Acentra Health · 1 day ago
Customer Service Representative
United States
Full-time
Remote
Entry Level
$15.48/hr - $17.20/hr
2+ years exp
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Responsibilities
Develop and maintain working knowledge of internal policies, procedures, and services (both departmental and operational)
Utilize automated systems to log and retrieve information; Perform accurate and timely data entry of electronic faxes
Receive inquiries by telephone, email, fax, or mail and communicates response within required turnaround times
Respond to telephone inquiries in a prompt, accurate, and courteous manner following standard operating procedures
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 submits the necessary billing data and healthcare records to the third-party auditor
Serve as liaison between the internal and external partners
Investigate and resolve or report provider problems and identify and escalate difficult situations to the appropriate party
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
May be responsible for the completion of daily, monthly, and quarterly reports necessary for the clinical team operations and client reporting
Qualification
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Required
High School diploma or equivalent
Proficiency in using PC tools, including electronic mail, intranet, and standard industry applications
Effective verbal and listening skills to provide courteous and professional customer service
Preferred
Knowledge of the health insurance industry
Experience working in a healthcare setting
Medical terminology knowledge is preferred
Bilingual (Spanish/English) skills are a plus
Minimum of two years of customer service experience
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.
1,001-5,000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2022-11-09Acquired· undefined
Leadership Team
Grant Christie
Senior Vice President, Market Strategy and Solutions
Ryan Bosch
Executive Vice President, Chief Health and Informatics Officer
Company data provided by crunchbase
