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.

Job Description 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

Martin’s Point Health Care is a progressive, not-for-profit organization providing care and coverage to the people of Maine and beyond. The organization operates six primary care health care centers in Maine and New Hampshire, accepting most major insurance plans. Martin’s Point also administers two health plans: Generations Advantage (Medicare Advantage plans available throughout Maine and New Hampshire), and the US Family Health Plan (TRICARE Prime® plan for active-duty and retired military families in northern New England, upstate New York, and western Pennsylvania). For more information, visit https://careers.martinspoint.org .