- Career Ladder
- Health Insurance
- Dental Insurance
- Vision Insurance
- Generous employer-matched 403b savings program
- Company paid: Life insurance, Short- and long-term disability insurance
- Paid Time Off
- And much more
- Work with a team in a fast pasted environment to assist with onboarding new referrals coming from hospital, private practices, clinics, hospices etc.
- Verifying all new patient referral's insurance information (Commercial, Medicare, Medicaid, Work Compensation) and benefits to identify patient responsibility, authorization and coverage for home infusion therapies and communicate this information to the Intake team within 30 minutes.
- Utilize online portals to identify plan benefits for home infusion.
- Identify medical policies and medical necessity requirements to ensure timely payment of home infusion services.
- Effectively negotiates with third party payers in a timely manner to establish pricing for prescribed services utilizing company guidelines.
- Reverifies patient accounts each month to ensure that active patients have accurate insurance information available for billing purposes and follow up.
- Enters new patient accounts into EMR accurately coding all required fields.
- Utilizes EMR to comprehensively document all information related to patient accounts to ensure that status of account is current. Provides feedback to management as needed in areas that will maximize cash collection and minimize delays and unnecessary losses of revenue.
- Communicates with branch personnel (via phone and e-mail) to review changes in therapy / patient status and completes edits and updates to billing account information as needed. Also notifies patients of changes in benefit levels and financial liability, if applicable. Follows up with case managers and third-party payers accordingly.
- Tracks and trends internal and external issues that are affecting the timely and accurate processing of patient referrals and maintenance of a complete patient accounting database. Reports any adverse trends to supervisor in a timely manner.
- Provide adequate follow up on accounts with any issues identified on claims/denials regarding current insurance status, i.e. coordination of benefits, termination of insurance, change of insurance, and communicate these issues to the patient.
- Work daily reports that ensure account accuracy and smooth insurance billing process.
- Associates Degree or Bachelor's Degree in Business Administration preferred. Industry Certificates for job related topics are a plus.
- A minimum of 2 years experience in healthcare provider's business office or hospital setting, involved in the registration of patients, verification of Third-Party Insurance benefits required.
- A minimum of 2 years experience with a third-party health insurance plan or plan administrator involved in coordinating health insurance claims preferred.
- A working knowledge of government health insurance plan benefits and the rules & regulations for obtaining reimbursement preferred.
- Experience with healthcare patient accounting/billing/collections computer applications including electronic claims processing preferred.
- Working knowledge of Home Infusion Therapy billing & collection preferred.
- Excellent communication (verbal and written) and interpersonal skills to interpret and explain policies and procedures and third-party insurance benefits to patients and their families.
- Strong negotiation skills to secure favorable pricing agreements with insurance payers.
- Demonstrated strong mathematic skills to calculate estimated charges, expected payments and co-pay balances.
- Demonstrated ability to maintain confidentiality of patient information.
- Excellent organizational skills with attention to detail.
- Ability to work independently as well as part of a team.
- Demonstrated ability to identify research and solve problems.
- Ability to research and resolve problems independently; detail orientated.
-
Referral Specialist
1 week ago
Maine Medical Partners Scarborough, United States**Position Summary** · Prior Authorization Specialist, responsible for obtaining insurance pre-approvals for medications and medical supplies. Previous experience in a medical office or healthcare setting, knowledge of medical terminology, and insurance verification process. Abil ...
-
District Payroll
1 week ago
Falmouth Public Schools Falmouth, United StatesFalmouth Public Schools is seeking a highly motivated individual to join our District Office team as a full-time **Payroll/Human Resource Specialist**. · The Falmouth Schools are located on a 100-acre district K-12 campus in Falmouth Maine, a coastal community bordering the city ...
-
Planner
1 week ago
Hargrove Engineers + Constructors Freeport, United StatesWe are seeking a Planner onsite in Freeport, TX. · Have at least 4 years of previous Planning experience · Be proficient with Microsoft Excel and Word · Be able to effectively communicate · Work OT hours, extensively, as needed. · Please see additional job details and requirement ...
-
Quality Engineer
3 days ago
TechLink Systems Scarborough, United StatesJob Description · Job Description · Job Title: Quality Engineer I · Location : Scarborough, ME (onsite) · Contract Duration: Contract until 09/30/2024 · Work Hours: 9am-6:00pm · MAIN PURPOSE OF ROLE · Manufacturing Line Quality Engineers operate as an independent Quality resour ...
-
CAREER OPPORTUNITY FOR YOU Engineer, Quality
1 week ago
TechLink Systems Scarborough, United StatesJob Description · Job Description · Hi, · I hope this week has been kind to you so far. Thought I'd reach out today as I came across your resume, and from what I saw I just had to bring this opportunity to your attention. · At your earliest convenience, please check the job s ...
-
Quality Engineer
1 week ago
Techlink Systems Scarborough, United StatesJob Description · Job DescriptionJob Title: Quality Engineer I · Location : Scarborough, ME (onsite) · Contract Duration: Contract until 09/30/2024 · Work Hours: 9am-6:00pm · MAIN PURPOSE OF ROLE · Manufacturing Line Quality Engineers operate as an independent Quality resource pa ...
-
Manufacturing Quality Engineer
1 week ago
Techlink Systems Scarborough, United StatesJob Description · Job DescriptionJob Title: Quality Engineer I · Location: Scarborough, ME (onsite) · Work Hours: 9am-6:00pm · Notes: Will consider candidates that can relocate at their own expense · MAIN PURPOSE OF ROLE · Manufacturing Line Quality Engineers operate as an indepe ...
-
IT Support Specialist
3 days ago
Uicalaska Portland, United StatesPosting Title IT Support Specialist Description IT SUPPORT SPECIALIST (CBP W): · Bowhead is seeking an IT Support Specialist in Portland, ME to join our team in supporting IT deployment and infrastructure for the Customs & Border Protection contract. The IT Support Specialists p ...
-
patient service specialist
1 week ago
Select Medical , ME, United StatesWhen patients enter our center in Hallowell, we want them to have an exceptional experience – starting at the front desk. That's where you come in. As a patient service specialist, you'll manage both the patient side and business side of our center. The front desk is your station ...
-
patient service specialist
1 week ago
Select Medical , ME, United StatesWhen patients enter our center in Auburn, we want them to have an exceptional experience – starting at the front desk. That's where you come in. As a patient service specialist, you'll manage both the patient side and business side of our center. The front desk is your station to ...
-
patient service specialist
6 days ago
Select Medical Corporation , ME, United StatesOverview · When patients enter our center in Auburn, we want them to have an exceptional experience - starting at the front desk. That's where you come in. As a patient service specialist, you'll manage both the patient side and business side of our center. The front desk is your ...
-
patient service specialist
6 days ago
Select Medical Corporation , ME, United StatesOverview · When patients enter our center in Hallowell, we want them to have an exceptional experience - starting at the front desk. That's where you come in. As a patient service specialist, you'll manage both the patient side and business side of our center. The front desk is y ...
-
Customer Service Representative
1 week ago
QUIPT HOME MEDICAL INC Portland, United States: · Quipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry. We are looking for driven individuals to come grow with us. · Position: Customer Service Representative · Position Repor ...
-
Customer Service Representative
5 days ago
Quipt Home Medical Portland, United StatesJob Description · Job DescriptionDescription:Quipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry. We are looking for driven individuals to come grow with us. · Position: Customer S ...
-
Retail Customer Service Representative
4 days ago
Quipt Home Medical Portland, United StatesJob Description · Job DescriptionDescription:Quipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry. We are looking for driven individuals to come grow with us. · Position: Retail Cus ...
-
patient access specialist
3 days ago
Central Maine Medical Center , ME, United StatesAt Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day. · Position Summary: Reporting directly to the Patient Access Manager, the PATIENT ACCESS SPECIALIST performs patient admitting ...
-
Patient Service Specialist
4 days ago
Saco Bay PT Gorham, United StatesOverview · When patients enter our center in Gorham, we want them to have an exceptional experience – starting at the front desk. That's where you come in. As a patient service specialist, you'll manage both the patient side and business side of our center. The front desk is your ...
-
patient service specialist
1 week ago
Select Medical Gorham, ME , USA, United StatesWhen patients enter our center in Gorham, we want them to have an exceptional experience – starting at the front desk. That's where you come in. As a patient service specialist, you'll manage both the patient side and business side of our center. The front desk is your station to ...
-
Soliant Cliff Island, United StatesJob Description · Job DescriptionMinimum 1+ years Behavior Specialist experience required. · Soliant is working with aschool district near the Portland , Mainearea. If you're interested in using your registered behavior technician license for a school based position , Apply NowQu ...
-
patient service specialist
1 week ago
Select Medical Corporation Standish, ME, United States Full timeOverview · When patients enter our center in Standish, we want them to have an exceptional experience - starting at the front desk. That's where you come in. As a patient service specialist, you'll manage both the patient side and business side of our center. The front desk is yo ...
Insurance Verification Specialist - Scarborough, United States - New England Life Care
Description
Job Description
Job DescriptionNew England Life Care (NELC) is one of the fastest growing home infusion therapy services companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care.
New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, you may be the person we are looking for
New England Life Care is hiring a Full Time Insurance Verification Specialist to support our growth, who has experience, enjoys a fast-paced environment, and provides top-notch customer experience over the phone. If you have previous customer service and call center experience, this may be the position you have been looking for
This is a 100% remote, 40 hours per week position. Occasional holidays are also included in the schedule, but will be paid at a rate of 2.5 times the normal hourly rate. The normal schedule will be Monday – Friday 8:30 AM – 5:00 PM.
**Only hiring remotely in the following states: Maine, Massachusetts, New Hampshire, Connecticut, and Rhode Island**
Benefits:
Job Responsibilities
Required Qualifications / Skills
Preferred Skills:
