Payment Review Specialist-Nordx Reimbursement

at MaineHealth in Scarborough, Maine, United States

Job Description

Position Summary
The Payment Review Specialist is responsible for all aspects of billing, follow-up and collection activity for billable parties assigned by the Manager. This includes maintaining timely, efficient and accurate accounts receivable insurance follow-up as assigned by the Manager.
Required Minimum Knowledge, Skills, and Abilities (KSAs)

Education: Completion of high school or equivalent education preferred
License/Certifications: N/A
Experience: Billing experience in a healthcare environment with third party payors and a working knowledge of State and Federal billing and debt collection regulations preferred.
Excellent interpersonal skills necessary to deal effectively with clients, patients and third-party payors.
To perform this job successfully, an individual should have demonstrated proficiency in Microsoft Excel, Word, PowerPoint, Sunquest, Rhodes Scholar, Rhodes Fusion and an ECS system/site and be able to learn and work efficiently with a variety of clinical laboratory computer systems as needed, such as SCC, Powerpath and NorDx Now.
Demonstrated competence in the use of various office equipment.
Demonstrated keyboarding skills.
Oral and written communication needs to be professional, clear and concise.
Successfully demonstrates competencies in the position in accordance with the established assessment for the position.
Must be able to work any shift, holiday and/or weekend as needed.
Must be able to travel among company sites as needed.
Additional Information

With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.

We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.
MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best-in-class care, apply today.
Additional Information  MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at

MaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination in employment because of race, color, national origin, religion, age, sex, sexual orientation, disability or veteran status.

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Job Posting: 1082013

Posted On: May 21, 2024

Updated On: May 21, 2024

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