Opportunities at Northern Light Health , in strategic partnership with Optum . Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits, and discover the meaning behind: Caring. Connecting. Growing together.

This position is full-time, Monday - Friday. Employees are required to work any shift between the hours of 8:00 AM - 4:30 PM EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 43 Whiting Hill Road Brewer, ME, 04412.

We offer 2 - 4 weeks of paid training. The hours during training will be 8:00 AM - 4:30 PM EST from Monday - Friday. Training will be conducted on - site.

Primary Responsibilities:

• Ensures excellent customer service when assisting patients, providers, and other departments

• Collects and updates patient demographic and insurance information, making changes as necessary to ensure accuracy with insurance benefits, referrals, and authorizations

• Verifies precertification/authorizations for scheduled services utilizing internet sites, payer contacts, and software as appropriate

• Assesses coverage and benefits, and accurately determines patient responsibility as applicable

• Identifies self pay patients and shares information with financial counseling for assistance with patient financial obligation and options

• Partners closely with the clinical, office, billing, and registration teams and works to review authorizations timely, as applicable

• Appropriately documents all conversations with insurance companies and health care facilities that pertain to the authorizations or payment of services

• Escalates questions or concerns to leadership as needed

• Maintains and exhibits a current knowledge of insurance plans, associated workflows and information, and the impact of this role within the revenue cycle

• Remains aware of department productivity expectations, and other measurable performance data and meets/exceeds individual contributions to the team performance

• Strives to maximize revenue and minimize bad debt

• Maintains a safe environment complying with NLH policies and procedures; reports and directly addresses environmental hazards and violations of patient safety policy and/or protocol when involved or observed

• May perform other duties upon request

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED (or higher)

• 1+ years of Patient Access experience in a hospital registration department, physician office, or any medical setting

• Beginner level of proficiency with computer and Windows personal computer applications, which includes the ability to learn new and complex computer system applications

• Beginner level of proficiency with medical terminology

• Beginner level of understanding of healthcare insurance policies and procedures

• Reside within a commutable distance to 43 Whiting Hill Road Brewer, ME, 04412 (all candidates will start working on - site)

• Ability to work any shift between the hours of 8:00 AM - 4:30 PM EST from Monday - Friday including the flexibility to work occasional overtime based on business need

• Must be 18 years of age or older

• Full Flu vaccination are an essential job function of this role. Candidates located in states that mandate Flu booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.

Preferred Qualifications:

• Experience with working for Northern Light Health

• Experience with health insurance authorizations

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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