Maine Staffing Group
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Location: Portland, ME
Shift: 8am Start Time, Expected you work at least 40 hours
Pay Range: $51,318.75 – $66, 412,50
Company Description:
We are on a mission to create a healthier community one day at a time. We are full of culture, trust, and respect. If you enjoy improving the world, join our team now!
Responsibilities:
Requirements:
*We are an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.*
Apply today and build a rewarding future with us!
Temporary Appeals Specialist I
Posted: 11/30/2023
2023-11-30
2023-12-31
Employment Type:
Contract
Industry: Medical
Job Number: AB308456926
Job Description
Location: Portland, ME
Shift: 8am Start Time, Expected you work at least 40 hours
Pay Range: $51,318.75 – $66, 412,50
Company Description:
We are on a mission to create a healthier community one day at a time. We are full of culture, trust, and respect. If you enjoy improving the world, join our team now!
Responsibilities:
Maintaining accurate information/documentation in all systems and databases
Prepares appeals documentation within contractual and regulatory requirements
Data entry of appeals to track case details, correspondences, and monitor timeliness of resolution
Works with leadership to develop appropriate policies and procedures
Requirements:
Customer Service
Bachelor’s Degree or equivalent experience and education
3+ years experience in managed care plan required; knowledge of Medicare Advantage (for Medicare Specialist) or TRICARE (for USFHP Specialist) appeals processes and regulations strongly preferred
Excellent written and verbal communication skills
Staying organized in a fast paced environment.
Proficiency in Microsoft Office applications (Word, Excel, PowerPoint)
Strong analytical, problem-solving and mathematical skills
Strong interpersonal skills
Ability to collaborate with internal and external clients
*We are an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.*
Apply today and build a rewarding future with us!
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Discover exciting job opportunities in the vibrant Portland, Maine area! Known for its picturesque coastal charm, bustling Old Port district, and thriving arts scene, Portland is a city brimming with career possibilities and growth potential. From the renowned Portland Museum of Art to the eclectic array of seafood eateries along Commercial Street, there's no shortage of charm and culture to explore. Home to the Portland Symphony Orchestra, Portland Stage Company, and iconic Hadlock Field where fans cheer for the Portland Sea Dogs, this region offers a perfect blend of work and play. Dive into our job listings today and consider kickstarting your career in this enchanting city by the sea.
