Summary
Position Summary
This position is the initial contact for patients at Southern Maine Medical Center, and, as such, must demonstrate exceptional customer service skills in all interactions. This position has the responsibility for complete and accurate patient registration, insurance verification, medical necessity validation, identifying and collecting amounts due from the patient, entering orders, and providing for an efficient flow of clinical, administrative and clerical tasks. Obtains patient's signatures on consent and assignment forms and applicable insurance denial notices. Assists with and arranges accommodations for patients with special needs. All tasks are required to be done per established protocols and accuracy standards while demonstrating the Champions of Care expectations of Welcome, Listen and Serve. To be successful in this role, the employee must be competent, flexible, and adaptive to changes in healthcare delivery and technology.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education: High School graduate preferred.
License/Certifications: N/A
Experience: Previous clerical health care experience preferred. Previous customer service experience required.
Must complete a formal medical terminology course and customer service training within 1 year after hire.
Knowledge of insurance plans and their requirements (ie: worker's compensation, managed care, Medicare/Medicaid) is desired.
Knowledge of medical office procedures and insurance requirements is helpful.
Must demonstrate progress in understanding insurance requirements.
Familiarity with medical terminology used in an individual physician practice setting is desirable.
Good interpersonal skills are required, with an ability to interact with patients and others, both in person and over the telephone, in a courteous, tactful, and effective manner.
Customer service training a plus.
Strong command of the English language must speak and write it clearly. The ability to speak French is helpful.
The ability to use a personal computer for online data entry is required.
Typing, faxing, copier and computer skills are required.
Additional Information
MaineHealth was ranked one of America's Best Large Employers in 2022 by Forbes!
MaineHealth is a not-for-profit integrated health system whose vision is, "Working together so our communities are the healthiest in America." MaineHealth consists of nine local health systems, a comprehensive behavioral health care network, diagnostic services, home health agencies, and 1,700 employed clinicians working together through the MaineHealth Medical Group. With approximately 22,000 care team members, MaineHealth provides preventive care, diagnosis and treatment to 1.1 million residents in Maine and New Hampshire. Learn more about our system at mainehealth.org
At MaineHealth, we offer benefits that support an individual's needs for today and flexibility to plan for tomorrow. Our packages include health and dental insurances, paid parental leave, retirement program, generous paid time off, and much more! Our comprehensive array of benefits are competitive, affordable, and include choices that meet specific, but ever changing, needs.
With a career at any of the MaineHealth locations, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the neighborhoods that surround it. We are deeply invested in the well-being of our communities and care team members. We believe in fostering a work environment of strong commitment, compassionate caring and continuous improvement. Join us, and your abilities will be challenged and enhanced as you take your career to a new level.
MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at mainehealth.org
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