Note: The job is a remote job and is open to candidates in USA. Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. The Customer Service Representative will answer incoming calls and resolve customer inquiries while adhering to internal policies and procedures.
Responsibilities
- Develop and maintain working knowledge of internal policies, procedures, and services
- Utilize automated systems to log and retrieve information; perform accurate and timely data entry
- Receive inquiries by telephone, email, fax, or mail and communicate responses within required turnaround times
- Respond to telephone inquiries in a prompt, accurate, and courteous manner
- Interact with external partners such as hospitals, physicians, beneficiaries, or other program recipients
- Perform verification of healthcare services to facilitate payment for received services
- Serve as liaison between the internal and external partners
- Investigate and resolve or report provider problems
- Meet or exceed standards for call volume and service level per department guidelines
- Initiate cases by collecting and entering demographic, provider, and procedure information into the system
- Complete daily, monthly, and quarterly reports necessary for clinical team operations
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules
Skills
- Requires a High School diploma or equivalent
- Requires a minimum of two years of customer service experience or related experience
- Knowledge of medical terminology
- Knowledge of the health insurance industry
- Effective verbal and listening skills
- Bilingual Spanish-English a plus
Benefits
- Comprehensive health plans
- Paid time off
- Retirement savings
- Corporate wellness
- Educational assistance
- Corporate discounts
Company Overview