Patient Services Representative

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.

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.