at MaineHealth in Scarborough, Maine, United States
Job Description
Summary
Position Summary
This is the second level of a revenue cycle career path within PFS. Responsible for the specific set of patient accounting which could include the appropriate billing, training, and/or follow up/denial resolution of insurance claims within filing limits to support the proper account completion and closure prior to 120 days from the date of service. A trainer will ensure that the training and auditing needs of the department are met. Works within a team-based setting and ensures that workloads are distributed evenly. Responsible to perform the necessary account research required to determine proper governmental requirements prior to any claims submission. Supports the overall success of Patient Financial Services by demonstrating flexibility, collaboration, and cooperation in a High Performance Work Team (HPWT) environment while maintaining a quality output and a high level of production. Continues to gain knowledge in all areas of Patient Financial Services to follow the MaineHealth growth path.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education: High School graduate or GED preferred.
Experience: 9 months in a related Healthcare field. Hospital or Provider Based billing experience preferred.
License/Certifications: N/A
Able to work in a high volume, fast-paced work environment and perform and prioritize multiple tasks simultaneously.
Proficiencies: Keyboard and data entry skills required. Computer experience is required with Microsoft Word and Excel, e-mail, and internet communication, as well as the ability to work effectively with electronic work quality monitoring and electronic systems.
Requires the employee to have experience with, or the capability to be trained to solve problems and work towards solutions in an independent and/or team manner. For the trainer role: requires the employee to have experience with, or the capability to be trained in auditing and training.
Proven proficiency in working a minimum of one role (billing, collections, or healthcare accounts receivables training) for one payer (hospital) or one specialty (physician) or training.
Specialized knowledge: Hospital or Provider Based billing preferred.
Working knowledge of CPT, HCPCS, ICD9/10 codes.
Additional Information
MaineHealth was ranked one of America's Best Large Employers in 2022 by Forbes!
MaineHealth is a not-for-profit integrated health system whose vision is, "Working together so our communities are the healthiest in America." MaineHealth consists of nine local health systems, a comprehensive behavioral health care network, diagnostic services, home health agencies, and 1,700 employed clinicians working together through the MaineHealth Medical Group. With approximately 22,000 care team members, MaineHealth provides preventive care, diagnosis and treatment to 1.1 million residents in Maine and New Hampshire. Learn more about our system at
At MaineHealth, we offer benefits that support an individual's needs for today and flexibility to plan for tomorrow. Our packages include health and dental insurances, paid parental leave, retirement program, generous paid time off, and much more! Our comprehensive array of benefits are competitive, affordable, and include choices that meet specific, but ever changing, needs.
With a career at any of the MaineHealth locations, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the neighborhoods that surround it. We are deeply invested in the well-being of our communities and care team members. We believe in fostering a work environment of strong commitment, compassionate caring and continuous improvement. Join us, and your abilities will be challenged and enhanced as you take your career to a new level.
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 www.mainehealth.org
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.
