Mercy Health System of Maine
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Insurance Verification Representative - Rheumatology
at Mercy Health System of Maine
Eastern Maine Medical Center
8:00am to 4:30pm
MAIN FUNCTION: The Insurance Verification Specialist will ensure all referrals and tests are scheduled appropriately based on insurance plans and eligibility of coverage. This will be accomplished by using electronic communication systems such as internet sites, computer links, and electronic data exchange software or telephone when electronic systems are not available. The X is responsible for understanding complexities of health plans and is to have a general understanding of their role in the revenue cycle. They may also update the registration for patients checking into the department when necessary. In addition, they will have a strong understanding of the daily operations of the department and assist with additional duties as assigned by the department manager.
MINIMUM EDUCATION REQUIRED: Associates degree or other technical college education or the equivalent in work experience and continuing education. Medical Terminology 1 course completion.
MINIMUM EXPERIENCE REQUIRED: 5 years in a medical setting & work experience with personal computers/customer service
MINIMUM EXPERIENCE PREFERRED: 1 - 2 years Registration and Patient Account Services experience preferred.
OTHER SKILLS REQUIRED: Verbal and written aptitude for adequate communication with the general public, physicians, physician office staff, Registration staff, and other healthcare professionals. Must demonstrate the ability to work well with others and to work independently without direct Supervision. Must exhibit a caring attitude toward patients, co-workers, and other customers. Ability to handle multiple priorities successfully. Position requires close attention to detail. Must present in a professional manner. Typing skills of 35 wpm with a general working knowledge of Windows and Microsoft Office.
PHYSICAL REQUIREMENTS: This position entails extensive customer service and phone utilization visual and auditory acuity, finger-wrist repetitive motion, and utilization of a computer/keyboard.