Overview
Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoastal Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services.
Responsibilities Central Maine Healthcare is seeking a
Full Time, Insurance Follow-Up Representative
to join our team!
Position Summary:
The Insurance Follow–up Representative’s responsibility is to reduce outstanding insurance due balances accurately and in a timely fashion to ensure a positive cash flow for the regional healthcare systems
Essential Duties:
Contacts insurance companies to follow up on third party balances according to stratified processing environment principals.
Documents all correspondence and conversations with insurance companies, governmental agencies, third party payers and patients on patient 's account.
Review and resolve credit balances according to departmental guidelines.
Reviews rejections from third party payors, acting appropriately on those when necessary.
Maintains a problem log to include all denials, claim issues, registration errors and other issues for monthly reporting to individual departments/practices.
Stays informed of changes in the insurance industry.
Consults with other CMMF departments to obtain, verify billing information.
Interacts with patients/families in a professional manner. Provides explanations regarding statements, insurance coverage; ensures confidentiality of patient records.
Education and Experience:
High school graduate or equivalent.
Minimum of two years relevant experience, including knowledge of insurance billing and medical terminology.
Thorough understanding of various insurance plans, government agencies, Medicare and Medicaid.
Employment Status Full Time
Shift Days
Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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Responsibilities Central Maine Healthcare is seeking a
Full Time, Insurance Follow-Up Representative
to join our team!
Position Summary:
The Insurance Follow–up Representative’s responsibility is to reduce outstanding insurance due balances accurately and in a timely fashion to ensure a positive cash flow for the regional healthcare systems
Essential Duties:
Contacts insurance companies to follow up on third party balances according to stratified processing environment principals.
Documents all correspondence and conversations with insurance companies, governmental agencies, third party payers and patients on patient 's account.
Review and resolve credit balances according to departmental guidelines.
Reviews rejections from third party payors, acting appropriately on those when necessary.
Maintains a problem log to include all denials, claim issues, registration errors and other issues for monthly reporting to individual departments/practices.
Stays informed of changes in the insurance industry.
Consults with other CMMF departments to obtain, verify billing information.
Interacts with patients/families in a professional manner. Provides explanations regarding statements, insurance coverage; ensures confidentiality of patient records.
Education and Experience:
High school graduate or equivalent.
Minimum of two years relevant experience, including knowledge of insurance billing and medical terminology.
Thorough understanding of various insurance plans, government agencies, Medicare and Medicaid.
Employment Status Full Time
Shift Days
Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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