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Acentra Health · 12 hours ago

Customer Service Representative-SCA

United States

Full-time

Remote

Entry Level

$15.85/hr - $17.76/hr

1+ years exp

Acentra Health is dedicated to empowering better health outcomes through technology and services. They are seeking a Call Center Representative to assist state benefit system members and providers with inquiries related to eligibility, benefits, claims, and services.

Health Care

Responsibilities

Available to work scheduled work hours based on operational needs. A shift will be assigned to you between the hours of 8:00am-8:00pm Monday through Friday

Accurately respond to inbound phone calls and processing provider and member inquiries

Under general supervision, resolve customers' service or billing complaints by demonstrating sound judgement

Contact customers to respond to complex inquiries or notify them of claim investigation results

Refer unresolved customer grievances, appeal, and claim resolution to designated departments

Keep records of customer interactions and transactions

Actively listen and probe callers to determine the purpose of the calls

Research and communicate information regarding member eligibility and claims status

Assume responsibility for self-development and career progression

Educate providers on how to submit claims and when/where to submit a treatment plan

Perform necessary follow-up tasks to ensure member or provider needs are completely met

Support team members and participate in team activities

Qualification

Call center experienceMicrosoft WordMicrosoft PowerPointCustomer service skillsVerbal communicationWritten communicationAttention to detailTime managementDocumentation skills