Top 92 Prior authorization Jobs in Maine

Authorization Specialist
New England Life Care —Scarborough, ME
- $21 - $22 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
- Disability insurance
- Health insurance
Quick Apply
Diagnostic Scheduler
Millinocket Regional Hospital —Millinocket, ME
- Full-time
- Hospital
- High school diploma or GED
- Organizational skills
- Health insurance
- Paid time off
Clinical Admissions Coordinator
Tessa's House / Tessa Lee Libby Treatment Center —Washington, ME
- $26.85 - $28.85 an hour
- Full-time
- Hybrid work
- Background check
- LMFT
- Licensed Clinical Social Worker
- Paid holidays
- Health insurance
Quick Apply
12d
Medical Assistant/Procedure Scheduler - Gastroenterology
MaineHealth —Rockport, ME
- $21.09 - $27.12 an hour
- Email
- BLS Certification
- High school diploma or GED
- Organizational skills
- Paid parental leave
- Parental leave
12d
Purchasing Clerk
Millinocket Regional Hospital —Millinocket, ME
- Full-time
- Hospital
- High school diploma or GED
- Organizational skills
- Health insurance
- Paid time off
3d
Patient Access Representative
Optum —Pittsfield, ME
- $16.15 - $28.80 an hour
- Full-time
- Hospital
- Pass drug screening
- High school diploma or GED
Non-Oncology Infusion Coordinator
New England Cancer Specialists —Westbrook, ME
- Full-time
- HIPAA
- Mid-level
- Computer skills
- Paid holidays
- Disability insurance
Quick Apply
10d
Referral Specialist
Northern Light Health —Presque Isle, ME
- Full-time
- Acute care
- Hospital
- Medical office experience
Work Health Coordinator I
Northern Light Health —Dover-Foxcroft, ME
- $19.50 - $28.09 an hour
- Full-time
- Mid-level
- Administrative experience
- Clinic
Front Office Associate
RAYUS Radiology —Portland, ME
- Full-time
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Quick Apply
Referral Specialist
Greater Portland Health —South Portland, ME
- $20 - $22 an hour
- Part-time
- English
- Mid-level
- Associate's degree
- 403(b) matching
- Paid holidays
UM Authorization Analyst 2 Bilingual
Starling Oncology —Portland, ME
- $71,000 - $85,000 a year
- Remote
- Spanish
- Customer service
- English
Quick Apply
6h
Automotive Customer Support Specialist
Concentrix —Maine
- $23 an hour
- Urgently hiring
- Hybrid work
- 18 years or older
- Computer literacy
- Writing skills
- Paid holidays
- Health insurance
11d
Patient Service Rep II
Northern Light Health —Bangor, ME
- Overtime
- Surgery
- Mid-level
- High school diploma or GED
Referral Management Specialist
Northern Light Health —Brewer, ME
- Full-time
- Anatomy knowledge
- Customer service
- Computer literacy
Clinical Support Specialist
Spurwink Services —Portland, ME
- $18 - $22 an hour
- Monday to Friday
- Customer service
- Administrative experience
- High school diploma or GED
- Paid training
- Disability insurance
13d
Patient Services Representative - Oakland Family Medicine, Per Diem
MaineGeneral Health —Oakland, ME
- $19.50 - $35.18 an hour
- Part-time
- Communication skills
- Entry level
- 403(b) matching
- Employee assistance program
Quick Apply
4d
Patient Services Representative - Wound Healing & Hyperbaric Medicine
MaineGeneral Health —Augusta, ME
- $19.50 - $35.18 an hour
- Full-time
- Wound Care
- Communication skills
- Entry level
- 403(b) matching
- Disability insurance
Quick Apply
6d
Patient Care Coordinator
Red Maple Audiology, LLC —Turner, ME
- $20 - $25 an hour
- Full-time
- Private practice
- Computer literacy
- HIPAA
- Paid training
- Health savings account
Quick Apply
CSC Representative I
Maine Community Bank —Westbrook, ME
- Full-time
- Office
- Microsoft Office
- Organizational skills

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Authorization Specialist

New England Life Care -
Scarborough, ME

Quick Apply

Job Details

Full-time
$21 - $22 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
403(b)
Opportunities for advancement
Life insurance

Qualifications

High school diploma or GED
Pre-authorization review for utilization management
Accounting support

Full Job Description

New England Life Care (NELC) is one of the fastest growing home infusion therapy 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, but your experience doesn’t support every qualification in the job posting, we encourage you to apply! You still may be the person we are looking for!

New England Life Care currently has a Remote Authorization Specialist position available. The normal schedule is Monday – Friday from 8:30am to 5:00pm.

The ideal candidate for this role will have at least three years of authorization or billing experience.

**Only hiring for this remote role in the following states: Maine, Massachusetts, New Hampshire, Maryland, North Carolina, Connecticut, and Florida**

Job Summary:

The Remote Authorization Specialist is responsible for obtaining and maintaining prior authorization status for NELC patient medications/therapies. The authorization specialist works closely with the clinical review department to obtain documentation needed to complete the authorization process. The authorization specialist also obtains needed documentation to support the billing department in meeting payer requirements for patient accounts.

Career Ladders: NELC’s reimbursement department offers career ladders to Authorization Specialists. Candidates who achieve excellent performance in their job duties, who demonstrate a commitment to personal development, participation in department and company strategic programs and projects, who develop superior working relationships inside and outside the department and who show a commitment to the success of the department are eligible for promotion to the following positions:

Authorization Specialist– represents an entry level position into the department. Candidates who meet defined goals, objectives and accomplishments can generally expect to be promoted in 2-3 years to:

Senior Authorization Specialist – Candidates who meet defined goals, objectives, and accomplishments and who demonstrate engagement and ownership of departmental and organization activities would generally expect to be promoted in 4-5 years to:

Lead Authorization Specialist – Candidates who are part of the department leadership team and who have responsibility for advanced departmental, company and member hospital engagement.

Benefits:

Remote position
Room for growth and potential for advancement
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!

Responsibilities:

Achieve performance appraisals with "meets expectations" or better
Maintain a good record of attendance and punctuality
No Performance management deficiencies in the period
Demonstrate independence and competence to follow Authorization Request process for all payers.
Demonstrate independence and competence to follow the Re-Authorization process
Demonstrate independence and competence to follow the Specialty process
Demonstrate independence and competence on all MOA's and therapies
Demonstrate independence and competence and ability to Authorize all services, document and communicate accurately on all changes of service, in CPR+ and to appropriate departments.
Demonstrate independence and competence and ability to work through a TO DO without the need for extended timeframes.
Demonstrates the ability to work within a team and independently with confident communication skills and exceptional customer service skills.
Completes three continuing education programs in the period specifically related to professional development, LEAN and/or leadership development.

Education:

High School Diploma, or equivalent required.
Minimum of 2 years authorization, reimbursement or claims processing experience required.
Practical experience with medical terminology; CPT, ICD-9 and HCPC coding preferred.
Practical experience with Medicare, Medicaid and third-party payor contracts preferred
Knowledge of HIPAA Privacy and Security requirements preferred.

Skills:

Excellent organizational skills required.
Basic accounting transaction/analyst skills required.
Demonstrated ability to identify research and solve problems required.
Ability to work independently as well as part of a team required.
Practical experience with Microsoft computer systems and applications, to include Word & Excel

''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.

An employer who violates this law shall be subject to criminal penalties and civil liability.''

EOE

The normal schedule is Monday – Friday from 8:30am to 5:00pm.

Quick Apply

Refine Your Search

prior authorization jobs in maine

Authorization Specialist

Diagnostic Scheduler

Clinical Admissions Coordinator

Medical Assistant/Procedure Scheduler - Gastroenterology

Purchasing Clerk

Patient Access Representative

Non-Oncology Infusion Coordinator

Referral Specialist

Work Health Coordinator I

Front Office Associate

Referral Specialist

UM Authorization Analyst 2 Bilingual

Automotive Customer Support Specialist

Patient Service Rep II

Referral Management Specialist

Clinical Support Specialist

Patient Services Representative - Oakland Family Medicine, Per Diem

Patient Services Representative - Wound Healing & Hyperbaric Medicine

Patient Care Coordinator

CSC Representative I

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