• Director , Quality Audit

    UNUM (Portland, ME)
    …incumbent works in close partnership with the AVP to design and implement comprehensive quality audit programs for the Operational functions in the US based ... + Responsible for the strategic direction, development, and implementation of the Quality Audit (QA) plans, a key control mechanism for the company. + In… more
    UNUM (10/17/25)
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  • Utilization Review Nurse - Remote

    Martin's Point Health Care (Portland, ME)
    …appropriate place and time + Mentors new staff as assigned. + Maintains quality audit scores within department standards. + Maintains productivity within ... as is responsible for ensuring the receipt of high quality , cost efficient medical outcomes for those enrollees with...and retrospective review) for medical necessity referring to Medical Director as needed for additional expertise and review. +… more
    Martin's Point Health Care (11/01/25)
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  • Sr. Billing Specialist & Collections Specialist

    Sweetser (Saco, ME)
    …Job Code:12859 Location:Saco 04072 Department:Other FT/PT Status:Full Time Summary: Assures quality of billing for the organization's services through achievement of ... is office-based in Saco. **ESSENTIAL FUNCTIONS:** + Assist in the audit of Patient Accounts (billing specialists, authorization coordinators, patient benefit… more
    Sweetser (10/18/25)
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  • Senior Patient Accounts Billing Specialist

    Spurwink Services (Portland, ME)
    …Collection Policies and Procedures. + Assist in A/R-related matters for the year-end audit , internal QA audits or audits by third-party funding agencies. + Perform ... duties as deemed appropriate and necessary by the Patient Accounts Manager, Director of Patient Accounts, or the CFO/Treasurer. QUALIFICATIONS: High School Diploma… more
    Spurwink Services (10/30/25)
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