Provider Services Representative

ProSearch; Portland (ME); Hybrid; USD 42,000 - 56,000; Part time

Job summary

ProSearch is seeking a Provider Services Representative for a temporary, five-month assignment in Portland, ME. You will assist healthcare providers with benefits, eligibility, plan coverage, and health policy questions by phone, research answers, and document interactions.

The ideal candidate has strong customer service experience, excellent communication, attention to detail, and the ability to learn healthcare terminology across multiple systems in a fast-paced, collaborative setting.

Qualifications

• High school diploma or equivalent.
• 3+ years of customer service experience.
• Strong phone-based customer service and communication skills.
• Strong computer skills with quick and accurate data entry.
• Excellent attention to detail.
• Strong organization, documentation, and follow-up skills.
• Ability to research information and problem-solve.
• Ability to multitask and prioritize.
• Comfortable working independently while collaborating with a larger team.
• Professional, patient, and adaptable when handling stressful or complicated situations.

Responsibilities

• Respond to incoming calls and questions from healthcare providers and related organizations
• Assist with questions regarding benefits, eligibility, coverage, policies, and other health plan information
• Research issues and provide accurate information based on established policies and procedures
• Document calls, questions, and resolutions clearly and accurately
• Follow up on issues that cannot be resolved during the initial interaction
• Navigate multiple systems while speaking with providers
• Collaborate with other departments to research and resolve more complex questions
• Maintain professional and helpful communication, even during challenging interactions
• Manage multiple priorities in a fast-paced environment

Skills

Phone-based customer service

Computer skills

Data entry

Attention to detail

Organizational skills

Documentation

Research abilities

Multitasking

Education

High school diploma or equivalent

Job description

Schedule: Monday–Friday, 8:00 AM–5:00 PM

Location: Hybrid/Portland, ME

Assignment Length: Approximately 5 months

About the Role

We are seeking a Provider Services Representative for a temporary, approximately five-month assignment. This is a customer-service-focused position supporting healthcare providers and medical offices with questions related to benefits, member eligibility, plan coverage, policies, and other health plan-related inquiries.

You do not need previous Provider Services experience to be considered. We are open to candidates with strong customer service backgrounds who are comfortable learning healthcare terminology and policies, researching detailed questions, navigating multiple computer systems, and providing professional service over the phone.

What You'll Do

• Respond to incoming calls and questions from healthcare providers and related organizations
• Assist with questions regarding benefits, eligibility, coverage, policies, and other health plan information
• Research issues and provide accurate information based on established policies and procedures
• Document calls, questions, and resolutions clearly and accurately
• Follow up on issues that cannot be resolved during the initial interaction
• Navigate multiple systems while speaking with providers
• Collaborate with other departments to research and resolve more complex questions
• Maintain professional and helpful communication, even during challenging interactions
• Manage multiple priorities in a fast-paced environment

What We're Looking For

• High school diploma or equivalent
• 3+ years of customer service experience
• Strong phone-based customer service and communication skills
• Strong computer skills with quick and accurate data entry
• Excellent attention to detail
• Strong organization, documentation, and follow-up skills
• Ability to research information and problem-solve
• Ability to multitask and prioritize
• Comfortable working independently while collaborating with a larger team
• Professional, patient, and adaptable when handling stressful or complicated situations

Helpful Experience

Experience in any of the following areas is a plus, but not required:

• Healthcare or health insurance
• Medical billing
• Medical office environments
• Claims
• Benefits or eligibility
• Insurance coverage
• Provider services
• High-volume phone-based customer service

Strong contact center/customer service experience with transferable skills is encouraged. If you're comfortable researching detailed questions, learning new systems and procedures, and helping customers navigate complex information, we'd like to hear from you.

Salary Disclaimer

The salary range for this role reflects the minimum and maximum compensation for the role. Offers are typically made between the range minimum and the range midpoint. Actual compensation will be determined based on job-related skills, experience, and expertise, as evaluated during the interview process. Compensation may also vary based on where a role is performed.