Transplant Benefits & Authorization Specialist

MaineHealth; Portland (ME); On-site; USD 29,000 - 37,000; Part time

Job summary

MaineHealth is seeking a Transplant Financial Coordinator to ensure insurance coverage is available and determine the scope of patient benefits before services are rendered. The role also handles referrals, authorizations and pre-certifications to streamline transplant care.

The organization offers comprehensive benefits and a supportive environment, with a pay range of $21.09–$27.12 per hour for this position. This role is based in Maine and contributes to high-quality patient care.

Qualifications

• Associate's Degree preferred.
• Comprehensive knowledge of State and Federal agencies including MaineCare & Medicare regulations.
• General knowledge of ICD diagnosis codes, CPT codes, UB92/UB04 billing forms and HCFA 1500 billing forms.

Responsibilities

• Ensure insurance coverage is available and determines the scope of patient benefits prior to services being rendered.
• Obtain necessary referrals, authorizations and pre certifications.

Job description

MaineHealth is seeking a Transplant Financial Coordinator to ensure insurance coverage is available and determine the scope of patient benefits before services are rendered. The role also handles referrals, authorizations and pre-certifications to streamline transplant care.

The organization offers comprehensive benefits and a supportive environment, with a pay range of $21.09–$27.12 per hour for this position. This role is based in Maine and contributes to high-quality patient care.