Insurance Representative - Pre-Arrival

MaineGeneral Health • Waterville, ME

1d • Onsite

About The Position

This role is responsible for verifying insurance coverage and ensuring all required authorizations are in place for scheduled procedures. This position plays a key part in supporting financial accuracy and patient communication before services are rendered.

Requirements

• Strong knowledge of payer policies, coverage criteria, and authorization processes.

Responsibilities

• Confirms insurance coverage and procedure details, determines if pre-authorization is required, and obtains all necessary approvals in advance of the scheduled service.
• Accurately enters patient insurance, authorization, and order/RX details into the patient record, ensuring complete documentation for all services.
• Notifies patients and payers of financial responsibility, communicating any non-covered or non-authorized services to both patients and practitioners.
• Collaborates with patients, clinical staff, and payer representatives to resolve questions regarding coverage limitations and financial clearance.
• Applies strong knowledge of payer policies, coverage criteria, and authorization processes to maintain efficient and compliant workflows.

Benefits

• Quality health, dental, and vision benefits
• Wellness programs and resources
• Industry-leading leave for new parents
• Generous earned time plan
• Employee Assistance Program
• Access to wages already earned before payday with Payactiv
• Tuition Reimbursement
• 403(b) company-matching contributions
• 401(a) retirement income plan
• Insurance plans to protect your family from the sudden loss of income
• Short-term and long-term disability insurance
• Leadership-supported programs and learning and development resources

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed