Acentra Health is dedicated to empowering better health outcomes through technology and services. They are seeking a Customer Service Representative to answer incoming calls, resolve customer inquiries, and ensure adherence to internal policies while providing excellent service.
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
- 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
- Perform monitoring tasks of the database and notify management of errors and/or problems
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules
Requirements:
- High School diploma OR GED equivalent
- Must reside in the state of Alabama
- A minimum of 2+ years of customer service experience
- A minimum of 2+ years of experience handling high-volume phone interactions
- Computer proficient with a strong ability to rapidly adapt to new customer service platforms
- Strong verbal and written communication skills
- The required work Hours are Monday through Friday, 10:00 AM to 7:00 PM Central, and you may need to work over 30 to 60 minutes after the regular shift ends
- The selected candidate must also be willing to work alternating Saturday shifts from 10:00 AM to 4:00 PM Central
- Medical terminology course(s)
- Knowledge of the health insurance industry
- Bilingual Spanish-English