Acentra Health Is Hiring A Customer Service Representative

Join Acentra Health — Empowering Better Health Outcomes 💙

Acentra Health is committed to transforming healthcare through innovative technology, expert services, and clinical excellence. We invite passionate individuals to become part of our mission-driven team dedicated to making a positive impact in the public health sector.

Company Overview

At Acentra Health, our mission is to innovate health solutions that maximize value and create meaningful impact. Our rallying cry is Lead the Way, encouraging our team to actively engage in problem-solving and take ownership of their work every day.

We offer unparalleled opportunities for career growth and impact, fostering a passionate environment dedicated to being a vital partner for health solutions across the public sector.

Job Summary and Responsibilities

Customer Service Representative (Bilingual)

We are seeking a dedicated Customer Service Representative (Bilingual) to support our growing team in managing the Medicare Appeal process. This role involves answering incoming calls, resolving customer inquiries, complaints, and requests while adhering to internal policies and utilizing knowledge of our services to meet quality and productivity standards.

Work Environment & Schedule

🚀 This position is remote.

Shifts will be scheduled within our operating hours:

• Monday to Friday: 8:45 a.m. to 8:15 p.m. ET
• Weekends & Holidays: 9:45 a.m. to 7:15 p.m. ET

Job Responsibilities

• Develop and maintain a comprehensive knowledge of internal policies, procedures, and services.
• Utilize automated systems for logging and retrieving information, including electronic faxes.
• Handle inquiries from customers or providers via phone, email, fax, or mail, ensuring timely responses.
• Respond to calls and complaints promptly and courteously, following standard operating procedures.
• Communicate with hospitals, physicians, beneficiaries, and program recipients effectively.
• Investigate and resolve or escalate customer issues appropriately.
• Meet or surpass call volume and service level standards.
• Initiate and maintain demographic, provider, and procedure files with accurate data entry.
• Serve as a liaison between Review Supervisors and external providers.
• Maintain logs and document dispositions of all calls and interactions.
• Adhere strictly to all corporate policies, including HIPAA Privacy and Security rules.

Note: The list of responsibilities is not exhaustive and may expand based on organizational needs.

Qualifications

Required Qualifications

• High School diploma or equivalent.
• Minimum of two years of customer service experience.
• Bilingual in Spanish and English.

Preferred Qualifications

• Ability to research and resolve Medicaid program and service eligibility issues.
• Proficiency in Microsoft Office Suite.
• Knowledge of medical terminology.
• Familiarity with the health insurance industry.
• Effective verbal and listening skills.
• Knowledge of CPT and HCPCS codes (preferred).
• Bilingual in Spanish and English (a plus).

Why Join Us? 🤝

Our team comprises experienced leaders, clinicians, innovative technologists, and industry professionals united by a common goal: to redefine healthcare expectations. State and federal agencies, providers, and employers rely on us as a trusted partner to improve health outcomes and deliver better care.

We do this through our people. At Acentra Health, you will have meaningful work that impacts lives across the country. We prioritize our employees' development and well-being by providing the tools and support needed for your success.

Benefits 🎁

Our comprehensive benefits package is designed to provide security and support both at work and in your personal life. Benefits include:

• Health insurance plans
• Paid time off
• Retirement savings options
• Corporate wellness programs
• Educational assistance
• Discount programs
• And more...

Thank You! 🙏

We appreciate your interest in joining Acentra Health. Due to high application volumes, only those selected for interviews will be contacted. We encourage you to apply for future opportunities that align with your skills and interests.

Best of luck in your job search!

~ The Acentra Health Talent Acquisition Team

Visit us at https://careers.acentra.com/jobs

EEO AA M/F/Vet/Disability

We are proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, national origin, disability, veteran status, or any other protected category.

Compensation 💰

The starting pay range for this position is:

USD $17.20 per hour

Compensation will depend on experience, skills, and other considerations in line with our compensation philosophy.