Provider Service Representative

Martin’s Point Health Care•Portland, ME

1d•$20 - $25•Remote

About The Position

The Provider Service Representative I is responsible for professionally responding to telephone inquiries from providers and related entities. Inquiries may include, but are not limited to, benefits, eligibility, plan coverage, enrollment status, claims adjudication, billing, and payments for Martin’s Point USFHP and Medicare programs.

Requirements

High school diploma or equivalent.
3 years of customer service experience.
Terms of employment may require the applicant/incumbent to qualify, obtain and maintain a Position Level of Trustworthiness from the U.S. Government Office of Personnel Management.
Additionally, this position may require the applicant/incumbent to be a U.S. citizen.
Demonstrates an understanding of and alignment with Martin’s Point Values.
Excellent customer service skills
Ability to work efficiently and independently.
Analytical skills in research and problem resolution.
Strong computer skills (keyboard proficient, quick data entry with a high level of accuracy).
Ability to talk and type.
Active Listener
Able to work cooperatively with other departments.
Multi-task oriented with the ability to prioritize.
Detail oriented.
Well organized with excellent follow up skills.
Ability to handle stressful situations and can easily adapt to change.
This position is not eligible for immigration sponsorship.

Nice To Haves

Previous experience in a medical billing position preferred.

Responsibilities

Answers verbal, written and electronic inquiries with complete and accurate information and educates when possible regarding Martin’s Point USFHP and Medicare program’s policies, procedures and 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 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 provider inquiries with accurate and detailed information according to correct template, including the resolution and next steps of the inquiry.
Uses soft skills to build trusting relationships in the context of mutual partnership creating a world class service experience for internal and external customers.