Job Responsibilities
- Answers verbal, written and electronic inquiries and gives complete and accurate information to providers and educates whenever possible regarding the USFHP Program and Medicare program’s policies, and procedures.
- Answers incoming telephone inquiries and coordinates resolution of provider inquiries within the time frames 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
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.
- 3+ years of Customer Service experience
- 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.
Company Description:About Our Client
Our Client, a leading healthcare organization in Portland, Maine, is looking for a Provider Inquiry Representative. The person in this role will have 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 the USFHP Program and Medicare programs.