Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. 

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. 

Acentra is looking for a Customer Service Representative to join our growing team.

Summary:

The purpose of this position is to answer incoming telephone calls and resolve customer questions, complaints, and requests while adhering to internal policies and procedures. You will leverage your working knowledge of the organization’s services to meet productivity and quality standards.

Responsibilities:

Develop and maintain a working knowledge of internal policies, procedures, and services Utilize automated systems to log and retrieve information; perform accurate and timely data entry of electronic faxes Receive inquiries via telephone, email, fax, or mail, and respond within required turnaround times Interact with external partners such as hospitals, physicians, beneficiaries, and other program recipients Perform verification of healthcare services to facilitate payment for received services Identify medical claims meeting CPT/DRG audit criteria and submit billing data and healthcare records to the third-party auditor Serve as a liaison between internal teams and external partners Investigate and resolve or report provider issues and escalate difficult situations to the appropriate party Meet or exceed standards for call volume and service level in line with department guidelines Collect and enter demographic, provider, and procedure information into the system to initiate cases May assist in the completion of daily, monthly, and quarterly reports required for clinical team operations and client reporting