Insurance representative

Job Description

Insurance Representative - Pre-Arrival

We are currently looking for a compassionate and detail-oriented professional to join our expanding team of Insurance Representatives - Pre-Arrival.

This dynamic role offers a unique opportunity to contribute to the mission of MaineGeneral Health while fostering your passion for service excellence.

Why Join Us :

As an Insurance Representative in our Pre-Arrival department, you'll be part of a collaborative and supportive team, where your efforts truly make a difference.

MaineGeneral Health provides an environment where your skills and commitment are valued, offering outstanding opportunities for personal and professional growth.

Key Responsibilities :

• Determine and verify insurance coverage and coordination of benefits from all sources.
• Confirm insurance coverage and procedures, identifying the need for pre-authorization and obtaining necessary approvals for scheduled procedures.
• Enter patient insurance, authorization, and order / RX information into the patient record, documenting insurance coverage of services to be provided.
• Notify patients / payers of their financial responsibility for services and communicate any unauthorized services to patients and practitioners.
• Engage in proactive communication with patients, practitioners, and payers regarding financial responsibility and financial clearance issues.

Qualifications :

• Previous medical office or hospital clerical experience.
• Extensive background in customer service.
• Excellent communication skills, both written and verbal.
• Working knowledge of insurance verification, pre-authorization, and medical necessity.
• Strong organizational skills with the ability to manage multiple tasks efficiently.

Scheduled Weekly Hours :

Scheduled Work Shift :

Day (United States of America)

Job Exempt : Benefits :

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 .

Last updated : 2024-03-24