Evergreen Senior Healthcare of Maine · 4 days ago
Provider Practice Billing & Claims Specialist
Augusta,ME,US
Full-time
Onsite
Entry, Mid Level
2+ years expEvergreen Senior Healthcare of Maine is a provider of personalized medical care to seniors. The Provider Practice Billing & Claims Specialist will ensure accurate billing processes, manage claims submissions, and act as a liaison for coding and compliance guidance.
Hospital & Health Care
Responsibilities
Utilizes clinical and coding knowledge to ensure accurate and compliant diagnostic and procedural assignments are captured to optimize reimbursement for professional charges, utilizing ICD-10-CM, CPT-4 and sequencing best-practices
Submits accurate and timely claims to payors. Receives payments from payors and performs data entry of payments and account adjustments. Informs Accounting Supervisor of accounting discrepancies
Performs error analysis for denied claims and provides recommendations for process improvements and claim reimbursement resolution. Escalates concerns to Accounting Supervisor
Acts as liaison and subject matter expert to internal and external stakeholders, delivering expert guidance and training related to coding systems, required documentation, payer requirements, and industry standards
Qualification
Required
Must provide proof of immunization/immunity to MMR, Varicella and Influenza
A current, valid license to operate a vehicle in the state of Maine and a driving record that is satisfactory to the company may be required
Strong command of the English language with the ability to follow oral and written instructions with precision
Preferred
Two or more years of previous experience as a medical biller/coder
Proficient with Microsoft Office products
Benefits
Vacation and holiday pay because you deserve time to relax and recharge
Tuition assistance because we believe in the investment of your growth and success
Health, dental, vision and supplemental benefits to support your health
401(k) savings and investment plan to prepare for your future
Company
Evergreen Senior Healthcare of Maine
At Evergreen Senior Healthcare of Maine, our mission is to deliver compassionate, holistic, and personalized primary care that enhances the health and quality of life for residents of Assisted Living and Memory Care communities in Maine.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase