Summary

This position qualifies for a $1,000 Sign on Bonus!

• Current MaineHealth employees not eligible for the sign on bonus.
• Must be separated from the MaineHealth system for three months to be eligible.

Authorization Team Position Available - Mon-Friday 8am-4:30pm

Our Authorization/Precertification Team monitors scheduled surgical cases and obtains prior approval via phone, fax, and online payer portals. We provide the required procedural and diagnostic codes and supporting clinical records to the Insurance Company to notate all interactions and the status of the approval in the authorization record.

Our team maintains excellent relationships with providers, clinical staff, and payers. We are also responsible for obtaining approval for all Emergency and Urgent admissions for all MaineHealth Facilities.

Our Authorization Team's high-level of accuracy ensures prior approval is in place with the patient's insurance company to avoid a denial resulting in unexpected additional costs to the patient or write-offs for our organization.

Our team is extremely engaging, supportive, and likes to work hard and have fun. If you are interested in being a member of our Authorization Team, please let me know.

This role is 100% remote.

Position Summary

The first level of a three-level career path. Schedules, Pre-Registers, Registers and admits patients to the hospital. Serves as the first contact for many patients. It must convey a caring and professional attitude to all patients and visitors. Determines insurance coverage, eligibility and performs required pre-authorization procedures. Maintains patient care unit control for all bedded units. Provides comprehensive financial counseling and assistance. Establishes and monitors each patient's account prior to their visit, during inpatient stays, and up to 5 days post discharge. Ensures the accuracy of the patient's unique identification number and the demographic and financial information used to create an electronic bill. Informs patients of estimated financial responsibilities and collects up-front payments and co-payments based on the estimate.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. 1. Education: High school graduate or GED preferred.
   2. License/Certifications: N/A
   3. Experience: Health industry experience preferred. Customer service in a clinical setting is preferred.
   4. Able to work in a high volume, fast-paced work environment, perform, and prioritize multiple tasks simultaneously.
   5. Keyboard and data entry skills are required. Computer experience is required with Microsoft Word, e-mail, and internet communication, as well as the ability to work effectively with electronic quality work and electronic systems.
   6. Ability to deal effectively with verbally offensive and/or distressed patients and their families.
   7. Requires the employee to have experience with or the capability to be trained to a high degree in analytical and complex problem-solving.
   8. Mathematical skills are sufficient to calculate financial formulas to support applications for free care eligibility.
   9. Must have the interpersonal skills to deal effectively, cordially and compassionately with a diverse group of patients, physicians, other staff personnel as well as outside hospitals, agencies and the public. These skills must include the capacity to be sensitive to the individual problems of each patient in obtaining patient information while maintaining a high level of accuracy, solving complex patient placement and payment problems.
   10. Must have strong customer service skills, with the sensitivity and intuition to detect hidden stresses of problems, with the ability to be resourceful and creative in their resolutions. Must maintain a high energy and positive outlook, as well as a calm and impartial response in dealing with a wide variety of complaints, personalities, levels of stress, complicated situations, illness and urgent demands.
   11. The ability to learn how to accurately identify the correct insurance payor out of the constantly changing insurance products, each with potentially multiple and differing contracts, applies to the patient being registered.

Hybrid/Remote

Additional Information
With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.
We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.

MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best-in-class care, apply today.

Additional Information