Temporary Provider Services Specialist

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

Job summary

Martin's Point Health Care is hiring a temporary Provider Service Representative I to handle inquiries about benefits, eligibility, and plan coverage for USFHP and Generations Advantage programs. The role emphasizes world-class customer service and timely responses to providers and related entities.

Requirements include a High School Diploma, 3+ years of customer service experience, and familiarity with medical billing.

Qualifications

• High School Diploma or equivalent.
• 3+ years of customer service experience required.
• Previous experience in a medical billing position preferred.

Responsibilities

• Answers 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.
• 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.

Skills

Excellent customer service

Analytical skills

Data entry accuracy

Well-organized

Education

High School Diploma or equivalent

Job description

Martin's Point Health Care is hiring a temporary Provider Service Representative I to handle inquiries about benefits, eligibility, and plan coverage for USFHP and Generations Advantage programs. The role emphasizes world-class customer service and timely responses to providers and related entities.

Requirements include a High School Diploma, 3+ years of customer service experience, and familiarity with medical billing.