Provider Services Representative 1

🔥 1 minute ago

🦞 Maine – Remote

🦞 Maine – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Representative

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Martin's Point Health Care

WebsiteLinkedInAll Job Openings

501 - 1000 employees

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

Martin's Point Health Care is a healthcare organization committed to serving its local communities through high-quality primary and specialty care services. The organization places a strong emphasis on creating a positive workplace culture, recognizing employee contributions, and fostering workforce diversity. Martin's Point Health Care offers a range of career opportunities across various departments, from healthcare providers to corporate roles, and supports employee growth through competitive compensation, development programs, and generous perks. Additionally, the company is recognized for its community impact efforts, raising significant funds for community organizations and encouraging employee volunteerism.

📋 Description

• Responding to telephone inquiries from providers & related entities regarding benefits, beneficiary eligibility, plan coverage and other related questions • Providing world-class customer service in a professional and timely manner for all inquiries regarding both the Martins Point USFHP and Generations Advantage programs • Answers verbal, written and electronic inquiries with complete and accurate information regarding Martin’s Point USFHP and Medicare program • Provides additional training 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 • Uses soft skills to build trusting relationships in the context of mutual partnership creating a world class service experience for internal and external customers

🎯 Requirements

• High School Diploma or equivalent • 3+ years of customer service experience • Previous experience in a medical billing position preferred • Excellent customer service skills • Analytical 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 • Demonstrates an understanding of and alignment with Martin’s Point Values • Ability to work efficiently and independently • Ability to talk and type • Active Listener • Able 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 change

🏖️ Benefits

• Full time