<p>We are looking for a dedicated Patient Access Specialist to join our team in Lewiston, Maine.<strong> Scheduled Shift: Monday – Friday, 7:00 a.m. - 3:30 p.m., rotating Saturdays, 7a.m. - 12 p.m</strong>. In this long-term contract position, you will play a crucial role in ensuring smooth patient admissions and maintaining compliance with organizational and regulatory standards. This role offers the opportunity to make a meaningful impact by delivering exceptional service and accuracy in a healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and perform medical necessity checks while ensuring compliance with policies and procedures.</p><p>• Collect and verify insurance details, process physician orders, and provide clear patient instructions while maintaining a high level of customer service.</p><p>• Conduct pre-registration for patients, including obtaining demographic and insurance information, explaining financial responsibilities, and managing payment collections.</p><p>• Explain and distribute consent forms, Medicare-related documents, and other patient education materials, ensuring all necessary signatures are obtained.</p><p>• Review insurance eligibility responses, select appropriate plan codes, and input benefit information to support billing and collections processes.</p><p>• Screen medical necessity using designated software and inform patients of potential non-payment risks, distributing relevant forms and documentation.</p><p>• Utilize auditing systems to review accounts for accuracy, correct errors, and provide statistical data to leadership.</p><p>• Conduct inbound and outbound calls to gather patient information and address outstanding balances, offering payment plan options as needed.</p><p>• Meet assigned point-of-service goals while consistently delivering compassionate and attentive interactions.</p>
<p>We are looking for a dedicated Patient Access Specialist to join our team in Lewiston, Maine. Scheduled Shift: Week 1: Tuesday, Wednesday (10:30 a.m. - 11:00 p.m.), Saturday (6:30 a.m. - 7:00 p.m.) Week 2: Sunday (6:30 a.m. - 7:00 p.m.), Tuesday, Friday (10:30 a.m. - 11:00 p.m.) offering the opportunity to provide exceptional support and service to patients while ensuring compliance with organizational policies and regulatory requirements. In this role, you will play a vital part in facilitating smooth admission processes and maintaining accurate patient information.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and perform medical necessity and compliance checks for patient admissions.</p><p>• Collect and verify insurance details, process physician orders, and provide clear patient instructions while maintaining exceptional customer service standards.</p><p>• Conduct pre-registration activities, including inbound and outbound calls to gather demographic and insurance information, as well as inform patients of financial liabilities and payment options.</p><p>• Explain and obtain signatures for treatment consent forms and distribute patient education materials such as Medicare and Tricare messages, observation forms, and other relevant documents.</p><p>• Utilize insurance verification systems to review eligibility responses, select appropriate insurance codes, and input benefit data to facilitate billing and clean claim processes.</p><p>• Screen medical necessity using Advance Beneficiary Notice software to inform Medicare patients of potential coverage issues and distribute required documentation.</p><p>• Perform audits on patient accounts to ensure accuracy, completing forms in compliance with audit standards, and provide statistical data to leadership.</p><p>• Meet assigned point-of-service goals and ensure quality standards are upheld through the use of reporting and auditing systems.</p><p>• Maintain a compassionate approach when interacting with patients, guardians, and healthcare providers, adhering to organizational policies and customer service expectations.</p>
<p>The Benefits Specialist is responsible for managing and coordinating employee benefits programs.</p><p>Essential Functions</p><p> <em>Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.</em></p><ul><li>Administers employee insurance programs including life, disability, and health insurance policies.</li><li>Manages employee savings plans including the 401(k) and lifestyle savings account.</li><li>Advises employees on the provisions of benefits with regard to eligibility, coverage and other benefits matters.</li><li>Researches and compares incentive and benefit plans, and develops various proposals to maintain the organization’s competitive position in compensation and benefits.</li><li>Ensures the accurate and timely delivery of employer contributions and employee payroll deductions to carriers, plan administrators, or other appropriate service providers.</li><li>Prepares and executes, with legal consultation, benefits documentation such as original and amended plan texts, benefit agreements and insurance policies.</li><li>Prepares and submits required reports and ensures compliance with federal, state and provider requirements.</li><li>Conducts surveys and demographic research in order to obtain data on which to base new or enhanced benefits quotes.</li><li>Analyzes quotations from benefit carriers and makes recommendations to select the carriers with which to contract.</li><li>Reviews data entries and forms related to enrollment and provider eligibility reports to ensure accuracy and compliance with plan requirements.</li><li>Ensures compliance with applicable government regulations including the Fair Labor Standards Act (FLSA), the Consolidated Omnibus Budget Reconciliation Act (COBRA), the Health Insurance Portability and Accountability Act (HIPAA) and the Employee Retirement Income Security Act (ERISA).</li><li>Maintains awareness of labor market trends in order to ensure the organization’s compensation structure is aligned with current market rates.</li><li>Ensure compliance with multi-state leave laws, benefits programs, and compensation regulations. Comply with all policies and procedures.</li><li>Maintains knowledge of trends, best practices, regulatory changes, and new technologies in benefits and compensation.</li><li>Follows all company policies and procedures.</li><li>Performs other duties as assigned.</li></ul><p><br></p>
<p>Are you an experienced HR detail oriented looking for your next career opportunity? A dynamic company located in <strong>Portsmouth, NH</strong>, is seeking a skilled<strong> HR Generalist</strong> to join their team. This role offers a chance to work in a collaborative environment while supporting key organizational goals and driving employee engagement.</p><p>Responsibilities:</p><ul><li>Administer and coordinate HR functions, including recruitment, onboarding, training, employee relations, performance management, and compliance with labor laws and regulations.</li><li>Partner with managers and employees to identify opportunities for upskilling and reskilling, ensuring alignment with organizational objectives.</li><li>Assist with compensation, benefits administration, and HRIS (Human Resources Information Systems) maintenance to ensure accurate data entry and reporting.</li><li>Develop and implement policies, procedures, and mentoring programs to foster a positive organizational culture while ensuring consistency across departments.</li><li>Monitor and address employee concerns, providing guidance and effective conflict resolution strategies.</li><li>Collaborate with leadership to support talent acquisition efforts, including engagement with skilled contract talent for specialized roles. Stay up-to-date with HR trends, legislation changes, and industry certifications, such as PHR and SHRM-CP.</li></ul><p><br></p>
