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Acentra Health · 11 hours ago

Customer Service Representative (Remote)

United States

Full-time

Remote

Entry Level

$15.85/hr - $19.81/hr

2+ years exp

Acentra Health is dedicated to empowering better health outcomes through technology and services. They are seeking a Customer Service Representative to serve as a key point of contact for customers, handling inquiries and ensuring a positive customer experience while adhering to internal policies and quality standards.

Health Care

Responsibilities

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

Identify medical claims meeting CPT/DRG audit criteria and submit the necessary billing data

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

Qualification

Customer service experienceActive listening skillsMedical terminology knowledgeMicrosoft Office SuiteBilingual Spanish/EnglishOrganizational skills

Required

High school diploma or equivalent required

Minimum of 2 years of customer service and call center experience required

Strong active listening and customer service communication skills, including verbal, written, and electronic communication, with the ability to communicate professionally and effectively