Company Overview
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Job Summary and Responsibilities
Acentra Health is looking for a Customer Service Representative to join our growing team.
Job Summary:
We are seeking a Full-Time Customer Service Representative to join our Absence Management Department. As the first point of contact for our valued customers, you will play a key role in delivering exceptional service. Your responsibilities will include handling incoming calls with professionalism and care, resolving inquiries, addressing complaints, and fulfilling customer requests.This position will be fully remote.
Your ability to provide effective solutions while adhering to company policies and procedures will contribute directly to customer satisfaction and our overall success. If you excel in a fast-paced environment, enjoy problem-solving, and take pride in helping others, this opportunity is perfect for you!
Responsibilities:
- Handle customer inquiries via telephone, email, fax, or mail and provide responses within required turnaround times.
- Address telephone inquiries promptly, accurately, and courteously, ensuring a positive customer experience.
- Contact customers to respond to complex inquiries or notify them of claim investigation results.
- Accurately respond to inbound phone calls and processing provider and member inquiries.
- Use automated systems to accurately log, retrieve, and update information while ensuring timely data entry.
- Initiate cases by collecting and entering accurate demographic, provider, and procedure information into the system.
- Refer unresolved customer grievances, appeals, and claim resolution to designated departments.
- Collaborate with external partners, including hospitals, physicians, beneficiaries, and other program recipients, to resolve issues and provide support.
- Act as a liaison between internal teams and external partners, ensuring seamless communication and issue resolution.
- Consistently meet or exceed departmental standards for call volume and service quality.
- Investigate, resolve, or escalate issues to the appropriate team.
- Available to work scheduled work hours based on operational needs.
Qualifications
Required Qualifications
- High school diploma or equivalent required.
- Customer Service experience.
Preferred Qualifications
- Knowledge of medical terminology and familiarity with the health insurance industry.
- Effective verbal communication and active listening skills to engage with customers and partners.
- Bilingual proficiency in Spanish and English is a plus.
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
We do this through our people.
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Compensation
The pay range for this position is $18.00 per hour
Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.
Thank You!
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Visit us at Acentra.com/careers/
EEO AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
Pay Range
USD $25,728.00 - USD $40,200.00 /Yr.
