Reimbursement Specialist - Healthcare jobs in Maine

Reimbursement Specialist - Healthcare determines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Being a Reimbursement Specialist - Healthcare ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. Additionally, Reimbursement Specialist - Healthcare may require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. The Reimbursement Specialist - Healthcare gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Reimbursement Specialist - Healthcare typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Healthcare Systems Specialist III - Pathology
  • Spectrum Healthcare Partners
  • South Portland, ME FULL_TIME
  • COMPANY OVERVIEW
    Spectrum Healthcare Partners is Maine’s largest multi-specialty, physician-owned and directed professional organization and is comprised of over 200 physicians practicing in the areas of anesthesiology, orthopaedics, pain management, pathology, radiation oncology, radiology, and vascular & interventional services. Spectrum provides services at many of Maine’s hospitals throughout the state and in eastern New Hampshire.

    POSITION SUMMARY

    Responsible for providing direct support to SHCP Physicians working within all hospital and SHCP based healthcare systems.  Also providing technical support to include issue triage, ticket assignment, tier I & 2 issue resolution, account management, and systems monitoring; include providing accurate and efficient tier Ill support for healthcare reporting environments, workstations and peripherals issues, recommending hardware, scheduling, receiving, storing & distributing software, hardware & equipment according to company policy & procedures and asset tracking.

    ESSENTIAL FUNCTIONS
    1. Create and manipulate templates and macros in healthcare systems (i.e. EPIC Beaker, PowerPath, Dragon, Powerscribe, ConcentriqDx, etc..).
    2. Provide outstanding customer service and a positive support experience by interfacing directly with Spectrum Physicians and employees on issues, communicating in a clear, concise manner
    3. Coordinate and closely work with team members, end-users, and technical staff on problem resolution, tracking, monitoring, and reporting
    4. Collect appropriate information needed to triage, assign and solve tier I & 2 tickets regarding software, hardware, and operational problems and appropriately know when to escalate to tier III support
    5. Provide remote software installation and configuration support
    6. Accurately perform account creation, management, and deletion per documented processes and procedures
    7. Accurately and timely perform remote connection administration per documented processes and procedures
    8. Accurately and efficiently answer help desk calls during high volume or as assigned
    9. Manage print queues and drivers using documented issue resolution and troubleshooting procedures per documented processes and procedures
    10. Workstation management and adherence to all security requirements
    11. Follow basic troubleshooting procedures to accurately troubleshoot basic network administration and connectivity issues and appropriately know when to escalate
    12. Liaison with departments to coordinate technology needs
    13. Performing one on one IT training for new staff.
    14. Act as an escalation point for 3rd party service desks.
    15. Write and update “how-to”, knowledgebase, and procedure documentation
    16. Follow established processes and standards, identify and propose improvements as necessary
    17. Maintain a high-level knowledge of desktop, network, healthcare, central services business applications and mobile technologies
    PRIMARY RESPONSIBILITIES
    • Works directly with Spectrum Pathologists in developing and maintain templates and macros in healthcare systems.
    • Troubleshoots and identifies possible root cause issues and errors; determine prioritization and escalation paths; strong ownership and reliable follow through skills
    • Follows purchasing guidelines to order, receive and track hardware, software, and maintenance contracts as needed
    • Participates in process improvements and other duties as assigned
    • OS Imaging and deployment
    • Supports multiple sites in a fast paced environment
    • Attends meetings as assigned and participates in educational activities to keep skills up to date
    • Demonstrates professionalism at all times
    • Displays cooperative behavior and interacts positively and effectively with others to promote a team environment
    • Performs other duties necessary to maintain the overall efficiency and continuity of the dept
    • Is proactive in identifying, reporting and participating in the resolution of any potential or safety issues
    QUALIFICATIONS
    • Associates or Bachelor’s Degree in related field; or equivalent of education and 5 years healthcare industry experience
    • Possesses or has the ability to obtain an EPIC Beaker, or similar, certification.
    • Detailed knowledge of hospital based reporting systems (EPIC, PowerScribe, Dragon, PowerPath, etc..)
    • Expert understanding of current Windows operating systems and current Microsoft Office products including Microsoft 365
    • Experience in Hospital Laboratory settings, Pathology is desired.
    • Ability to troubleshoot and identify possible root cause issues and errors; determine prioritization and escalation paths; strong ownership and reliable follow through skills
    • Understands principles of computer system operations, LANs, and WANs, Operating Systems, and peripherals
    • Understands Hardware maintenance and/or configuration experience; A certified a plus
    • Demonstrated database concepts; SQL skills a plus
    • Desktop and Laptop hardware knowledge Dell, HP & Apple
    • Demonstrated hardware maintenance and/or configuration experience; A certified preferred
    • Basic database concepts; SQL skills a plus
    • Experience and ability to thrive in a team oriented, customer service environment
    • Excellent communication and interpersonal skills with the ability to communicate effectively with all levels of the organization
    • Excellent customer service skills
    • Excellent documentation skills, ability to write technical processes and procedures
    • Preferred CompTIA A certification or higher (current)
    • Current valid driver’s license                                                                   

    PHYSICAL DEMANDS / WORK ENVIRONMENT

    1. Travel to various sites of service
    2. Work environment includes computer related noise levels
    3. Continual use of computer keyboard, mouse and other associated peripherals
    4. Extended standing and walking, lifting of computer equipment (30-50 pounds)
    BENEFITS
    • Health Insurance (80% company paid)
    • Health Savings Account (Company Match: $3,000 family plan / $1625 individual plan)
    • Dental & Vision Insurance Plans
    • 401(k) Match and Profit-Sharing Plan
    • Life and Accidental Death and Dismemberment Insurance (company paid)
    • Long-term Disability Insurance (company paid)
    • Short-term Disability Insurance (company paid)
    • Generous paid time off
    • Voluntary, Employee-Paid Benefits
    • Medical Reimbursement Plan
    • Dependent Care Plan

  • 1 Month Ago

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Field Service Specialist - Healthcare
  • Acosta Group
  • Augusta, ME FULL_TIME
  • **Field Service Specialist - Healthcare** **Description** **Who is Mosaic?** Consistently voted one of the best places to work, Mosaic provides people, technology, and analytics to support the sales a...
  • 24 Days Ago

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Reimbursement Analyst- Reimbursement
  • MaineHealth
  • Portland, ME FULL_TIME
  • Summary Position Summary **Fully Remote working position but will be expected to be in the office based on business needs in Portland, Maine The overall purpose and function of the job is to complete ...
  • 1 Month Ago

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Reimbursement Analyst
  • MaineHealth
  • Portland, ME FULL_TIME
  • Summary Position Summary The overall purpose and function of the job is to complete specific assigned responsibilities as it relates to cost reporting, month-end contractuals and third party receivabl...
  • 21 Days Ago

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Insurance Specialist /Customer Service-Behavioral Healthcare Program
  • MaineHealth
  • Portland, ME FULL_TIME
  • Summary Position Summary Pay: $18.00 - $19.50 / hour (mid-range) depending on experience **Possible hybrid schedule after initial 6 weeks of in office training The Behavioral HealthCare Program Custom...
  • 4 Days Ago

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Seasonal Plant Merchandiser
  • ICS Plant Specialist
  • Topsham, ME PART_TIME
  • Year Round Permanent Plant Merchandiser-This role is for ICS's services & not Home Depot.We do service Home Depot locations but they will not be your employer.Part Time -SeasonalICS merchandiser’s Tas...
  • 3 Days Ago

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Clinical Reimbursement Specialist
  • Life Care Centers of America
  • Altamonte Springs, FL
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 3/28/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Southeast Division
  • Altamonte Springs, FL
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 3/27/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Southwest Division
  • Las Vegas, NV
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 3/27/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • CareOne
  • Fort Lee, NJ
  • Now Hiring - Clinical Reimbursement Specialist - Fort Lee, NJ 07024 The Clinical Reimbursement Specialist assures the im...
  • 3/26/2024 12:00:00 AM

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Reimbursement Specialist
  • Vinfen
  • Cambridge, MA
  • Schedule: Mon-Fri 9am-5pm (2 days remote after training) Salary: $23.00-$25.00 / hour The Reimbursement Specialist is ch...
  • 3/25/2024 12:00:00 AM

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Reimbursement Specialist
  • By The Bay Health
  • Larkspur, CA
  • This position offers competitive pay, generous benefits, and a supportive work environment! We are seeking a full-time R...
  • 3/25/2024 12:00:00 AM

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Reimbursement Specialist
  • PROMPTCARE HOME INFUSION LLC
  • New Providence, NJ
  • Job Type Full-time Description PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to ...
  • 3/25/2024 12:00:00 AM

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Medical Reimbursement Specialist
  • HealthDrive Corporation
  • Framingham, MA
  • Answer incoming facility and billing related customer telephone calls and provide exceptional customer service when inte...
  • 3/24/2024 12:00:00 AM

To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West). Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$43,674 to $53,069

Reimbursement Specialist - Healthcare in Dayton, OH
Accurate and efficient reimbursement adds value to all health care providers; and certified professional coders can help deliver that.
January 04, 2020
Reimbursement Specialist - Healthcare in Ventura, CA
Specialised mental healthcare includes diagnosis and specialist treatment of (highly) complex psychological disorders such as psychiatrists and clinical psychologists generally provide.
February 07, 2020
Reimbursement Specialist - Healthcare in Florence, AL
Through MedCert’s 22-week program, you will find yourself equipped to serve as a Reimbursement and EHR Health Specialist as well as prepared to gain certification as a Certified Electronic Health Records Specialist (CEHRS) and a Certified Billing and Coding Specialist (CBCS) providing needed support to healthcare providers.
December 15, 2019