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 Patient Services Coordinator to join our team at the Orthopedic Abulatory Surgery Center!

This is a Full Time, benefits eligible position

Position Summary:

Responsible for coordinating and performing a variety of front-office functions for our Ambulatory Surgery Center to include check-in, check-out, time of service collection, chart-preparation, chart & charge reconciliation, and ASC-related pre-authorization tasks. Additionally, provides support/guidance to patients, office staff, physicians and other providers. Represents the Ambulatory Surgical Center in a professional, courteous manner while receiving patients into the center.

Education and Experience:
• Associates degree or equivalent years of experience with two (2) or more years of experience in a medical office, surgery center or similar role in health care organization/ environment.
• Knowledge of orthopedic surgery and/or orthopedics practice including workflows, processes and requirements.
• Certified Professional Coder (CPC) or other certification (such as Certified Revenue Cycle Specialist or Certified Revenue Cycle Representative) helpful.

Essential Duties:
• Greets each patient as they enter the practice in a professional, caring manner and is warm in welcoming patients and vendors.
• Performs patient check-in/check-out process with all patients; includes arriving the patient. Reviews patient chart to determine what registration information is needed from the patient at time of check-in. Ensures patient records are accurate and up to date including patient name, address, date of injury, payer information, etc. by verifying existing information or entering updated data into the computer system.
• Prepares charts for visit/surgery by obtaining appropriate past documents, procedures, notes including operative notes, etc. Ensure chart completion before HIM scan chart into the EMR.
• Scans medical documentation and other required documents into electronic health record or other medical document imaging system(s) including scanning fee slips, G-Code sheet and other info as needed.
• Collects copays and outstanding balances at the time of service. Performs daily payment reconciliation.
• Utilizes electronic health record for messaging to/from clinical staff.
• Enters patient information into practice management system from faxed referrals, phone or email and ensures scheduled surgeries per clinical protocol from outside referrals.
• Manages referrals to ensure obtained promptly.
• Prepares charge sheets/fee slips, time and materials slip from designated system and creates packet including fee ticket, supply charge sheet, etc. Creates appropriate tasks within the system to facilitate charge capture processes for clinical and coding teams.
• Performs Pre-Authorization tasks including managing ongoing authorizations for procedures performed in the ASC; future visits when required by insurance and follows up with insurance within 24 business hours if the procedure performed is different than procedure authorized.
• Performs insurance verification to ensure accurate billing to appropriate insurance for patient encounter(s).
• Maintains open communication with clinical staff to minimize interruptions to the providers’ schedules.
• Collects all charge slips, reviews for accuracy and completeness. Reconciles charge sheets/invoices against schedule to ensure appropriate billing. Returns charge slips to clinical staff if they do not have the necessary information or if there are any discrepancies.
• Ensures the waiting area is presentable. Notifies Facilities of any specific needs or concerns to ensure a pleasant and safe experience for all staff, visitors and patients.
• Collaborates with clinical staff, Revenue Cycle and other key members of staff/leadership to answer all patient questions and concerns
• Answers incoming internal and external calls.
• Manages incoming faxes and other documents
• May perform charge entry functions when necessary and as back up to clinical staff
• Opens and distributes daily mail. Assists with daily processing of office correspondence and distribution.
• Attend meetings, as assigned, and participate in educational activities to keep skills up to date
• Maintains patient confidentiality per state and federal and company regulations.
• Strives to maintain positive patient relations by handling problems and complaints in a professional, confidential manner.
• Keeps abreast of current issues involving patient care or practice issues by attending and participating in department, team and practice meetings
• Displays cooperative behavior and interacts positively and effectively with others to promote a team environment.
• Is proactive in identifying, reporting and participating in the resolution of any potential or actual patient safety issues.
• Demonstrates professionalism at all times.
• Maintains confidentiality.
• Performs other duties as assigned.

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!