Insurance Representative Prior Authorizations - Pre-Arrival
Job
Summary:
MaineGeneral Health.
We're with you.
Be with us.
MaineGeneral Health is a comprehensive non-profit system with the mission of enhancing, every day, the health of our patients, our families, and our communities.
If you are looking for the opportunity to support your friends, family, and your community through your work at MaineGeneral HealthCome be with us.
Job Description:
The Role:
Insurance Representative - Pre-ArrivalMaineGeneral Health is currently seeking a dedicated professional to join our team of Insurance Representatives - Pre-Arrival.
Our newly structured and growing Pre-Arrival unit has an exciting opportunity for a full-time Insurance Representative to join our team.
If you have a passion for service excellencewe want to hear from you!The Opportunity:
MaineGeneral Health has an exciting opportunity for you to join our team of professionals as an Insurance Representative in our Pre-Arrival department.
This is an outstanding opportunity for you to shine while being part of a tremendously supportive team of professionals.
The Work:
Determines and verifies insurance coverage and coordination of benefits from all sources Confirms insurance coverage and procedure.
Determines the 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 their 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 You Have:
Medical office or clerical hospital experience Extensive customer service experience Excellent communication skills Working knowledge of insurance verification, pre-authorization, and medical necessity Organizational skills and ability to handle multiple tasks at once Quick and accurate keyboarding skills You Get:
Supported in all aspects of your wellness - physical, emotional, financial, and professional - We believe this 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.
Health, dental, and vision benefits and wellness programs and resources to provide access to resources for a healthy lifestyle and help manage healthcare costs An employee discount program is available to all employees for services provided by MaineGeneral Medical Center Access to industry-leading leave for new parents Generous earned time - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves When life gets challenging, you have access to our Employee Assistance Program for you members of your household If eligible, you receive up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan A variety of leadership-supported programs and learning and development resources for every stage of your professional development.
We know that our employees are our most valuable resource - you are 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 a reasonable accommodation to the career site is available by contacting HR at (207) 861-3440.
Scheduled Weekly Hours:
40Scheduled 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 quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.
Employees have access to industry-leading leave for new parents.
A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.
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.
Tuition Reimbursement is available to all employees to further develop skills and career.
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.
Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.
We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.
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.
Recommended Skills Administration Communication Coordinating Customer Service Finance Medical Necessity Estimated Salary: $20 to $28 per hour based on qualifications.
Summary:
MaineGeneral Health.
We're with you.
Be with us.
MaineGeneral Health is a comprehensive non-profit system with the mission of enhancing, every day, the health of our patients, our families, and our communities.
If you are looking for the opportunity to support your friends, family, and your community through your work at MaineGeneral HealthCome be with us.
Job Description:
The Role:
Insurance Representative - Pre-ArrivalMaineGeneral Health is currently seeking a dedicated professional to join our team of Insurance Representatives - Pre-Arrival.
Our newly structured and growing Pre-Arrival unit has an exciting opportunity for a full-time Insurance Representative to join our team.
If you have a passion for service excellencewe want to hear from you!The Opportunity:
MaineGeneral Health has an exciting opportunity for you to join our team of professionals as an Insurance Representative in our Pre-Arrival department.
This is an outstanding opportunity for you to shine while being part of a tremendously supportive team of professionals.
The Work:
Determines and verifies insurance coverage and coordination of benefits from all sources Confirms insurance coverage and procedure.
Determines the 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 their 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 You Have:
Medical office or clerical hospital experience Extensive customer service experience Excellent communication skills Working knowledge of insurance verification, pre-authorization, and medical necessity Organizational skills and ability to handle multiple tasks at once Quick and accurate keyboarding skills You Get:
Supported in all aspects of your wellness - physical, emotional, financial, and professional - We believe this 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.
Health, dental, and vision benefits and wellness programs and resources to provide access to resources for a healthy lifestyle and help manage healthcare costs An employee discount program is available to all employees for services provided by MaineGeneral Medical Center Access to industry-leading leave for new parents Generous earned time - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves When life gets challenging, you have access to our Employee Assistance Program for you members of your household If eligible, you receive up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan A variety of leadership-supported programs and learning and development resources for every stage of your professional development.
We know that our employees are our most valuable resource - you are 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 a reasonable accommodation to the career site is available by contacting HR at (207) 861-3440.
Scheduled Weekly Hours:
40Scheduled 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 quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.
Employees have access to industry-leading leave for new parents.
A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.
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.
Tuition Reimbursement is available to all employees to further develop skills and career.
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.
Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.
We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.
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.
Recommended Skills Administration Communication Coordinating Customer Service Finance Medical Necessity Estimated Salary: $20 to $28 per hour based on qualifications.
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