Customer Service Representative-SCA

Acentra Health is dedicated to empowering better health outcomes through innovative 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 authorization of services.

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

Requirements:

• High School Diploma or GED equivalent
• Experience with computer applications, such as Microsoft Word and PowerPoint
• Minimum of two years of customer service experience
• Must live within driving distance from El Paso, TX or Tallahassee, FL
• Verbal and written communication skills, attention to detail, customer service skills
• Ability to work independently and manage one's time
• Ability to accurately document and record customer/client information