Health Insurance Operations Director jobs in Bangor, ME

Health Insurance Operations Director directs and oversees health insurance operations programs in multiple service areas, including account installation, implementation, client support, contract administration, claim processing, and enrollment and eligibility. Manages vendors assigned to each operation. Being a Health Insurance Operations Director resolves issues within each service area. Has deep knowledge of health insurance operations. Additionally, Health Insurance Operations Director typically requires a bachelor's degree of business administration or its equivalent. Typically reports to top management. The Health Insurance Operations Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Health Insurance Operations Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

M
Insurance Representative- PreArrival Unit
  • MaineGeneral Health
  • Waterville, ME FULL_TIME
  • Job Summary:
    At MaineGeneral Health, we are more than just a healthcare system; we're a community committed to enhancing the well-being of our patients, families, and neighborhoods every single day. If you're eager to make a meaningful impact and contribute to the health and vitality of your community, consider joining our dedicated team.
    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.
    • Quick and accurate keyboarding skills.
    Scheduled Weekly Hours:
    40
    Scheduled 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 .
  • 30 Days Ago

U
Director of Football Operations
  • University of Maine
  • Orono, ME FULL_TIME
  • Position Title: Director of Football Operations (id:83667) Campus: Orono Department: Athletics - OATH Bargaining Unit: UMPSA Salary Band/Wage Band: 02 Location: Orono ME Statement of the Job: Assist t...
  • 16 Days Ago

C
Director Plant Operations
  • Clinical Management Consultants
  • Jonesboro, ME FULL_TIME
  • A leading critical access hospital located in northern Maine is currently searching for an experienced Director Plant Operations to join their accredited healthcare team. This organization provides ac...
  • 17 Days Ago

U
Executive Director of Extension Operations
  • University of Maine
  • Orono, ME FULL_TIME
  • Position Title: Executive Director of Extension Operations (id:83798) Campus: Orono Department: Cooperative Extension - OCES Bargaining Unit: Nonrep Professional Salary Band/Wage Band: 06 Location: Or...
  • Just Posted

H
Island Operations Director
  • Hurricane Island Center for Science and Leadership
  • Rockland, ME FULL_TIME
  • Position Announcement Island Operations Director - Year Round Salaried Exempt Position The Hurricane Island Center for Science and Leadership is a transformative learning community on Hurricane Island...
  • 1 Month Ago

S
Licensed Life and Health Insurance Agent
  • Sullivan Agency
  • Vinalhaven, ME FULL_TIME
  • We are looking for licensed or unlicensed life insurance agents to work remotely with Sullivan Agency Group.The Sullivan Agency Group Insurance agency protects families with life, whole life, mortgage...
  • 14 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Health Insurance Operations Director jobs found in Bangor, ME area

A
Travel Physical Therapist-Nebraska
  • Ati Physical Therapy
  • Bangor, ME
  • Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
  • 4/24/2024 12:00:00 AM

H
Travel Physical Therapist-Tennessee
  • Hiring Now!
  • Bangor, ME
  • Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
  • 4/24/2024 12:00:00 AM

H
Travel Physical Therapist-Iowa
  • Hiring Now!
  • Bangor, ME
  • Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
  • 4/24/2024 12:00:00 AM

H
Travel Physical Therapist-Alabama
  • Hiring Now!
  • Bangor, ME
  • Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
  • 4/24/2024 12:00:00 AM

A
Travel Physical Therapist-Wisconsin
  • Ati Physical Therapy
  • Bangor, ME
  • Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
  • 4/23/2024 12:00:00 AM

A
Travel Physical Therapist-Michigan
  • Ati Physical Therapy
  • Bangor, ME
  • Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
  • 4/23/2024 12:00:00 AM

A
Travel Physical Therapist-Oregon
  • Ati Physical Therapy
  • Bangor, ME
  • Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
  • 4/23/2024 12:00:00 AM

A
Travel Physical Therapist-Pennsylvania
  • Ati Physical Therapy
  • Bangor, ME
  • Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
  • 4/23/2024 12:00:00 AM

Bangor is located at 44°48′N 68°48′W / 44.8°N 68.8°W / 44.8; -68.8. According to the United States Census Bureau, the city has a total area of 34.59 square miles (89.59 km2), of which 34.26 square miles (88.73 km2) is land and 0.33 square miles (0.85 km2) is water. A potential advantage that has always eluded exploitation is the city's location between the port city of Halifax, Nova Scotia, and the rest of Canada (as well as New York). As early as the 1870s, the city promoted a Halifax-to-New York railroad, via Bangor, as the quickest connection between North America and Europe (when combin...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$165,752 to $223,532
Bangor, Maine area prices
were up 1.6% from a year ago