Medicare & USFHP Appeals Specialist - Hybrid
Martins Point
Martin's Point Health Care is seeking a Temporary Health Plan Appeals Specialist to join our Portland, ME team in a hybrid role. You will apply expertise in Medicare Advantage, TRICARE, and Health Plan appeals to process complex member requests and ensure timely, regulatorily compliant communications. The position requires a Bachelor’s degree, 5+ years in managed care, strong written/verbal communication, and proficiency with Microsoft Office. #J-18808-Ljbffr Martins Point
- Cumberland Healthcare in Maine is seeking a Prior Authorization Specialist to join our team. The role centers on obtaining prior authorizations from insurance companies for healthcare providers and ensuring timely, accurate approvals. This position requires verifying coverage...Suggested
- MaineHealth is seeking a Workers' Compensation (WC) and ADA Specialist to join our Employee Health team. The role focuses on coordinating workers' compensation, transitional work, and ADA accommodation processes to support care team members after workplace injuries. The...Suggested
- ...will help ensure a smooth patient and provider experience, while collaborating with engineers to automate workflows. The role offers hybrid work with in-person visits to our Cambridge, MA or Portland, ME offices as needed, and requires strong communication, cross-...Suggested
$50k
...benefit investigations when necessary. Identify and communicate patients' plan benefit coverage, including any prior authorization, appeal, tier exception, or formulary exclusion requirements. Utilize electronic resources to obtain benefit coverage outcomes, and if...SuggestedTemporary workWork at officeImmediate startMonday to FridayFlexible hoursShift work- ...behavioral healthcare, seeks an Accounts Receivable Resolution Specialist for a fully remote, full-time role in the United States. You... ...reimbursed, and resolved, manage complex AR cases, and coordinate appeals to accelerate payments with insurers. This role requires...SuggestedRemote jobFull time
- ...on building a pipeline of well-qualified opportunities in the public sector software space and supporting sales with effective messaging. In a hybrid environment with occasional travel to trade shows and events, you will develop #J-18808-Ljbffr Tyler Technologies, Inc.
- ...Cumberland Healthcare is currently searching for a Prior Authorization Specialist to join our team. The primary duty of this team member would be... ..., managing work queues and denials, and supporting the appeal process. Experience Prior Authorization experience required...Full time
$75k - $80k
Overview As a Senior Events Specialist , you'll partner with a collaborative marketing team to plan and deliver a portfolio of firm-hosted... ...value to our clients and communities. This is a full-time, hybrid position (M-F, 8am-5pm, with some evening and weekend work to be...Full timeShift workAfternoon shift$71.45k - $96.64k
...MaineHealth is looking for a Workers' Compensation (WC) and ADA Specialist who brings strong communication skills, sound judgment, and a... ...programs is especially valuable. One added perk? This is a full-time HYBRID position at 36 hours per week, offering the flexibility to...Full timeTemporary workPart timeWork experience placementFlexible hours$22 - $24 per hour
Description: Are you motivated by keeping communities safe, welcoming, and well-maintained? Do you take pride in solving problems on the spot and ensuring residents feel truly at home? Avesta Housing is seeking a skilled and mission-driven Maintenance Technician to help...Hourly payFull timeTemporary workLocal areaImmediate startFlexible hours- ...Atlantic FCU is hiring a Member Solutions Specialist in South Portland. Description At Atlantic, we support members when things are going well and when they are not. Some of the most important moments happen when a member is behind and unsure what to do next...
- Description You have what it takes: a competitive drive coupled with exceptional sales ability. In this role, you will be responsible for implementing the sales plan by delivering proficient sales presentations to a defined list of current and prospective customers and...Local areaFlexible hoursNight shift
- Job Description Job Description Job Opportunity: Neurologist - Headache Program Director Our organization is on the lookout for a full-time, board-certified or eligible Neurologist with specialized fellowship training and a keen interest in Headache management. This...Full timeLocal area
$74k - $89k
...behavioral challenges or have experienced trauma, such as abuse or neglect. Services are provided by highly trained Family Intervention Specialists directly in the family’s home and community–Intercept® is not an office-based program. Intercept provides intensive, strength-...Full timePart timeInternshipWork at officeLocal areaFlexible hours$16.75 - $21.75 per hour
...Delivery Specialist Compensation Pay Range: $16.75 - $21.75 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging...Hourly payMinimum wageLocal areaImmediate startFlexible hours- This position provides support for the caregiver infant breastfeeding/chest feeding dyad. Works collaboratively with the nursing team to make clinical assessments to address patient’s feeding needs and goals. CORE RESPONSIBILITIES: Assesses patients’ lactation...Local area
- Description You have what it takes: a competitive drive coupled with exceptional sales ability. In this role, you will be responsible for implementing the sales plan by delivering proficient sales presentations to a defined list of current and prospective...Local areaFlexible hoursNight shift
$330k
...Collaboration is key, as we work closely with a fellowship-trained epilepsy/functional neurosurgeon, neuroradiologists, nuclear medicine specialists, and a dedicated neuropsychologist and psychometrician to develop a level IV comprehensive epilepsy program. Our facilities...Full timeRelocation package$23.5 - $25 per hour
...service, navigating complex processes, and building positive relationships? Avesta Housing is seeking a mission-driven Leasing Specialist to support applicants and residents while helping maintain strong occupancy across our communities. In this role, you’ll serve...Hourly payFull timeTemporary workWork at officeLocal areaImmediate startFlexible hoursShift work$110k - $138k
...work with highly motivated individuals on high-performance teams? Join WWT today! What will you be doing? The Computer Vision Specialist is a member of WWT’s Global Solutions & Architecture team, part of AI & Data Solutions, focused on computer vision and the...Full timeWork experience placementRemote workFlexible hoursShift work$16.75 - $21.75 per hour
Compensation Pay Range: $16.75 - $21.75 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging per hour in specific...Hourly payMinimum wageLocal areaImmediate startFlexible hours$22 per hour
Description Greet patients and provide exceptional customer service throughout the registration process Verify patient identity, collect demographic and insurance information, and ensure accurate account setup Issue patient armbands and coordinate bedside registration...Contract workTemporary workWork at office$15.25 - $17 per hour
Goodwill Northern New England Job OpportunityWork Location: Maine Mall RoadPay: $15.25 - $17.00 (D.O.E)Goodwill Northern New England — good works here!At Goodwill, we believe in the power of work to transform lives. As a nonprofit organization, we are dedicated to helping...Temporary workFlexible hoursAfternoon shift- ...Asset Protection SpecialistPosition Purpose:The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They utilize...
$136.24k
Company Overview Check out this video and find out why our team loves to work here! ( Join Us! CDM Smith – where amazing career journeys unfold. Imagine a place committed to offering an unmatched employee experience. Where you work on projects that are meaningful...Contract workWork experience placementFor subcontractorH1b$23.77 per hour
...Mechanical Specialist HVACThe University of Southern Maine seeks applicants for full-time positions as Mechanical Specialist HVAC. We have vacant CL1, CL2, and CL3 positions in Portland and Gorham. The Facilities Management department is core to USM's ability to deliver...Hourly payOngoing contractFull timeTemporary workPart timeApprenticeshipWork at officeVisa sponsorshipMonday to Friday- ...solutions for the major Primes and Tier-1’s across the aerospace, defense, and shipbuilding sectors. By integrating our supplier specialists directly within supply chain networks, we deliver a level of oversight and engagement that surpasses conventional methods. Headquartered...Full timeWork at officeLocal areaFlexible hours
$20.5 per hour
...Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They utilize tools...Local area- MaineHealth Neurology is seeking a full-time board certified/eligible Neurologist with fellowship training/special interest in Headache to join our Neurology Department as Headache Program Director. The Program Director will have responsibilities for patient care as well...Full timeLocal area
- Description Job Summary: Broad-spectrum Environmental Health & Safety (EHS) Professional position that provides technical and professional support services to operations staff, with guidance and direction from the Senior EHS Manager. This is an on-the-floor (high...For contractorsWork at officeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicare & USFHP Appeals Specialist - Hybrid. Be the first to apply!
- patient safety specialist Portland, ME
- health program specialist Portland, ME
- microsoft specialist Portland, ME
- transportation specialist Portland, ME
- color specialist Portland, ME
- microbiology specialist Portland, ME
- maintenance specialist Portland, ME
- utility specialist Portland, ME
- restaurant specialist Portland, ME
- information technology specialist Portland, ME




