Central Maine Healthcare, part of Prime Healthcare Foundation, is an integrated healthcare delivery system serving communities across central, western, and midcoast Maine. This role supports clinic operations by coordinating patient referrals, prior authorizations, and communication between insurance companies, providers, clinics, and patients.
The Referral Specialist ensures referrals are processed correctly for specialty visits, reviews clinical data for medical necessity, assists with scheduling, and helps patients navigate insurance and access resources. The role also includes filing, scanning, retrieving patient records, and maintaining strong relationships across office practices and specialty clinics.
This position is based in Lewiston, Maine and is scheduled for day shift, full-time employment.
Qualifications
- 2 years of clinic work environment experience preferred
- Knowledge of medical terminology preferred
- Completion of a medical assistant program desired
- Certification within 6 months of hire
- Knowledge of electronic medical systems
- Excellent phone and customer service skills
- Knowledge of prior authorizations and insurance plans
- Good organization and multitasking skills
- Ability to act as a patient liaison and help patients navigate the healthcare system
- Self-starter with strong troubleshooting and problem-solving abilities
- Detail-oriented and adaptable in a changing environment
Benefits
- Competitive compensation
- Reasonable pay range of $20.71 to $26.01 per hour
- Comprehensive benefits package
- Flexible benefits options to fit individual needs
- Growth and well-being resources and voluntary benefit options
Location
Maine, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago