Insurance & Surgery Coordinator

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Central Maine Healthcare
Published
April 8, 2021
Location
Lewiston, Maine
Job Type

Description

Insurance & Surgery Coordinator

Bariatrics Surgery
FT
Day shift
8a-4:30p
Req #: 29727
Job Summary: The Insurance & Scheduler Coordinator for the Bariatric Team provides support administrative assistance in the areas of surgical scheduling, preauthorization for testing and procedures for bariatric surgery, and referrals to consultants and for testing. Performs insurance verifications for scheduled patients for bariatrics consultations, post-op follow ups appointments, non-surgical weight loss consultations and follow up appointments.    The work is done in an effort to ensure an optimal patient surgical experience, cost-effective measures of operation, maximum reimbursement, optimal lines of communication, and promotes effective management of various areas of responsibility.  Records statistics as requested.  Performs all secretarial and reception duties as requested.
 
Regulatory Requirements:
• High School graduate or equivalent.
• Minimum of two years relevant experience, including knowledge of scheduling, registration, patient billing, and medical terminology. 
• Minimum of one (1) year experience as surgery scheduler preferred.
• Understanding of various insurance plan requirements & authorization processes: government agencies, Medicare and Medicaid and commercial insurance.  
• Knowledge of appeals and denial coordination in collaboration with clinical team.
 
 
Skills:
• Must demonstrate the ability to use variety of software programs, basic computer knowledge, and data entry
• Ability to type minimum of 40 wpm.
OUR PURPOSE & VALUES:
Our mission is to provide exceptional healthcare services in a safe and trustful environment through expertise, commitment and compassion of our team members, with the vision of safe, reliable, high quality care for each patient, every day.
How do we make this happen? By creating and maintaining a culture where our values of compassion, integrity, citizenship, service excellence and community are lived out in observable behaviors during all interactions.
ABOUT CENTRAL MAINE HEALTHCARE:
Central Maine Healthcare (CMH) is an integrated healthcare delivery system serving 400,000 people living in central, western, and mid-coast 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.
About Central Maine Medical Center
Central Maine Medical Center (CMMC) located in Lewiston, is a Level II Trauma Center serving Androscoggin County and the surrounding region. "CMMC's Centers of Excellence" include the Central Maine Heart and Vascular Institute, the Central Maine Comprehensive Cancer Center, the Neonatal Intermediate Care Unit, and a Trauma Services Program. CMMC is also the southern Maine base for LifeFlight of Maine, the state's only medical helicopter service. Supported by the latest technologies, CMMC's skilled professionals provide outstanding care delivered with compassion, kindness, and understanding. Learn more at: www.cmmc.org.
About Bridgton Hospital
Part of Central Maine Healthcare, Bridgton Hospital serves the town of Bridgton and surrounding areas in Maine as part of an integrated regional healthcare system committed to improved access and a uniform standard of care. Bridgton Hospital was named as one of 17 top rural hospitals in the nation for the third consecutive year in 2018.
About Rumford Hospital
Part of Central Maine Healthcare, Rumford Hospital serves the town of Rumford and surrounding areas in Maine as part of an integrated regional healthcare system committed to improved access and a uniform standard of care. In 2018, Rumford Hospital was named one of 17 top rural hospitals in the nation by the Leapfrog Group; in 2016, it was designated a Pathway to Excellence® organization by the American Nurses Credentialing Center. Learn more at: www.rumfordhospital.org.
Central Maine Healthcare is equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
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