MaineHealth Care at Home is seeking a Referral Specialist with medical administrative office experience. The Referral Specialist must possess excellent customer skills as their main job duties will include accepting intake information from patients, obtaining prior authorization from insurance providers, and collaborating with physicians.# Prior referrals/authorization experience is highly preferred.
MaineHealth Care at Home offers a wide range of home health services and programs for adults. Whether the patients is recovering from illness or injury, or has a long-term condition, MaineHealth Care at home provides skilled medical care in the comfort of home. We enable adult patients to stay independent and right where they want to be: at home.
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.
Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: High school graduate or equivalent preferred with completion of business, secretarial school, or medical office assistant training with a minimum of one to two years of work experience in a healthcare setting. License/Certifications:
N/A Experience: See #Education# Strong customer service skills Working knowledge of medical terminology, managed care/insurance industry, and health care reimbursement sources MaineHealth offers great perks and benefits! #Health Insurance and Optional Plans (Dental, Vision, Life, etc.) #Paid Time Off #Retirement Benefits #Tuition Reimbursement #Paid Parental Leave #Employee Discounts #Free Public Transit! We offer FREE bus trips to our employees traveling on the Greater Portland Metro (including BREEZ and HUSKY lines), South Portland Bus Service, and ShuttleBus-ZOOM. Our Commuter Choice program is designed to support employee transportation needs, reduce traffic congestion, and improve air quality in the greater Portland region.