Trainer for Claims - Maine

Job Overview · We are seeking a detail-oriented and analytical Claims Examiner to join our team. In this role, you will be responsible for reviewing and processing insurance claims, ensuring compliance with relevant laws and regulations. You will play a crucial role in fraud prev ...

We are seeking detail-oriented Claims Examiner to join our team. · We review and process insurance claims ensuring compliance with laws and regulations, · Fraud prevention detection auto estimating managing workers' compensation claims. · ...

The RCM AR Specialist is responsible for all workflows related to the back-end billing and collections cycle. The position requires expertise in the life cycle of medical claims and knowledge of payer regulations. · Review denied claims based on assigned markets, payers and work ...

A local healthcare organization is seeking a Provider Services Representative to support providers by responding to incoming inquiries related to benefits, eligibility, plan coverage, enrollment, claims, billing, · and payments. · Professionally handle high-volume phone calls, · ...

We are seeking a highly skilled and experienced Stop Loss Clinical Risk Manager to join our team. The ideal candidate will have a strong clinical background and demonstrated expertise in evaluating and managing stop loss claims. · ...

+This position allows for significant contributions to both technology and healthcare sectors, driving efficiency and quality improvements in application development and integration. · ++Analyze business requirements and translate them into technical specifications and program lo ...

A well-established and growing construction firm is seeking a seasoned Project Manager · - Construction to lead complex projects across educational, · industrial, commercial, multifamily, · and mixed-use sectors.Lead project planning by defining scope, · Develop manage and foreca ...

The attorney will actively litigate cases in ME and attend regular court appearances for conferences and motions. · ...

We are seeking a dedicated and personable Customer Service Team Assistant to join our dynamic team.This role involves providing exceptional support to clients, assisting with inquiries, and ensuring a positive customer experience. · The primary responsibility of a Customer Servic ...

We're seeking a Field Technical Representative who's ready to be part of a people-first company offering best-in-class products, exceptional training, and deep industry pride—all built to help our partners and team succeed. · ...

+Job SummaryWe are currently seeking a Transportation Specialist - OS & D to support our transportation operations team. · ResponsibilitiesOS & D (Overage, Shortage, and Damages) · Maintaining a tracker of OS&D shipments · ...

We value flexibility,reliability,and approachability.Join us as a PSS or DSPand help deliver high-quality,personalized care in Maine—all while building a career that truly fits you. · Provide compassionate,respectful support with daily living tasksAassist clients in leading indep ...

Job Info · POSITION: · Line Clerk · NUMBER OF OPEN POSITIONS: · 1 · LOCATION: · CMP · - ME - Lewiston - Service Bldg. · HOURLY RATE RANGE: · $ $33.75 · Responsibilities · Processes labor and material through the Work Management System through the use of Global SAP. · Completes pr ...

This position involves transforming healthcare administration by capturing business requirements to support health plan operations. · Lead business requirement conversations with customers and internal teams. · Manage end-to-end requirements involving all stakeholders. · ...

As a senior territory sales manager you will be key driver of MAPFRE's growth strategy within the state Maine shaping market presence and delivering profitable results across a designated territory of independent insurance agencies. · Lead Market Strategy: Drive MAPFRE's market a ...

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Patient Financial Services Manager. · This role will enhance revenue cycle operations and ensure accurate billing processes. · The ideal candidate will have expertise in patient fi ...

Manage an assigned book of business, ensuring account retention and supporting new business. · ...

The candidate will manage an assigned book of business to ensure account retention and support new business. They will coordinate day-to-day administrative and customer service activities, resolve complex issues, and ensure no errors or omissions. · Maintain technical competence ...

The Clinical Specialist reports to the Assistant Manager Medical Management and provides clinical decision-making support and community resource coordination in support of Community Health Options Medical Management approach. · The incumbent supports Medical Management operationa ...

About Lyra · Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and ...