What are the responsibilities and job description for the Insurance Representative, Pre-Arrival (Per-diem) position at MaineGeneral Health?
Job Description Summary:
MaineGeneral Health is a leading health care system that is proud of the culture of excellence, compassion and collaboration that extends to our patients and their families. We are committed to attracting talented, ambitious people who share our values and strive to provide excellent customer service. Our newly structured and growing Pre-Arrival unit has an exciting opportunity for an Insurance Representative to join our team.. If you have a passion for service excellence…we want to hear from you!This is a per diem position.
Job Description:
- Determines and verifies insurance coverage and coordination of benefits from all sources.
- Confirms insurance coverage and procedure. Determines necessity for pre-authorization and obtains authorization for scheduled procedures.
- Enters patient insurance, authorization, and order/rx information into the patient record and documents insurance coverage of services to be provided. Notifies patient/payer of his/her financial responsibility for services to be provided.
- Notifies patients and practitioners of any services requested and/or referred that are not authorized by insurance.
- Communicates with patients, practitioners and payer regarding financial responsibility and financial clearance issues.
The ideal candidate will have:
- Medical office or clerical hospital experience
- Extensive customer service experience.
- Excellent communication skills.
- Working knowledge of insurance verification, pre-authorization, medical necessity.
- Organizational skills and ability to handle multiple tasks at once.
- Quick and accurate keyboarding skills.
Scheduled Weekly Hours:
0
Work Shift:
Day (United States of America)
Job Exempt:
No
Benefits:
Supporting all aspects of our employees’ wellness – physical, emotional and financial – is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future.
Physical Wellness:
We offer wellness programs and resources to provide employees access to resources for a healthy lifestyle.
Emotional Wellness:
When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household.
Financial Wellness:
- An employee discount program is available to all employees for services provided by MaineGeneral Medical Center.
- We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan.
Career Mobility:
Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource – they’re how we grow our business and care for our community.
Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440 .
