Find & Apply For Enrollment / Eligibility Specialist Jobs in South Portland, Maine

The Referrals Specialist is responsible for processing, scheduling, and tracking referrals to specialists; provides patients with proper documentation of date, time, and any necessary preparations for scheduled tests and referrals. This position tracks all scheduled services through to completion and processes insurance referrals and prior authorizations for visits with specialty offices. This is a part-time position, 20-24 hours per week and is not eligible for a hybrid or fully-remote schedule. Requirements Level 3 English required. Associate degree preferred. Experience in coordination of care, case management, or medical referrals required. Knowledge of community resources. Knowledge of medical office procedures and terminology. Knowledge of basic arithmetic to make calculations, balance and reconcile figures, and make changes accurately. Knowledge of Medicare, Medicaid, managed care, HMO, band private insurers. Knowledge of CPT (procedures code) and ICD-10 codes.

Generous Benefits Package:

Organization-wide incentive bonus of up to 5% of annual base salary Dental, Vision Insurance (Employer - Employee shared) Flexible Spending Accounts Employer paid Life insurance, Short-term and Long-term Disability 403(b) employer match up to 3% Generous PTO package, including paid time off, personal days, 9 holidays, and time to volunteer Bereavement and Military Leave Gym Membership reimbursement