Provider Inquiry Representative I
Provider Inquiry Representative I
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Join Martins Point Health Care an innovative notforprofit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier community. Martins 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 Martins Point has been certified as a Great Place to Work since 2015.
Position Summary
Job Description
- The Provider Service Representative Is major responsibility is to professionally respond to telephone inquiries from providers & related entities. The questions will be concerning but not limited to benefits eligibility plan coverage enrollment status claims adjudication process billing and payments for Martins Point USFHP Program and Medicare programs.
- Job DescriptionJob Description
Key Outcomes:
- Answers verbal written and electronic inquiries with complete and accurate information and educates when possible regarding Martins Point USFHP and Medicare programs 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.
Education/Experience:
- High school diploma or equivalent.
- 3years of customer service experience.
Requirements:
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.
Skills/Knowledge/Competencies (Behaviors):
- Demonstrates an understanding of and alignment with Martins Point Values.
- Excellent customer service skills
- Previous experience in a medical billing position preferred.
- 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.
- Multitask 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.
There 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.
We are an equal opportunity/affirmative action employer.
Do you have a question about careers at Martins Point Health Care Contact us at:
Required Experience:
Unclear Seniority
Employment Type
Full-Time
