Insurance Verification Rep

Job Number 55713
Posted 12/1/2018
Account Northern Light Eastern Maine Medical Center
Department Ins. Ver./Pre-cert (Patient Access Management)
Location |ME| EMMC Orono - 16 Godfrey Drive, ME 04473
Schedule Pool/Per Diem
Shift Day
Hours 8:00am - 4:30pm
Job Details The Insurance Verification Representative will determine insurance eligibility, coverage levels, and billing requirements for all inpatients prior to discharge and in high dollar outpatient areas. This will be accomplished by telephone calls to employers and insurance companies and using electronic communication systems such as Internet sites, computer links, and electronic data exchange software. The Insurance Verification Representative will work closely with the Registration Review Coordinator and Preadmission Review Coordinators to ensure accurate and timely billing of current accounts and to update internal databases for future registrations. The Insurance Verification Representative may also update the registration for patients admitted to the medical center, when necessary. The Insurance Verification Representative is responsible for understanding the complexities of health plans and the relationship between health plans e.g., Medicare, MaineCare, Commercial Insurances, Blue Cross, Worker's Compensations, and self-pay. The Insurance Verification Representative is responsible for understanding and using more than nine computer systems in order to work efficiently.

minimum Education Requirements: Must have completed a high school diploma or GED. Medical terminology course from an accredited college preferred.

Other Skills Required: Must type 35 word per minute.

Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.