Temporary Provider Service Representative I

Martin's Point Health Care Inc.; Portland (ME); On-site; USD 28,000 - 34,000; Full time

Job summary

Martin's Point Health Care Inc. is seeking a Provider Service Representative I in Portland, ME. The role handles inquiries about USFHP and Medicare programs, delivering accurate information and education to providers and related entities.

The position requires 3+ years in customer service, solid computer/data-entry skills, and the ability to multi-task while maintaining high-quality service. Equal opportunity employer; compensation includes a competitive pay range and benefits.

Qualifications

• High School Diploma or equivalent.
• 3+ years of customer service experience.
• Experience in medical billing preferred.
• Excellent customer service and problem-resolution skills.
• Strong computer skills and accurate data entry.
• Well-organized with strong follow-up skills.

Responsibilities

• Answer verbal, written and electronic inquiries with complete and accurate information regarding Martin’s Point USFHP and Medicare programs.
• Provide education on policies, procedures and self-service options.
• Respond to inquiries and partner with provider on next steps and resolution.
• Document all inquiries with accurate information following workflows and regulatory requirements.
• Build trusting relationships with internal and external customers to create world-class service.

Skills

Customer service

Analytical skills

Data entry

Excellent communication

Active listening

Multitasking

Detail oriented

Education

High School Diploma or equivalent

Job description

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of \"people caring for people,\" Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a \"Great Place to Work\" since 2015.Position SummaryThe Provider Service Representative I is responsible for responding to telephone inquiries from providers & related entities regarding benefits, beneficiary eligibility, plan coverage and other related questions received on our benefits and eligibility line. Representatives provide world-class customer service in a professional and timely manner for all inquiries regarding both the Martins Point USFHP and Generations Advantage programs.Job DescriptionPRIMARY DUTIES AND RESPONSIBILITIESAnswers verbal, written and electronic inquiries with complete and accurate information regarding Martin’s Point USFHP and Medicare programs.Provides additional education when applicable to callers related to policies, procedures and existing self-service options.Responds to incoming inquiries and partners with provider on possible next steps and or resolution. This should be completed within the timeframes as outlined in Representative Expectations document.Collaborates with PI Research team and/or other departments when needed to resolve Provider issues.Follows up in a timely manner with providers when first call resolution is not possible.Stays educated on existing and new information available through Provider Services internal resources.Documents all inquiries with accurate and detailed information, following all applicable workflows and as well as departmental and regulatory requirements.Uses soft skills to build trusting relationships in the context of mutual partnership creating a world class service experience for internal and external customers.Performs other duties as assignedEmployees are expected to work consistently to demonstrate the mission, vision, and core values of the organization.POSITION QUALIFICATIONSEducationHigh School Diploma or equivalent.Experience3+ years of customer service experience required.Previous experience in a medical billing position preferred.SkillsExcellent customer service skillsAnalytical skills in research and problem resolution.Strong computer skills (keyboard proficient, quick data entry with a high level of accuracy).Well-organized with excellent follow-up skills.AbilitiesDemonstrates an understanding of and alignment with Martin’s Point Values.Ability to work efficiently and independently.Ability to talk and type.Active ListenerAble to work cooperatively with other departments.Multi-task oriented with the ability to prioritize.Detail oriented.Ability to handle stressful situations and can easily adapt to changeThere are additional competencies linked to individual contributor, provider, and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to your position.Pay Range: $20.20 - $24.95 The pay range above reflects the anticipated base pay range based on a full-time position. Actual compensation will be determined based on factors such as experience, skills, qualifications, and other job-related considerations. Employees may also be eligible for additional compensation, including incentive or commission-based programs, where applicable and subject to the terms of the relevant plan.This position is not eligible for immigration sponsorship.We are an equal opportunity/affirmative action employer.Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [e-mail] you have a question about careers at Martin’s Point Health Care? Contact us at: [e-mail]