Adjustment Clerk jobs in Portland, ME

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.
  • 8 Days Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Staffing
  • Brunswick, 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 Brunswick, ME. This position offers ...
  • 21 Days Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Staffing
  • Augusta, 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 Augusta, ME. This position offers ce...
  • 21 Days Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Staffing
  • Oxford, 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 Oxford, ME. This position offers cer...
  • 1 Day Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Staffing
  • Bridgton, 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 Bridgton, ME. This position offers c...
  • 1 Day Ago

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Nurse Practitioner NP or Physician Assistant PA-C, 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...
  • 2 Days Ago

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0 Adjustment Clerk jobs found in Portland, ME area

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Nurse Practitioner NP or Physician Assistant PA-C, Full-Time, HRA, Traveler *$5K Sign On Bonus*
  • Hueman Risk Adjustment Solutions
  • Portland, ME
  • Description Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Asses...
  • 3/28/2024 12:00:00 AM

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Solutions
  • Portland, ME
  • Description Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Asses...
  • 3/28/2024 12:00:00 AM

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Solutions
  • Brunswick, ME
  • Description Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Asses...
  • 3/28/2024 12:00:00 AM

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Solutions
  • Bath, ME
  • Description Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Asses...
  • 3/28/2024 12:00:00 AM

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Solutions
  • Auburn, ME
  • Description Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Asses...
  • 3/28/2024 12:00:00 AM

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Solutions
  • New Gloucester, ME
  • Description Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Asses...
  • 3/28/2024 12:00:00 AM

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Solutions
  • Limerick, ME
  • Description Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Asses...
  • 3/28/2024 12:00:00 AM

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Solutions
  • Naples, ME
  • Description Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Asses...
  • 3/28/2024 12:00:00 AM

Portland is a city in the U.S. state of Maine, with a population of 67,067 as of 2017. The Greater Portland metropolitan area is home to over half a million people, more than one-third of Maine's total population, making it the most populous metro in northern New England (an area comprising the states of Maine, New Hampshire, and Vermont). Portland is Maine's economic center, with an economy that relies on the service sector and tourism. The Old Port district is known for its 19th-century architecture and nightlife. Marine industry still plays an important role in the city's economy, with an a...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Adjustment Clerk jobs
$32,491 to $40,349
Portland, Maine area prices
were up 1.6% from a year ago

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Council member Bernard Brush said the issue of low salaries for the clerks and service director has been on council's radar for several years.
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The title adjustment clerk is given solely for the reason that these individuals provide adjustment in lieu of advice.
February 19, 2020
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An Adjustment Clerk performs a variety of research functions and meets established standards for production and quality.
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