Temporary Provider Service Representative I

Project Staffing; Biddeford (ME); Hybrid; USD 28,000 - 34,000; Full time

Job summary

Maine Staffing Group is seeking a Provider Service Representative I for a 5-month assignment in Portland, Maine. You will serve as the primary contact for healthcare providers, handling inquiries about benefits, eligibility, plan coverage and claims with accurate, courteous service.

The ideal candidate has at least 3 years of customer service experience, a High School Diploma, and strong communication skills.

Qualifications

• Education High School Diploma or equivalent required.
• Experience Minimum of 3 years of customer service experience required.
• Previous medical billing, healthcare customer service, or health insurance experience preferred.

Responsibilities

• Answer inquiries from providers with accurate information on health plan and Medicare programs.
• Educate providers on policies, procedures, and self-service resources.
• Research and respond to provider inquiries with timely resolution.
• Collaborate with internal teams to resolve provider concerns.
• Follow up with providers when issues cannot be resolved initially.
• Maintain knowledge of current policies, procedures and resources.
• Accurately document all provider interactions per requirements.
• Build positive relationships with providers through professional communication.

Skills

Excellent customer service

Communication skills

Analytical skills

Problem-solving

Data entry and software proficiency

Education

High School Diploma or equivalent

Job description

Temporary Provider Service Representative I5 month assignment starting 11/2/26

Pay Range: $20.20 - $24.95 per hour

Location: Portland, Maine - option for hybrid remote, must be able to travel to Portland

Schedule: M-Fr 8-5

Position Summary

Our client is seeking a Provider Service Representative I to join their team. In this role, you will serve as the primary point of contact for healthcare providers and related entities, responding to inquiries regarding benefits, member eligibility, plan coverage, claims-related questions, and other service-related matters. The ideal candidate is customer-focused, detail-oriented, and committed to delivering exceptional service while resolving provider issues efficiently and professionally.

Key Responsibilities

• Answer phone, written, and electronic inquiries from providers with accurate and complete information regarding health plan and Medicare-related programs.
• Educate providers on policies, procedures, and available self-service resources.
• Research and respond to provider inquiries, ensuring timely resolution within established service standards.
• Collaborate with internal teams to investigate and resolve provider concerns.
• Follow up with providers when issues cannot be resolved during the initial interaction.Maintain knowledge of current policies, procedures and internal resources.
• Accurately document all provider interactions in accordance with departmental and regulatory requirements.
• Build positive relationships with providers through professional communication and strong customer service skills.
• Perform additional duties as assigned.

Qualifications

EducationHigh School Diploma or equivalent required.

ExperienceMinimum of 3 years of customer service experience required.

Previous medical billing, healthcare customer service, or health insurance experience preferred.

Required Skills

• Excellent customer service and communication skills.
• Strong analytical and problem-solving abilities.
• Proficiency with computers, data entry, and multiple software applications.
• Strong organizational and follow-up skills.
• Ability to maintain accuracy while working in a fast-paced environment.

Required Abilities

• Ability to work independently and manage multiple priorities.
• Comfortable speaking with customers while accurately documenting information.
• Active listening and relationship-building skills.
• Ability to collaborate effectively across departments.
• Strong attention to detail.
• Adaptability and the ability to remain composed in stressful situations.