skip to main content

Important Notice

It appears you are using an older version of your browser. While some functions will be available, Maine JobLink works best with a modern browser such as the ones provided by:

Please download and install the latest version of the browser of your choice. We apologize for any inconvenience.



Patient Account Representative - Central Scheduling

Click the Facebook, Google+ or LinkedIn icons to share this job with your friends or contacts. Click the Twitter icon to tweet this job to your followers. Click the link button to view the URL of the job, which then can be copied and pasted into an e-mail or other document.

Job Details
Job Order Number
471671
Company Name
MaineHealth
Physical Address
Will discuss during the interview
Biddeford, ME 04005
Job Description

SUMMARY
THE CENTRAL SCHEDULING TEAM AT SOUTHERN MAINE HEALTH CARE IS SEEKING A PRE-CERTIFICATION REPRESENTATIVE WITH PRIOR AUTHORIZATION AND STRONG PATIENT REGISTRATION EXPERIENCE.
THIS POSITION IS PART TIME WITH FLEXIBLE/VARIABLE HOURS AND DAYS BASED ON BUSINESS NEEDS. MUST BE AVAILABLE MONDAY-FRIDAY BETWEEN 6:00AM-5:00PM.
POSITION SUMMARY

  • This position serves as a primary contact for Pre-Certification activities. Handling of patients accounts includes registration, medical necessity and prior authorization activities. Incumbent must possess a high level of working knowledge regarding insurance carrier requirements.
  • Position is responsible for confirming patients’ insurance coverage, eligibility, collect benefits information and perform prior authorization for Outpatient services
  • They must have exceptional verbal and written communication skills with a strong attention to detail; proven organizational skills required.
  • They must conduct all interactions with patient, physician offices and other personnel in a courteous, respectful manner while maintaining confidentiality.
  • All tasks are required to be done per established protocols and accuracy standards while demonstrating the SMHC mission to improve the health and healthcare of the communities we serve.
  • To be successful in this role, the employee must be competent, flexible and adaptive to changes in healthcare delivery and technology.
    REQUIRED MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES (KSAS)
  • High School graduate or GED preferred.
  • Demonstrated knowledge of medical terminology required.
  • Experience with an electronic medical record system preferred.
  • Demonstrated knowledge of insurance websites and ability to ascertain eligibility, authorizations and benefit details.
  • Demonstrated knowledge of medical insurance and their respective billing requirements (IE: Worker’s Compensation, Third Party Liabilities, Medicare, Maine Care, and all commercial insurances)
  • Understanding of diagnostic and procedure coding systems IE: ICD-10-CM and CPT Codes/HCPS codes required.
  • Understanding the insurance precertification process required.
  • Strong interpersonal and telephone soft skills required.
  • Advanced experience with emailing, keyboarding/typing and voice-mail systems required.
  • Previous success in positions requiring minimal supervision and strong personal initiative is desirable.
  • Ability to work in a fast paced environment
    MaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination in employment because of race, color, national origin, religion, age, sex, sexual orientation, disability or veteran status.

Employer’s Job# 132056-77436
Please visit job URL for more information about this opening and to view EOE statement.


To view full details and how to apply, please login or create a Job Seeker account.