Lewiston, ME, 04243, USA
60 days ago
Payment Analyst - Insurance Billing
At Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day. Position Summary: The Payment Analyst’s primary responsibility is to research and process payments, adjustments and denials accurately and in a timely fashion to ensure a positive cash flow for the regional healthcare system.Duties and Responsibilities:Demonstrates Competency in the Following Areas:1. Receives and posts payments from patients, insurance companies, federal and state agencies and other third party payors.2. Resolves unidentified patient and insurance payments according to departmental policy.3. Accurately encodes payments and/or denials on EOB for batching and posting.4. Determines, posts and reconciles contractual adjustments to patient accounts according to the contractual arrangements with third party payers.5. Reconciles and posts daily cash batches.6. Prepares, balances and records all monies for the regional healthcare system.7. Receives, processes and posts non-patient payments for deposit.8. Downloads, posts, and reconciles electronic remittances according to department standards.Regulatory Requirements:• High school graduate or equivalent.• Minimum of two years relevant experience, including knowledge of insurance billing and medical terminology.Language Skills:• Ability to communicate in English, both verbally and in writing.• Other languages preferred.Skills:• Basic computer knowledge.• Correct and safe operation of office equipment, i.e., copy machine, adding machine, fax.Physical Demands:• For physical demands of position, including vision, hearing, repetitive motion and environment, see following description.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising client care. If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application! AT CENTRAL MAINE HEALTHCARE YOU ARE AT THE CENTER OF EVERYTHING WE DO Our why, our purpose, drives every decision and action we take as a healthcare system. We strive everyday to deliver exceptional care, and to improve our community. We are a non-profit organization that is breaking the traditional healthcare mold by bringing our patients and their family’s high value, low cost, and award-winning care while focusing on creating an exceptional experience for them; all within their communities. To accomplish this, we only hire individuals who are committed to excellence, who embody the principles of our CMH Experience Service Standards, and who are ready to step in and help their fellow team members achieve those exceptional results for our patients, their families, and the community. Central Maine Healthcare System The organization is broad in its footprint, with three (3) hospitals in Bridgton, Lewiston, and Rumford, and over 75 individual practices within our Medical Group. Lewiston’s Central Maine Medical Center is a certified and award-winning level two trauma center, along with our Central Maine Heart and Vascular Institute and the upcoming highly anticipated launch of our comprehensive state of the art cancer treatment center. Both Bridgton and Rumford Hospitals are four (4) star accredited acute care hospitals, and our Medical Group and Maine Urgent Care Centers have won multiple awards within their specialties. As a system we are a six-time winner of the Leapfrog Safety A Rating since 2019, representing some of the highest quality care and outcomes nationwide. Our awards and accolades are only possible as a result of our commitment to culture, and a focus on safety and inclusion, in each of our patient’s experiences and in the experiences we create within our teams. If you are a person who is looking for a way to give back to your community, to help improve the lives of patients or those who care for our patients, want to be part of a growing organization that is setting the bar for Maine healthcare, apply to join Central Maine Healthcare today! Diversity and Equal Employment Opportunity CMH actively promotes diversity in its workforce at all levels of the organization. We strive to create and maintain a setting where we celebrate cultural and other differences and consider them strengths of the organization. CMH is an equal opportunity workforce and no one shall discriminate against any individual with regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, genetic information or veteran status with respect to any offer, or term or condition, of employment. We make reasonable accommodations to the known physical and mental limitations of qualified individuals with disabilities.
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