Top 736 Health information specialist Jobs in Maine

Senior Claim Benefit Specialist - Remote
CVS Health —Maine
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Emergency Medicine Physician Associate
Northern Light Health —Bangor, ME
- $131,100 - $145,350 a year
- 8 hour shift
- Background check
- Mid-level
- Critical & Intensive Care
- Health savings account
- Relocation assistance
Quick Apply
PTC Program Training Specialist
Woodfords Family Services —Westbrook, ME
- $49,000 - $55,000 a year
- Full-time
- Classroom
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Pharmacy Manager 39.5 Hrs ($131,800-$187,823 /yr)
Hannaford —Westbrook, ME
- $131,800 - $187,823 a year
- Weekends as needed
- Background check
- Customer service
- Office
- Store discount
- Health savings account
Quick Apply
Cardiothoracic Surgery NP/PA
Northern Light Health —Bangor, ME
- $131,000 - $180,000 a year
- Full-time
- Nursing
- Surgery
- Inpatient
- Health savings account
- Relocation assistance
Quick Apply
4d
Case Manager/Service Coordinator - Augusta, ME
Care Lync —Vassalboro, ME
- $50,000 - $60,000 a year
- Full-time
- Up to 50% travel
- Bachelor of Science
- Research
- Health insurance
- Dental insurance
Quick Apply
8d
Senior Hearing Aide Specialist
Costco Wholesale —Scarborough, ME
- $40.87 - $45.67 an hour
- 8 hour shift
- Background check
- Customer service
- Merchandising
- Health insurance
- Dental insurance
Quick Apply
Processing CAD Specialist
American Steel and Aluminum LLC —Portland, ME
- $65,000 - $70,000 a year
- Full-time
- AutoCAD
- Schematics
- CAD
- Health savings account
- Disability insurance
Quick Apply
Entry Level Class A CDL Truck Driver
Western Express —Portland, ME
- Up to $0.48 per mile
- Urgently hiring
- Dry van
- No experience needed
- CDL A
- Health insurance
- Dental insurance
Quick Apply
Entry Level Class A CDL Truck Driver
Western Express —Augusta, ME
- Up to $0.48 per mile
- Urgently hiring
- Dry van
- No experience needed
- CDL A
- Health insurance
- Dental insurance
Quick Apply
Entry Level Class A CDL Truck Driver
Western Express —Auburn, ME
- Up to $0.48 per mile
- Urgently hiring
- Dry van
- No experience needed
- CDL A
- Health insurance
- Dental insurance
Quick Apply
Retail Service Specialist
O'Reilly Automotive Stores —York, ME
- $15.10 - $19.50 an hour
- Full-time
- ASE Certification
- Merchandising
- Communication skills
- Employee stock purchase plan
- Health insurance
Quick Apply
Case Manager/Service Coordinator - Augusta, ME
Care Lync —Windsor, ME
- $55,000 - $60,000 a year
- Full-time
- CPR Certification
- Up to 50% travel
- Bachelor of Science
- Health insurance
- Dental insurance
Quick Apply
8d
Nurse Practitioner
TriSearch —Maine
- From $90 an hour
- Choose your own hours
- CPR Certification
- Nursing
- Skilled nursing facility
- Health insurance
- Dental insurance
Quick Apply
Certified Medical Assistant
Apex Interventional Pain Specialists —Bangor, ME
- From $20 an hour
- Part-time
- Microsoft Excel
- Ability to walk for extended periods
- Medical office experience
- On-the-job training
- Flexible schedule
Quick Apply
Case Manager/Service Coordinator (Aging Population) - Augusta, ME
Care Lync —Hallowell, ME
- $55,000 - $60,000 a year
- Full-time
- CPR Certification
- Up to 50% travel
- Bachelor of Science
- Health insurance
- Dental insurance
Quick Apply
10d
Supports Coordinator/Resource Specialist (Aging Population) - Portland, ME
Care Lync —South Portland, ME
- $50,000 - $60,000 a year
- Full-time
- CPR Certification
- Up to 50% travel
- Bachelor of Science
- Health insurance
- Dental insurance
Quick Apply
1d
Case Manager/Service Coordinator (Aging Population) - Augusta, ME
Care Lync —Vassalboro, ME
- $50,000 - $60,000 a year
- Full-time
- Up to 50% travel
- Bachelor of Science
- Research
- Health insurance
- Dental insurance
Quick Apply
8d
Correctional Officer - Maine State Prison, Warren.
State of Maine —Warren, ME
- Overtime
- 18 years or older
- High school diploma or GED
- Driver's License
- Paid parental leave
- Paid holidays
Delivery Specialist
O'Reilly Automotive Stores —York, ME
- $15.10 - $19.50 an hour
- Full-time
- Sales
- Merchandising
- Driver's License
- Employee stock purchase plan
- Health insurance
Quick Apply

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health information specialist jobs near maine

Senior Claim Benefit Specialist - Remote

CVS Health -
Maine

Apply Now

Job Details

Full-time
$18.50 - $42.35 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

health information specialist jobs in maine

Senior Claim Benefit Specialist - Remote

Emergency Medicine Physician Associate

PTC Program Training Specialist

Pharmacy Manager 39.5 Hrs ($131,800-$187,823 /yr)

Cardiothoracic Surgery NP/PA

Case Manager/Service Coordinator - Augusta, ME

Senior Hearing Aide Specialist

Processing CAD Specialist

Entry Level Class A CDL Truck Driver

Entry Level Class A CDL Truck Driver

Entry Level Class A CDL Truck Driver

Retail Service Specialist

Case Manager/Service Coordinator - Augusta, ME

Nurse Practitioner

Certified Medical Assistant

Case Manager/Service Coordinator (Aging Population) - Augusta, ME

Supports Coordinator/Resource Specialist (Aging Population) - Portland, ME

Case Manager/Service Coordinator (Aging Population) - Augusta, ME

Correctional Officer - Maine State Prison, Warren.

Delivery Specialist

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