MaineHealth · 5 hours ago
Medicare Coverage Analyst
Scarborough, ME
Full-time
Onsite
Entry Level
1+ years expMaineHealth is seeking a Medicare Coverage Analyst who will interface between the research departments and billing process. This role involves reviewing study protocols and informed consents to develop the Medicare Coverage Analysis (MCA).
CommunitiesDeliveryHealth CareHospital
Responsibilities
Review each study protocol and informed consent to determine each medical service the patient will receive to develop the Medicare Coverage Analysis (MCA)
Obtain professional credential within one year of start date
Obtain Epic Proficiency for Research Billing within six months of start date
Qualification
Required
Education: Associate or Bachelor's Degree or one year equivalent and related work experience in finance/coding/billing or billing for services rendered to a patient in a clinical trial in the hospital setting or healthcare industry required
License/Certifications: Applicable professional certification through AHIMA (CCA) or AAPC (CPC A, COC-A) preferred. Must obtain professional credential within one year of start date. Obtain Epic Proficiency for Research Billing within six months of start date
Experience: See Education. EPIC HB/PB preferred
Additional Skills/Requirements Required: NA
Preferred
License/Certifications: Applicable professional certification through AHIMA (CCA) or AAPC (CPC A, COC-A) preferred
Experience: EPIC HB/PB preferred
Additional Skills/Requirements Preferred: Microsoft Office skills
Knowledge of revenue cycle processes and hospital/medical billing
Understanding of components of electronic medical record
Knowledge of code data sets to include CPT, HCPCS, ICD 10, Revenue codes, Value Codes and Conditions codes
Knowledge of NCCI edits, and Medicare LCD/NCDs as well as Medicare Manuals
Benefits
Paid parental leave
Flexible work policy
Student loan assistance
Training and education
Well-being resources for you and your family
Company
MaineHealth
A not-for-profit family of high-quality providers and healthcare organizations.
10001+ employees
H1B Sponsorship
MaineHealth has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (12)
2024 (7)
2023 (12)
2022 (7)
2021 (2)
2020 (7)
Funding
Current Stage
Late StageTotal Funding
$14.82MKey Investors
Health Resources and Services AdministrationNational Institutes of HealthMaine.gov
2025-01-02Grant· $0.67M
2023-08-01Grant· $12.9M
2022-12-13Grant· $0.95M
Leadership Team
Andrew Seward
CISO
Erin Brown
Chief Development Officer
Recent News
2025-11-01
Providence Business News
2025-09-25
2025-09-23
Company data provided by crunchbase