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You will be updated with latest job alerts via emailAt Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day.
The Payment Analysts 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.
Education and Experience:
High School graduate or equivalent.
Minimum of two years relevant experience including knowledge of insurance billing and medical terminology
What Its Like Working At CMH:
We are all about our team members growth and health. That why we prioritize work/life balance community-based wellness initiatives and tuition reimbursement or student loan repayment for ALL of our team members.
CMH offers a robust benefits package that includes:
Essential Duties:
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.
9. Achieves a Quality Review score of 2.8 or better 90% of the time.
10. Receives department mail and distributes it to the appropriate personnel.
11. Reviews and processes denied claims according to the department standard.
12. Demonstrates a good working relationship within the department and with other departments throughout the regional healthcare system.
13. Answers routine questions from patients concerning payments.
14. Demonstrates the ability to be flexible organized and function well in stressful situations.
15. Accepts other assigned duties as needed.
Language Skills:
Ability to communicate in English both verbally and in writing.
Other languages preferred.
If you are passionate about making a difference and are looking for your next great career opportunity we look forward to reviewing your application!
Required Experience:
IC
Full-Time