Temporary Provider Service Representative I

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

We are currently hiring for temporary Provider Service Representative positions, with a required start date of November 9, 2026. Candidates must be available to begin employment on this date. These temporary positions are anticipated to continue through approximately the end of March 2027, with the actual duration of the assignment based on business needs. The Provider Service Representative I is responsible for responding to telephone inquiries from providers & related entities regarding benefits, beneficiary eligibility, plan coverage and other related questions received on our benefits and eligibility line.

Representatives provide world-class customer service in a professional and timely manner for all inquiries regarding both the Martins Point USFHP and Generations Advantage programs.

To ensure a secure and reliable member experience, all Member Service Representatives must meet the following internet requirements: • Minimum home internet speed of 10 Mbps download and 1 Mbps upload • Latency of 70 ms or lower when not connected to the VPN • Computer must be connected directly to the modem/router via an Ethernet cable Job Description PRIMARY DUTIES AND RESPONSIBILITIES Answers verbal, written and electronic inquiries with complete and accurate information regarding Martin’s Point USFHP and Medicare programs. Provides additional education when applicable to callers related to policies, procedures and existing 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 as 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 inquiries with accurate and detailed information, following all applicable workflows and as well as departmental and regulatory requirements.

Uses soft skills to build trusting relationships in the context of mutual partnership creating a world class service experience for internal and external customers. Performs other duties as assigned Employees are expected to…

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