Provider Support Access Specialist - Orthopedics

At Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day.

Central Maine Healthcare is seeking a Provider Support Access Specialist to join our team at the Orthopedics office!

This is a Full Time, benefits eligible position

Position Summary:

Responsible for the patient experience as it relates to the administrative process, from start to finish. Point of contact for internal team members, external vendors/organizations, and patients. This position will play a key role in streamlining workflow to ensure efficient scheduling for:

• Consultations
• Testing
• Procedures
• Follow-up appointments

Ensures excellent patient experience, maximize reimbursement, minimize time from referral to procedure, and aid in positive outcomes.

Education and Experience:

• High School graduate or equivalent required

• Associate Degree preferred

• Minimum of two years relevant experience, including knowledge of scheduling, registration, patient billing, and medical terminology required.

• Minimum of three years’ experience as surgery scheduler preferred. Demonstrates proficiency with data entry/keyboarding.

Essential Duties:

• Supports the patient and clinical team from all aspects of the administrative duties of a patient’s appointments. Accountable for scheduling and ensuring necessary paperwork is completed in accordance with the needs of the team. This will include but is not limited to the provider’s schedules, arranging testing, booking procedures, ensuring communication with key stakeholders, and follow-up appointments.

• Maintains effective working relations with departments to ensure timely scheduling of testing and procedures. Communicates with provider groups proactively to resolve booking conflicts.

• Processes prior authorizations for procedures and any testing that requires authorization.

• Responsible for claim reconciliation if prompted by the revenue integrity team. Maintains excel tracking spreadsheet to ensure regulatory compliance and monitor patient volume.

• Performs clerical duties such as answering and directing phone calls, monitoring incoming mail, and replying to emails. Performs general administrative support tasks based on the needs of the department and team members to ensure organizational sustainability.

• Verifies patient insurance benefits and collaborates with the patient to ensure benefits are correctly entered into Electronic Health Record (EHR).

• Collaborates with patient and external organizations to ensure external records are obtained prior to appointment.

• Uploads vendor studies to ensure streamlined process from testing to procedure. Ability to multitask and maintain EHR communication pool to ensure timely response to various patient and team member needs.

What It’s Like Working At CMH: 

We are all about our team members growth and health. That why we prioritize work/life balance, community-based wellness initiatives and tuition reimbursement or student loan repayment for ALL of our team members. 

CMH offers a robust benefits package that includes: 

Robust Paid Time Off (PTO) program 

Medical plan with enhanced Tier 1 benefits provided within the CMH system. 

Dental plan 

Vision plan 

Health Savings Account (HSA) 

Basic Life insurance at no cost 

Supplemental Life insurance 

Long-term disability insurance 

401(k) or 403(b) retirement savings plans 

Tuition IO partnership for student loan repayment assistance and tuition assistance 

Family leave program for Parental Leaves 

Comprehensive Wellness Program 

Living in Central Maine: 

While not at work, our team members enjoy the endless opportunities for entertainment that Maine has to offer. Outdoor enthusiasts can enjoy skiing, boating along the coast and hiking at a state or national park. Centrally located to several popular attractions, residents can embark on day trips to Boston, North Conway, New Hampshire and Boothbay Harbor. Maine is a wonderful place to raise a family, with safe communities and great public and private schools. 

About Central Maine Healthcare:

Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoast Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services. 

If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application!