Payment Analyst, Full-time

Central Maine Healthcare

  • Lewiston, ME
  • Permanent
  • Full-time
  • 20 days ago
Overview:Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoast Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services.If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application!Responsibilities:Position Summary:The Payment Analyst’s primary responsibility is to research and process payments, adjustments and denials
accurately and in a timely fashion to ensure a positive cash flow for the regional healthcare system.
Essential Duties:
  • Receives and posts payments from patients, insurance companies, federal and state agencies and other
third-party payors.
  • Resolves unidentified patient and insurance payments according to departmental policy.
  • Accurately encodes payments and/or denials on EOB for batching and posting.
  • Determines, posts and reconciles contractual adjustments to patient accounts according to the
contractual arrangements with third party payers.
  • Reconciles and posts daily cash batches.
  • Prepares, balances and records all monies for the regional healthcare system.
  • Receives, processes and posts non-patient payments for deposit.
  • Downloads, posts, and reconciles electronic remittances according to department standards.
  • Achieves a Quality Review score of 2.8 or better, 90% of the time.
  • Receives department mail and distributes it to the appropriate personnel.
  • Reviews and processes denied claims according to the department standard.
  • Demonstrates a good working relationship within the department and with other departments
throughout the regional healthcare system.
  • Answers routine questions from patients concerning payments.
  • Demonstrates the ability to be flexible, organized and function well in stressful situations.
  • Accepts other assigned duties as needed.
  • Manages and operates equipment correctly and safely.
  • Answers the telephone in a courteous and professional manner. Directs calls appropriately.
  • Complies with the department policy to assure all payments and adjustments are processed by close
of day on the last business day of each month.
  • Customer Service: Interacts with all individuals in a consistent manner, providing attention, support,
and assistance to foster an environment of exceptional personal service.o Maintains a pleasant and helpful demeanor, and presents a professional appearance toward all
internal and external customers at all times.
o Consistently initiates interaction to provide assistance to individuals who may not be direct
customers of the employee (i.e. asks patients who appear to be lost if they need assistance in
finding their way).
o Takes appropriate action to recover from a service difficulty, ensuring that the necessary action
is taken to affect a resolution to the customer’s problem.
o Conducts all work activities with respect for coworkers, including the maintenance of a
pleasant and professional environment, fostering calmness during stressful situations.
o Interacts with supervisory personnel in a professional, supportive and courteous manner,
venting emotions appropriate to time and place.
o Demonstrates a commitment to service by consistent attendance and punctuality, scheduling
absences according to departmental requirements, and incurring unplanned absences only
when unavoidable circumstances exist.Qualifications:Education and Experience:
  • High school graduate or equivalent.
  • Minimum of two years relevant experience, including knowledge of insurance billing and medical
terminology.Knowledge, Skills and Abilities:
  • Ability to communicate in English, both verbally and in writing.
  • Other languages preferred.
  • Basic computer knowledge.
  • Correct and safe operation of office equipment, i.e., copy machine, adding machine, fax.
  • Ability to engage patients and team members utilizing the CMH Experience Standards
i. I am creating a warming, caring, and non-judgmental environment
ii. I am actively listening and seeking information
iii. I am honest, truthful, and consistent
iv. I am respectful, treating all individuals with dignity and empathy
v. I am serving as a role model, taking both initiative and ownership when appropriate
vi. I am working collaboratively and demonstrating teamwork
vii. I am resilient and adapt to change in positive ways.
  • Demonstrated ability to direct and triage in a highly fluid dynamic operational environment.
  • Ability to collaborate with all layers of the management/ administration team. Employment Status: Full Time Shift: Days Equal Employment Opportunity:
CMH actively promotes diversity in its workforce at all levels of the organization. We strive to create and maintain a setting where we celebrate cultural and other differences and consider them strengths of the organization. CMH is an equal opportunity workforce and no one shall discriminate against any individual with regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, genetic information or veteran status with respect to any offer, or term or condition, of employment. We make reasonable accommodations to the known physical and mental limitations of qualified individuals with disabilities.

Central Maine Healthcare