What are the responsibilities and job description for the Provider Practice Billing & Claims Specialist position at Evergreen Senior Healthcare of Maine LLC?
Description
Join Maine’s newest on-site primary care team and help shape the future of senior healthcare with Evergreen Senior Healthcare of Maine. We deliver comprehensive, personalized medical care exclusively to residents of Woodlands Senior Living communities, ensuring seniors receive exceptional care delivered with dignity, respect, and heart.
We are excited to welcome a detailed-driven professional who thrives in the administrative and analytical side of healthcare. This is not a clinical or patient-facing role — the focus is on billing accuracy, payer navigation, documentation integrity, and ensuring our revenue cycle runs smoothly and compliantly.
In this role, you’ll be the operational backbone of our billing function, ensuring claims are clean, compliant, and processed efficiently. This position is ideal for someone who:
- Thrives on detective work, pattern-spotting, and resolving discrepancies
- Enjoys digging into documentation, coding rules, and payer requirements
- Finds energy in organization, accuracy, and process improvement
- Communicates clearly with providers, payers, and internal teams
- Takes pride in keeping operations running seamlessly behind the scenes
If you're motivated by autonomy, precision, and the satisfaction of knowing your work directly strengthens the financial health of a mission-driven practice, you’ll feel right at home here. Come join us - where your commitment to excellence, curiosity, and proactive support can truly shape the future of senior health in Maine!
What you will do:
- Utilize clinical and coding knowledge to ensure accurate and compliant diagnostic and procedural assignments are captured to optimize reimbursement for professional charges, utilizing ICD-10-CM, CPT-4 and sequencing best-practices.
- Submit accurate and timely claims to payors. Receives payments from payors and performs data entry of payments and account adjustments. Inform Accounting Supervisor of accounting discrepancies.
- Perform error analysis for denied claims and provides recommendations for process improvements and claim reimbursement resolution. Escalates concerns to Accounting Supervisor.
- Act as liaison and subject matter expert to internal and external stakeholders, delivering expert guidance and training related to coding systems, required documentation, payer requirements, and industry standards.
This is a 20 - 24 hour position.
The benefits to join the team:
- Vacation and holiday pay because you deserve time to relax and recharge
- Tuition assistance because we believe in the investment of your growth and success
- Health, dental, vision and supplemental benefits to support your health
- 401(k) savings and investment plan to prepare for your future
Requirements
What you’ll bring to the role:
- Two or more years of previous experience as a medical biller/coder preferred
- Proficient with Microsoft Office products preferred.
- Must provide proof of immunization/immunity to MMR, Varicella and Influenza
- A current, valid license to operate a vehicle in the state of Maine and a driving record that is satisfactory to the company may be required
- Strong command of the English language with the ability to follow oral and written instructions with precision
Salary : $21 - $29