes application programs of moderate complexity employing higher level languages such as 3 GL's, 4 GL's and enterprise class application development tools (examples: Oracle Developer 2000, Powerbuilder, Visual Basic, Progress, Java, C++) in order to meet user needs.
EOS Hospitality KRC Employee LLCSous Chef EOS Hospitality KRC Employee LLCSous ChefKennebunkport, MEPart timeOur growing hospitality group includes Hidden Pond//Earth at Hidden Pond, Tides Beach Club, Cape Arundel Inn & Resort//Ocean Restaurant, Kennebunkport Inn//The Burleigh Restaurant, Cottages at Cabot Cove, The Grand Hotel//Rosella, The Boathouse Waterfront Hotel & Restaurant, Yachtsman Hotel & Marina Club, Lodge on the Cove//The Dory, and Via Sophia by the Sea. Our KRC Cares team partners with community leaders and like-minded businesses to advance our community services, such as toy drives, beach cleanups, and other charitable causes around the community.
State of MaineClinical Data Coordinator State of MaineClinical Data CoordinatorAugusta, Maine$17.69ā$24.27 / hourJoin the Maine CDC Breast and Cervical Health Program (MBCHP) and play a vital role in ensuring underserved individuals have access to life-saving cancer screening and diagnostic services. 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.
Northern Maine Medical CenterNewWound Care Nurse - RN Northern Maine Medical CenterWound Care Nurse - RNFort Kent, MEMonitors trends in the market area, providing educational presentations and in-services as needed and as opportunities arise while surveilling patients in Skilled Nursing Facilities (SNF) or other post discharge settings. May lead prevalence study, report to hospital system regarding hospital acquired pressure injuries and participate in pressure ulcer prevention and wound care products and supplies committees.
SOLV Energy LLCHV Project Manager SOLV Energy LLCHV Project ManagerMERemote$110,837ā$138,547 / yearIn addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting. SOLV Energy is a leading provider of infrastructure services to the power industry, designing, building and maintaining utility scale solar, battery storage and high voltage substation projects nationwide.
AtkinsRealis Group IncSubstation Engineer AtkinsRealis Group IncSubstation EngineerAugusta, MERemote$72,000ā$102,000 / hourThe Substation Engineer is responsible for supporting or leading substation engineering project teams, with the development of General Arrangements for Substations, Equipment Plans, Elevations, and Sections, Control House Layouts, Grounding design, Conduit and cable design, Creation of Bills of Materials, and Cable schedules. Note to staffing and direct hire agencies: In the event a recruiter or agency who is not on our preferred supplier list submits a resume/candidate to anyone in the company, AtkinsRĆ©alis family of companies, we explicitly reserve the right to recruit and hire the candidate(s) at our discretion and without any financial obligation to the recruiter or agency.
The Vascular Care GroupNewVascular Surgeon - Portland, ME The Vascular Care GroupVascular Surgeon - Portland, MEPortland, METhe Vascular Care Group is uniquely positioned to participate in and lead multiple clinical trials across various disease processes given the unique capabilities of its partnership and collaborations with the renowned clinical trials platform, Vascular Breakthroughs. The group is uniquely positioned to offer cutting-edge, comprehensive vascular and endovascular services in both ambulatory and various inpatient settings with expanding partnerships with some of the largest healthcare systems and most prestigious academic centers in the country.
Turner Construction CoProject Superintendent - Traveling Turner Construction CoProject Superintendent - TravelingPortland, ME$120,000ā$180,000 / yearManage the billing process as it relates to Work-In-Place WIP and overseeing the monthly estimate of work completed, payrolls, material invoices, and subcontractor payment applications. ⢠Develop and implement overall project work schedules, identifying the critical path, including the expediting of scheduled critical materials and equipment for their timely delivery to site.
EOS Hospitality LLCHousekeeping Manager EOS Hospitality LLCHousekeeping ManagerKennebunk, MEOur growing hospitality group includes Hidden Pond//Earth at Hidden Pond, Tides Beach Club, Cape Arundel Inn & Resort//Ocean Restaurant, Kennebunkport Inn//The Burleigh Restaurant, Cottages at Cabot Cove, The Grand Hotel//Rosella, The Boathouse Waterfront Hotel & Restaurant, Yachtsman Hotel & Marina Club, and Lodge on the Cove//The Dory. Our Community Impact project allows a 1% Impact Fee to be donated to hand-picked local organizations focusing on affordable housing, protecting wildlife habitats, and creating spaces for the youth of our community.
CompassusHospice Admissions Coordinator CompassusHospice Admissions CoordinatorScarborough, ME$15ā$33.88 / hourMeaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. The Hospice Admissions Coordinator processes patient referrals, coordinates the admission of patients, and enters patient admission data after all requirements of hospice have been met.
Army National Guard of the United StatesNew92Y Unit Supply Specialist - Warehouse Manager Army National Guard of the United States92Y Unit Supply Specialist - Warehouse ManagerWaterville, ME$200ā$250 / weekThrough your training, you will develop the skills and experience to enjoy a civilian career as a stock control clerk, parts clerk, or storekeeper with factories, repair shops, department stores or government warehouses and stockrooms. You will: ensure that all documents are prepared and organized; maintain automated systems; secure and control weapons and ammunition; and schedule and provide maintenance for weapons.
BrightSpring Health ServicesNewProgram Manager BrightSpring Health ServicesProgram ManagerBrewer, MEDesigns, implements, and coordinates outcome treatment plans and programming for each participant in collaboration with operational/clinical members⢠Maintains accessibility and availability to participants, team members, families, and other involved parties on an on-call status⢠Handles/coordinates response to emergency situations such as elopements, critical incidents, medical situations and employee injuries/accidents⢠Performs case management responsibilities for each participant that include advocacy, meeting medical needs, counseling and focusing goals towards identified outcomes⢠Coordinates program evaluation and improvement activities, including ensuring satisfaction and follow up information is gathered, as well as participating in the Facility Performance Improvement program⢠Ensures timely conversions of referrals to admission, tracks referrals and admissions, and completes the admission process including the use of all required admissions documentation in an accurate and timely manner. Working knowledge of developmental disabilities and neurological rehabilitation ⢠Certified Brain Injury Specialist certification preferred ⢠Demonstrates excellent organizational, problem solving, decision making, written and verbal communication skills⢠Must be able to react quickly to unpredictable situations with participants, which may require rapid or heavy physical exertion⢠Able to perform job related duties which may require sitting, lifting, standing, bending, stooping, stretching, walking, pushing, and pulling with or without an accommodation⢠Maintains valid driver's license and has reliable transportation to travel locally as needed⢠Valid, unrestricted driver's license and ability to drive to/from community outings.
New SeasonPatient Registration Coordinator New SeasonPatient Registration CoordinatorBangor, MEFor over 30 years, New Season Treatment Centers have been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality and best in class care for individuals living with Opioid Use Disorder ("OUD"). Essential Functions: Complete the pre-registration process for all new clients and schedule appointments accordingly, including orientation of new patients, monitoring all patient activities on center premises, and providing customer service as a point of contact for patient inquiries, as applicable.
Concentric Healthcare StaffingNewTravel Physical Therapist (PT) in Norway, ME Concentric Healthcare StaffingTravel Physical Therapist (PT) in Norway, MENorway, MEComplete medical record documentation in a clear, concise, accurate, and timely manner including goal writing, functional quality indicator assessments, letters of medical necessity, and charge entry in compliance with state, federal, and intermediary guidelines. Key ResponsibilitiesConduct comprehensive evaluations of assigned patients and develop, implement, and modify individualized treatment plans in accordance with patient needs, goals, and physician direction.
Concentric Healthcare StaffingTravel Physical Therapist (PT) in Bethel, ME Concentric Healthcare StaffingTravel Physical Therapist (PT) in Bethel, MEBethel, MEKey ResponsibilitiesComplete comprehensive evaluations of assigned patients and develop, implement, and modify individualized treatment plans and goals focused on progressing patients toward discharge. Complete medical record documentation in a clear, concise, accurate, and timely manner, including goal writing, functional quality indicator assessments, letters of medical necessity, and charge entry in compliance with state, federal, and intermediary guidelines.
Concentric Healthcare StaffingNewTravel Physical Therapist (PT) in Topsham, ME Concentric Healthcare StaffingTravel Physical Therapist (PT) in Topsham, METopsham, MEComplete medical record documentation in a clear, concise, accurate, and timely manner, including goal writing, functional quality indicator assessments, letters of medical necessity, and charge entry in compliance with state, federal, and intermediary guidelines. Key ResponsibilitiesComplete comprehensive evaluations of assigned patients and develop, implement, and modify individualized treatment plans based on patient needs, goals, and physician direction.