Career Center

To post a position please complete and return our Job Posting Request Form to staff@mainemgma.com

PROVIDER ENROLLMENT SPECIALIST

- Department: Managed Care
- ST MARYS REGIONAL MEDICAL CENTER, Lewiston, ME - Full Time
- 800a - 1630p
- Day Shift

JOB SUMMARY

Based in Lewiston, the Provider Enrollment Team supports three hospitals in the Covenant Health System (Lewiston, Bangor, and Nashua, NH).  The Provider Enrollment Specialist is responsible for coordinating, processing, tracking, and maintaining all enrollments with the third-party payors for Covenant Health.  This position is an integral part of the Provider Enrollment Team whose function is to facilitate a seamless enrollment experience by reviewing and analyzing applications operations, enrollment processes, and continued growth and development for the Covenant Hospitals. The Provider Enrollment Specialist serves as the primary contact and resource for assigned providers for both internal customers as well as third-party payors. The Provider Enrollment Specialist works with and communicates directly with the providers. Additional job duties include working with our EMR hosting organization to maintain billing exceptions and credentialing holds, as well as managing several Provider Enrollment Work Queues within Epic. 

JOB REQUIREMENTS

Education:

·        Associates degree required

Experience:

·        At least 3 years of experience in Provider Enrollment is required.

 

Other Skills Required:

·         Strong attention to detail is a must. 

·         Must excel in a fast-paced, task-oriented environment

·         Working knowledge of healthcare and enrollment software is highly preferred.

·         Demonstrated knowledge of provider enrollment, state regulations, and payer requirements is strongly preferred.

·         Strong interpersonal and communication skills, well developed analytic and organizational skills, and the ability to meet deadlines are required.

·         Advanced skills in Excel and Word are preferred. 

·         Ability to handle multiple priorities and manage stress appropriately are a must.

·         Must be able to work as part of a cohesive team.


Covenant Health Mission Statement

We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.


Our Core Values:

•Compassion

We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.

•Integrity

We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.

•Collaboration

We work in partnership, dialogue and shared purpose to create healthy communities.

•Excellence

We deliver all services with the highest level of quality, while seeking creative innovation.  

We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any legally protected status.


Contact: Daniel Deletetsky
Email: ddeletetsky@stmarysmaine.com

Link to the position:
https://www.healthcaresource.com/covenanthealth/index.cfm?fuseaction=search.jobDetails&template=dsp_job_details.cfm&cJobId=107426

Posted 4/24/19

Practice Manager
Pittsfield, ME

Practice manager of a starting physician's practice in Pittsfield Maine. Certification and experience are required. Position is for an enthusiastic candidate who would be eager to set the practice up, uphold connections, organize several projects , handle human resources, work with the EHR system (Athena) and the billing, liaise the different medical activities of the provider, organize cover and many other activities. Keep abreast with the tax and tax deductibles, the different income sources of the practice, the costs of the practice, the building etc. Also required is to be the personal assistant of the provider. 

Please send resume and introduction letter with 3 references to: pittsfieldmedicalcenter@hotmail.com
Questions? Call 207-404-3873

Posted 3/8/2019

Practice Manager Rheumatology / Nephrology

Join our growing, community-minded specialty practices in Bath, Maine.

Mid Coast Medical Group is seeking a Practice Manager for our Rheumatology/Nephrology practice.  Responsible for the leadership of this 4-provider shared practice, the Practice Manager furthers the mission of Mid Coast Medical Group by providing high quality services to patients and colleagues.  This role is responsible for leading a team to ensure optimum performance of the daily operations of the departments of Rheumatology and Nephrology, two growing specialties within our community.

Ideal candidate must have a commitment to patient and family-centered care, and the ability to foster a positive culture within the site they lead. Seeking a collaborative problem solver, with a passion for helping others navigate complexity and change. This role will coordinate and manage all practice operations, including working effectively with physicians and other departments to assure practice efficiencies.

As a growing organization, our commitment to the development of our teams provides opportunities for a rewarding career path.

A department of Mid Coast Hospital, Mid Coast Medical Group provides high quality primary and specialty care with more than 100 providers. One of Maine’s newest full service hospitals, Mid Coast Hospital is a full-service, 93-bed modern facility located in beautiful mid coast Maine. Mid Coast is accredited by The Joint Commission, and is recognized as a Magnet™ facility by the American Nurses Credentialing Center for exceptional nursing and patient care.

Part of the Mid Coast–Parkview health family of services, Mid Coast Medical Group offers competitive benefits and compensation package, along with an excellent work environment. Interested candidates can apply at www.midcoastparkviewhealth.com/careers.

Posted: 02/28/19

Contracting Manager, MaineHealth ACO
Portland, ME

Organization: MaineHealth Corporate

Facility: MaineHealth – Corporate

Department: MaineHealth – MaineHealth – Corporate/MHACO Network

Std Hrs/Wk: Full Time

Shift: Day Shift

Full/Part Time: 40

  • Position Summary
    • The Contracting Manager will be actively involved in the development and negotiation of agreements, amendments and other related documents between the MaineHealth Accountable Care Organization (ACO) and Payers and between the MaineHealth ACO and contracting providers (Medical and Behavioral HealthCare providers and facilities). The Contracting Manager will assist in financial modeling related to contracting as needed. The Contracting Manager will assist in the identification and resolution of payer issues impacting MaineHealth ACO members. Further, the Contracting Manager will participate in communications and education to MaineHealth ACO members regarding Payer agreements.
  • Required Minimum Knowledge, Skills, and Abilities (KSAs)
    • Bachelor’s degree, Masters preferred.
    • At least 5 years’ experience in managed care or related healthcare field.
    • Strong analytical, problem-solving, and decision-making skills.
    • Excellent organizational skills.
    • Ability to work both independently and to collaborate with teams of individuals in diverse settings.
    • Ability to manage conflict, stress and multiple simultaneous work demands in an effective, professional manner.
    • Ability and willingness to self-motivate, prioritize, and be willing to change processes to improve effectiveness efficiency. Adapts to changing organizational priorities.
    • Knowledge of computer software, including Microsoft Office.

Please click here to apply.

Posted 12/12/1
8

Maine Medical Group Management Association | 866.222.3777
staff@mainemgma.com | P.O. Box 3403, Hamilton, NJ 08619

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