Adjustment Clerk jobs in Maine

Adjustment Clerk reviews and follows up on customer complaints regarding account balances and uncredited items. Analyzes associated documents and makes necessary adjustments to accounts and/or recommendations to resolve customer issues. Being an Adjustment Clerk communicates results of findings to customer. Requires a high school diploma or its equivalent. Additionally, Adjustment Clerk typically reports to a supervisor or manager. The Adjustment Clerk possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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Senior Risk Adjustment Analyst (Remote)
  • Martin's Point Health Care
  • Portland, ME FULL_TIME
  • Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary ** NEW POSITION ** This position offers a remote work schedule and 2-4 visits to Maine, per year! Join this dynamic Risk Adjustment Team which is growing and making an impact! Apply today for immediate consideration! The Senior Risk Adjustment Analyst analyzes data, reviews findings, and develops recommendations for leadership related to revenue optimization utilizing third party software as well as the data warehouse as key sources of data. The Senior Analyst uses their extensive content knowledge and analytical expertise to guide and educate leaders on revenue optimization from a range of operational lenses and levels of analysis. This individual may lead project teams and process improvement activities in their area of expertise. Job Description Key Outcomes: Examines and performs data management analyses and develops and presents a variety of performance results in addition to other pertinent communication Transfers data into meaningful, professional, and easy to understand formats for leadership Reviews data, develops recommendations and reviews findings with senior leadership Analyzes and extracts data from the Enterprise Data Warehouse (EDW) and other sources to report to internal and external customers Designs, develops, tests, documents, and maintains database queries for ad hoc reporting used in complex conceptual analyses for all departments within Risk Adjustment Operations Develops systematic reporting processes and procedures to ensure timely delivery of daily, weekly, monthly, annual, and ad hoc reports to support key departmental and organizational initiatives Serves as the liaison between departments including IT and Finance for all Risk Adjustment reporting needs Troubleshoots errors and data inconsistencies and coordinates resolutions to issues as directed by self, staff, and various levels of leadership Takes a lead role in the tracking of progress and activities of key initiatives Plans and assists with testing processes and activities including new report or analytics methodology validation Responsible for documenting and updating changes to workflow, training plans, policies and procedures and ensure redundancy in these knowledge areas with other analytics resources Provides analytic mentorship and guidance to operational departments related to revenue optimization Participates in the development of risk adjustment operational and strategic planning processes Subject matter expert in CMS HCC Risk Adjustment modeling May lead vendor research, software installation, configuration support, and interface development applications as needed Maintains and is expert user of third-party analytical tools and reporting platforms related to risk profile analysis and HCC coding Recommends tools and methodologies that can be deployed at the organizational level, to the departments and with external partners Education/Experience: Bachelor’s degree in Economics, Finance, Statistics, Mathematics, Actuarial Sciences, or other quantitative discipline; Master’s degree preferred Minimum of 5 years’ experience related to reporting and analysis of health care data ideally in the areas of managed care, health care delivery, code sets, and/or reimbursement Experience in developing cost-benefit and ROI analyses We are an equal opportunity/affirmative action employer. Do you have a question about careers at Martin’s Point Health Care? Contact us at: jobinquiries@martinspoint.org Martin’s Point Health Care is a progressive, not-for-profit organization providing care and coverage to the people of Maine and beyond. The organization operates six primary care health care centers in Maine and New Hampshire, accepting most major insurance plans. Martin’s Point also administers two health plans: Generations Advantage (Medicare Advantage plans available throughout Maine and New Hampshire), and the US Family Health Plan (TRICARE Prime® plan for active-duty and retired military families in northern New England, upstate New York, and western Pennsylvania). For more information, visit https://careers.martinspoint.org.
  • 1 Day Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Staffing
  • Presque Isle, ME PART_TIME
  • Hueman is hiring Nurse Practitioners and Physician Assistants to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Presque Isle, ME. This position offe...
  • 14 Days Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Staffing
  • Farmington, ME PART_TIME
  • Hueman is hiring Nurse Practitioners and Physician Assistants to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Farmington, ME. This position offers...
  • 14 Days Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Staffing
  • Waldoboro, ME PART_TIME
  • Hueman is hiring Nurse Practitioners and Physician Assistants to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Waldoboro, ME. This position offers ...
  • 14 Days Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Staffing
  • Wilton, ME PART_TIME
  • Hueman is hiring Nurse Practitioners and Physician Assistants to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Wilton, ME. This position offers cer...
  • 14 Days Ago

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Nurse Practitioner NP or Physician Assistant PA, Part-Time, HRA
  • Hueman Risk Adjustment Staffing
  • Naples, ME PART_TIME
  • Hueman is hiring Nurse Practitioners and Physician Assistants to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Naples, ME. This position offers cer...
  • 14 Days Ago

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Property Field Adjuster
  • Automobile Club of Southern California
  • Inglewood, CA
  • Property Field Adjuster Do you want to use your customer service skills in a role where you can make a difference in peo...
  • 4/18/2024 12:00:00 AM

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CASHIER/ADJUSTOR DIETARY (PD Varied)
  • Universal Health Services, Inc.
  • RECRUITING ALERT: We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospita...
  • 4/17/2024 12:00:00 AM

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Bilingual Insurance Adjustor / Plaintiff Personal Injury Case Manager
  • Tucker Lawyers PC
  • Syosset, NY
  • Job Description Job Description We are seeking to hire an individual with exceptional communication skills to assist in ...
  • 4/15/2024 12:00:00 AM

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FL Smithe Envelope Machine Adjustor
  • Northeastern Envelope Co.
  • Old Forge, PA
  • Job Description Job Description We are seeking an Envelope Machine Adjustor to join our team! You will operate adjust an...
  • 4/14/2024 12:00:00 AM

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Winchester - Production Machine Adjustor I Trainee
  • Olin Corporation
  • Beggs, OK
  • ** Position Description** **Winchester - Production Machine Adjustor I Trainee** Location **US-IL-East Alton** Job Code ...
  • 4/14/2024 12:00:00 AM

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Senior Property Field Adjuster
  • Automobile Club of Southern California
  • Riverside, CA
  • Senior Property Field Adjuster Do you want to use your customer service skills in a role where you can make a difference...
  • 4/8/2024 12:00:00 AM

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Senior Property Field Adjuster
  • Automobile Club of Southern California
  • Ventura, CA
  • Senior Property Field Adjuster Do you want to use your customer service skills in a role where you can make a difference...
  • 3/5/2024 12:00:00 AM

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Senior Property Field Adjuster
  • Automobile Club of Southern California
  • Riverside, CA
  • Senior Property Field Adjuster This position handles highly complex homeowner claims matters involving material damage, ...
  • 1/9/2024 12:00:00 AM

To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West). Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Adjustment Clerk jobs
$32,105 to $39,865

Adjustment Clerk in Salisbury, NC
The affected positions are the city's public-services director and the clerks for city council, the mayor's court and the police department.
January 10, 2020
Adjustment Clerk in Altus, OK
Bookkeeping, accounting, and auditing clerks produce financial records for organizations.
February 09, 2020
Adjustment Clerk in Davenport, IA
This Being an Adjustment Clerk is Like Riding a Bike Funny Job Unisex T Shirt is provided on quality cotton.
December 30, 2019