Acentra Health · 3 weeks ago
Customer Service Representative (Hybrid - Cary, NC)
Cary, NC
Full-time
Hybrid
Entry Level
$17/hr - $17.50/hr
2+ years expAcentra Health is dedicated to empowering better health outcomes through technology and services. They are seeking a Customer Service Representative to answer incoming calls, address customer inquiries, and resolve complaints while adhering to internal policies and procedures.
Health Care
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
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
Required
Requires a High School diploma or equivalent
Requires a minimum of two years of customer service experience
Preferred
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
Acentra Health
Acentra Health is a provider of clinical services and technological solutions to government healthcare organizations.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2022-11-09Acquired
Leadership Team
Grant Christie
Senior Vice President, Market Strategy and Solutions
Patricia Obermaier
EVP and Chief Growth Officer
Recent News
2026-01-13
Company data provided by crunchbase