Summary

Position Summary

• The referral specialist will ensure patients have been cleared for an appointment by resolving pre-certification, registration, and case-related concerns prior to a patient's appointment. The referral specialist verifies insurance coverage and obtains authorization if needed from the insurance provider and provides administrative support such as entering referrals and documents within the system. Additional administrative responsibilities include scheduling and managing appointments and responding to inquiries in a timely manner.

Duties of this position will include, but are not limited to:

• • Processing prior authorizations
  • Scanning each individual slide that is received. 
  • Scanning the completed slides to generate a packing list 
  • Scanning outside pathology reports (Strata, DermDx) into EPIC
  • Printing clinic notes and insurance information for outside pathology consults
  • Fielding calls from physicians and outside practices on pathology questions (creating inbasket message)

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: High school graduate or equivalent preferred.
2. License/Certifications: N/A
3. Experience: Previous medical office experience.
4. Knowledge of managed care and medical office billing procedures.
5. Knowledge of customer service concepts and techniques.
6. Excellent organizational skills with the ability to accomplish multiple tasks.
7. Excellent communication and interpersonal skills with the ability to communicate clearly in person and on the phone.
8. Strong computer skills.
9. Ability to read, understand and follow oral and written instructions.
10. Ability to maintain confidentiality.
11. Ability to work independently and as a team member with minimal direct supervision.
12. Ability to maintain a professional manner even under stressful situations.

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.