EHC Job Openings

Eastport

Full-Time

Title: Coding/Billing Specialist 

Position Category:    Hourly / Non-exempt

Supervisor: Billing Office Manager

Position Description: Responsible for entering and coding patient services, handling insurance claims and collection duties

All EHC employees are expected to engage and be active participants in quality improvement projects and efforts, risk identification and reporting, attend trainings and meetings as requested and contribute to overall team spirit and cooperation.  Employee contributions in this regard are valued and necessary for the organization’s successful care of our patients/clients.

Supervisory Duties: None

Duties/Responsibilities:

Reviews progress notes to determine codes meet local and national medical necessity guidelines.

Assigns ICD-10 and CPT codes with the appropriate modifiers for services provided when posting charges.

Be familiar with medical terminology, LCD’s, NCD’s and insurance portals to stay compliant with industry coding practices. . 

Monitor payer EOB’s/system for denials and improper payments.

Investigate and follow up on denied or rejected claims by sending corrected claims/appeals and contacting insurances as necessary. 

Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality.

Answer phones and handle patient calls regarding accounts for billing, as needed.

Key claims on MaineCare portal, as needed.

Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement.

Collect, post and manage patient account payments

Collaborate with healthcare providers to resolve any discrepancies in billing or coding as requested by Billing Manager.

Actively participates in department meetings, one-on-one meetings and mentorship meetings with billing team members.

Serve as a resource and subject matter expert to other staff members (front office, providers, fellow team members).

Perform other related duties as requested.     

 Education and Experience

1.       Certification as a Professional Coder is preferred or a combination of education and/or experience in Medical Billing and Coding.

2.       High School Diploma or G.E.D.

3.       1-2 years of experience in the field preferred.

4.       Able to have good communication skills with staff, clients, insurance companies, and the general public.

5.       A certain degree of creativity is expected.

 Essential Functions:

COMPREHENSION: Understands and applies non-routine verbal and/or written instructions.

ORGANIZATION: Organize and prioritize individual work schedule to manage multiple task and/or projects

DECISION MAKING: Makes decisions that have an impact on the immediate work unit’s operation and/or services.

COMMUNICATION: Communicates and explains a variety of information

 PHYSICAL REQUIREMENTS: keyboard operation and sitting for extended periods of time.  Ability to lift 25 lbs.; Walking/Standing/Bending/Kneeling/Squatting; Visual acuity for extended periods of monitor operation. Ability to use interfaced communication devices (Electronic Medical Record, telephone, internet, etc.)

See document(s) linked below for more information.

Job Description Opens PDF file for the Coding-Billing Specialist position. 

Eastport

Full-Time

JOB DESCRIPTION
Title: School-Based Community Health Navigator/Community Health Worker (CHW)
Position Category: Hourly/Non-Exempt, Full-Time, 40 hours per week
Supervisor: Director of Care Management
Position Summary: The School-Based Community Health Navigator/Community Health Worker
(CHW) is a trained public health worker who serves as a bridge between students, families,
schools, healthcare providers and community resources to promote health, reduce disparities,
improve access to care, and support overall well-being. This year-round position supports students
and families by connecting them to medical, behavioral health, social, and community-based
services, including tele-behavioral health, care coordination, health insurance enrollment
assistance, and social support resources.
The School-Based Community Health Navigator/CHW works closely with school personnel, health
care providers, care coordinators, behavioral health staff, and community agencies to improve
health outcomes and remove barriers to care. The position also supports outreach, enrollment,
and patient navigation activities for Eastport Health Care (EHC) and the communities served.
Essential Duties and Responsibilities:
1. School-Based Behavioral Health Support
• Coordinate and support school-based tele-behavioral health services.
• Maintain Student tele-behavioral health appointment schedules and coordinate student
class pull-outs as needed.
• Promote student and family engagement with behavioral health providers and healthcare
services.
• Collaborate with school personnel and health care teams to support student wellness and
continuity of care.

2. Care Coordination and Patient Navigation
• Serve as a liaison between students, families, schools, healthcare providers, hospitals,
community agencies, government agencies, and insurance entities.
• Assist students and families in accessing healthcare, tele-behavioral health services,
community-based clinicians, and social service resources.
• Facilitate communication between providers, school staff, students, and families regarding
appointments, referrals, and follow-up care.
• Assist patient/clients in utilizing resources, including scheduling appointments and
completing applications for programs and services.
• Identify and address barriers to care including transportation, food insecurity, housing
instability, childcare, utility insecurity, and insurance coverage.
• Perform Non-Medical Drivers of Health (NMDOH) screenings and coordinate referrals to
appropriate resources and services.
• Support Community Health Integration (CHI) activities and document services provided in
the electronic medical record (EMR).
• Assist with prior authorizations, referrals, appointment reminders, and insurance eligibility
verification.
• Liaison with billing to perform pre-visit planning.
• Recognize medical or mental health emergencies and follow established protocols.

3. Community Outreach and Health Education
• Promote wellness and prevention through culturally appropriate health education and
outreach activities.
• Distribute educational materials regarding common health concerns and available services.
• Coordinate and facilitate group sessions, workshops, outreach events, or presentations
related to health education, insurance literacy, and community resources.
• Conduct outreach activities to increase awareness of services available through EHC and
community partners.
• Develop and maintain positive working relationships with community organizations and
resource agencies.

4. Outreach and Enrollment Assistance
• Assist patients and community members with enrollment in the Health Insurance
Marketplace (Healthcare.gov), MaineCare, and the EHC Sliding Fee Program.
• Help individuals identify qualifying life events and complete enrollment or renewal
applications.
• Assist with uploading required documentation and making updates to Marketplace
applications.
• Conduct outreach and educational activities related to open enrollment and insurance
literacy.
• Track and report outreach, enrollment, and assistance activities as required.

5. Documentation and Administrative Responsibilities
• Document all client interactions, referrals, CHI activities, and related services accurately in
the EMR.
• Maintain confidentiality in accordance with HIPAA and organizational policies.
• Track and submit required program data and monthly reports.
• Maintain accurate records and ensure all client registration and consent information is
complete.
• Utilize office technology and software systems effectively, including EMR systems,
Microsoft Office, scanners, and communication platforms.

6. Patient-Centered Medical Home (PCMH) Responsibilities
• Participate in team-based care and interdisciplinary collaboration.
• Participate in daily huddles and care coordination activities.
• Attend required staff meetings, training, and quality improvement initiatives.
• Support patient self-management and engagement in care plans.
• Participate in Performance Improvement Team meetings and other assigned committees.

7. Other Duties
• Maintain professional boundaries and respectful communication with all clients and
partners.
• Continuously expand knowledge of community resources, healthcare systems, and support
services.
• Perform other duties as assigned.
• Potential for some night and/or weekend services to foster participant enrollment and
parent engagement.

8. General Expectations
• Demonstrate commitment to the mission and values of the organization.
• Work collaboratively and professionally with staff, students, families, providers, schools,
and community partners.
• Maintain strict confidentiality regarding organizational operations, patients, students, and
employees.
• Follow all organizational, school, safety, infection control, and HIPAA policies and
procedures.

9. Qualifications
Education and Experience
• High School diploma required; Associate degree in health, human services, social services,
public health, or related field preferred.
• Equivalent combination of education and relevant work experience may be considered.
• Community Health Worker Certification required or must be obtained within designated
timeframe.
• Experience working with community resources, healthcare systems, schools, behavioral
health services, or case management preferred.
Skills and Abilities
• Strong communication, interpersonal, and public speaking skills.
• Ability to work effectively with diverse populations and community partners.
• Knowledge of community resources and social service systems.
• Ability to organize and prioritize multiple tasks and responsibilities.
• Proficiency in Microsoft Office, Outlook, EMR systems, and general office equipment.
• Ability to maintain professionalism, confidentiality, and appropriate boundaries.
• Ability to work independently and collaboratively within a team environment.
Licensure and Other Requirements
• Valid driver’s license, reliable transportation, and proof of insurance required.
• Ability to travel between sites and community locations as needed.
• All potential new employees will undergo a background check and Office of Inspector
General exclusion report, and periodically thereafter.
Physical Requirements
• Frequent sitting, standing, walking, ending, and reaching.
• Frequent use of hands for keyboarding and operation of office equipment.
• Ability to lift and transport up to 25-40 pounds occasionally.
• Visual acuity for computer work and documentation.
• Ability to communicate effectively in person and by telephone.
• Reasonable accommodation may be provided for individuals with disabilities.
This job description may be changed or modified as needed to meet organizational needs.

**All requirements and skills are essential, unless otherwise indicated**
This job description does not constitute an employment agreement between the employer
and the employee and is subject to change by the employer as the needs of the employer
and requirements of the job change.

Eastport, Machias, Remote

Full-Time

JOB DESCRIPTION

 Title: Behavioral Health Therapist

 Position Category: Salaried/ Exempt

 Supervisor: Behavioral Health Department Director and Psychiatric Nurse Practitioner

 Position Description: The Behavioral Health Counselor provides psychotherapy and counseling services to individuals seeking mental health or substance abuse services with an emphasis on promoting optimum mental and emotional health within an integrated treatment team.

All EHC employees are expected to engage and be active participants in quality improvement projects and effort risk identification and reporting, attend trainings and meetings as requested and contribute to overall team spirit and cooperation. Employee contributions in this regard are valued and necessary for the organization's successful care of our patients/clients.

Duties/Responsibilities:

 l. Conduct comprehensive psychosocial assessments of individuals referred for mental health, dual diagnoses and substance abuse services.

2. Work as part of a multi-disciplinary integrated treatment team to utilize best practice principles, methods and procedures for diagnosis, treatment planning and delivery of mental health and/or substance abuse services.

3. Provide ongoing behavioral health therapy services individual (adult, child and adolescent per license), couples, family and group counseling; as well as brief consultations for clients referred for mental health services.

4. Provide ancillary treatment referrals as requested and /or indicated.

5. Participate in clinical and staff meetings as scheduled; Participate in clinical case presentations for peer consultation with colleagues on Best Practice Standards of Care

6. Participate in Eastport Health Care administrative meetings as directed.

7. Maintains compliance with State and Federal laws and licensing requirements/regulations commensurate with position/license and practices within best practice standards of care.

8. Adhere to Eastport Health Care Policies and Procedures

9. Adhere to all applicable Federal and State regulations.

10. Performs other clinical duties, special projects as directed.

11. Perform all duties within the scope of individual licensure requirements.

 Addendum:

 Responsibilities of the Psychiatric Mental Health Clinical Nurse Specialist:

 Provides integrated medication management and psychotherapy services under the supervision of a psychiatric Nurse Practitioner and/or psychiatrist.

Minimum Entrance Requirements:

 1. Master's degree in Social Work, Psychology or Advanced Clinical Counseling.

2. Active and valid license to practice within the State of Maine: LCSW; LCPC or APRN

3. Two years' clinical experience providing mental health and substance abuse treatment within an integrated practice setting.

4. Ability to work as part of an integrated multi-disciplinary treatment team.

5. Excellent written and oral interpersonal communications skills.

6. Experience in utilizing Electronic Health Records for clinical documentation.

 Essential Functions:

 COMPREHENSION: Understands Complex problems and collaborates to explore alternative solutions.

 ORGANIZATION: Organize and prioritize individual work schedule to manage multiple tasks and/or projects.

DECISION MAKING: Makes decisions that have a significant impact on the clinics credibility, operations and/or service.

COMMUNICATION: Communicates in-depth information for the purpose of interpreting, and/or negotiating.

PHYSICAL REQUIREMENTS: keyboard operation and sitting for extended periods of time. Ability to occasionally lift up to 25 lbs. Visual acuity for extended periods of monitor operation. Speaking and hearing. Use of interfaced communication devices.

See document(s) linked below for more information.

Job Description Opens PDF file for the Licensed Clinical Social Worker (LCSW) position. 

Eastport Facility

Contract/Salaried/Exempt

Experienced, full-time licensed Primary Care Provider sought to work in a busy integrated small rural facility (FQHC), located on the ocean in beautiful Downeast Maine.

Duties/Responsibilities:

Provide evidence based primary health care within EHC Scope of Service (Assess, diagnosis, treatment, evaluate effectiveness of care, and provide preventive health care for EHC Patients of all ages.
Provide primary care services off-site when applicable (ie: home bound patient)
Provide acute care as necessary.
Maintain accurate electronic medical records.
Maintains compliance with appropriate licensing regulations.
 Key member of medical team and meets regularly with Department Team to coordinate on Patient care.
 Benefits Include:

Generous paid leave package, including nine paid holidays.
See document(s) linked below for more information.

See document(s) linked below for more information.

Job Description Opens PDF file for the Physician's Assistant or Nurse Practitioner position. 

For more information or to submit a resume, please contact Wanda Burke, HR Coordinator at 207-853-0190 or wburke@eastporthealth.org.