Provider Inquiry Representative I

Martin's Point Health Care | Portland, ME

Posted Date 10/08/2019
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 Summary:

The Provider Inquiry Representative I has the primary responsibility of answering incoming telephone, written and electronic correspondence inquiries from providers & related entities concerning but not limited to: benefits plan coverage, enrollment status, claims adjudication process, billing and payments for Martin’s Point USFHP Program and Medicare programs.

Key Outcomes:

  • Answers verbal, written and electronic inquiries and gives complete and accurate information to providers and educates whenever possible regarding Martin’s Point USFHP Program and Medicare program’s policies, and procedures.
  • Answers incoming telephone inquiries and coordinates resolution of provider inquiries within the timeframes outlined in Representative Expectations document.
  • Coordinates with other departments when needed and appropriate to resolve Provider issues
  • Stays informed and educated on all updates provided through the Link Huddle site.
  • Maintains excellent documentation of provider inquiries, which provides detailed information of each inquiry, including the resolution of the inquiry.
  • Delivers service in a courteous, friendly and professional manner, to both internal and external customers

Education/Experience:

  • High school diploma or equivalent.
  • 3+ years 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 Martin’s 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.
  • 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

We are an equal opportunity/affirmative action employer.

Do you have a question about careers at Martin’s Point Health Care? Contact us at: jobinquiries@martinspoint.org

Geographic Region
Greater Portland/Casco Bay
Industry
Healthcare

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