Claims Specialist
This position is responsible for accurate claims submission to all applicable payers of the EMHS Patient Account Services in a Centralized Business Office environment. Resolve claim edits specific to each payer's requirements on a daily basis. Take necessary AR adjustments in accordance with the department's adjustment policy. Meet or exceed the EMHS performance standards as it relates to quality and productivity. Request relevant information from appropriate revenue cycle and clinical departments as required by payer. Maintain the knowledge of payer billing policies; complete AAHAM or other healthcare related webinars.
Experience with EMHS patient accounting software is preferred.
1+ year of healthcare claims billing or coding experience preferred.
Detailed knowledge of billing rules and regulations in a healthcare setting (Government and/or non-Government payers)
MS Excel
MS Word
Customer Service skills
Adaptable
Multitasking
Problem Solving
Team player
Verbal communication
Detail Oriented
written communication
According to JobzMall, the average salary range for a Claims Specialist in 43 Whiting Hill Rd, Brewer, ME 04412, USA is $38,000 to $50,000.
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Eastern Maine Medical Center is a hospital located in Bangor, Maine that serves communities throughout central, eastern, and northern Maine. EMMC is the second largest hospital in the state with 411 inpatient beds, serves more than 40% of the population of the state, and is the sixth largest employer in the state.
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