Account Resolution Specialist - Client Relations


  • Location: Kennebunk, ME
  • Posted: Jun 24, 2019

Job Description


Southern Maine Health Care

Department: MaineHealth Southern Maine Health Care/Client Relations

Std Hrs/Wk: Per Diem

Shift: Flexible (As Needed)

Full/Part Time: per diem

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Job Details:

Position Summary The Account Resolution Specialist is responsible for various facets of client relations dept functions including the appropriate billing, refund processing, follow up of patient insurance claims within filing limits to support proper account completion. The Account Resolution Specialist is responsible for the accurate and timely completion of the Medicare quarterly credit balance report. Works with various consultants and agents assisting insurance companies with identification of potential overpayments. 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 and repayment of receipts. Supports the overall success of the department by demonstrating flexibility, collaboration and cooperation in a High Performance Work Team (HPWT) environment while, maintaining a high level of production and service quality. Continues to gain knowledge in all areas of Client Relations to follow the MaineHealth growth path.

Required Minimum Knowledge, Skills, and Abilities (KSAs) High School graduate or GED preferred.
1 year of related Hospital or Provider Based billing experience. Hospital or Provider Based billing, cash posting or Credit resolution/refunds or insurance follow up preferred.
Able to work in a high volume, fast paced work environment and perform and prioritize multiple tasks simultaneously.
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.
Proven Proficiency in working a minimum of one role (billing or validation or collections) for one payer (hospital) or one specialty (physician) or proficiency in performing all duties required for cash posting (both manual and electronic) or refunds for all payers: hospitals or physicians.
Hospital or Provider Based billing, cash posting or refunds preferred.
Working knowledge of CPT, HCPCS, ICD9/10 codes.

Account Resolution Specialist Client Relations

Thank you for your interest in applying to one of our open positions.

In order to make this process as easy and quick as possible please note the following:

Click on External Apply if you are a candidate external to the MaineHealth System, or currently working at the following member organizations:
Memorial Hospital
MaineHealth Care at Home

Click on Internal Apply if you currently work at any other MaineHealth System organization.
Internal Apply
External Apply

Account Resolution Specialist Client Relations

Thank you for your interest in this position.

Please note, this application is to be used by non-employees of the MaineHealth System only. MaineHealth employees must utilize the internal apply option.

Click External Apply to continue with the external application process, or

Employment Type


  • Per Diem

Schedule Information


Schedule: Flexible (As Needed)

MaineHealth

7 Bramhall Street
Portland, ME 04102

Phone: (207) 662-2680

Web: https://www.careersatmainehealth.org/

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