Customer Service Representative

Acentra Health; Nashville (TN); On-site; USD 22,000 - 25,000; Full time

Benefits offered by this job

comprehensive health plans

paid time off

retirement savings

corporate wellness

educational assistance

corporate discounts

and more

Job summary

Acentra Health is seeking a Customer Service Representative to handle incoming calls, resolve questions, complaints, and requests in line with internal policies. The role emphasizes accuracy, HIPAA compliance, and timely data entry, with collaboration across hospitals, physicians, and program participants.

Applicants should have at least a high school diploma and two years of customer service experience; medical terminology background is a plus, and bilingual Spanish-English is beneficial.

Qualifications

• Requires a High School diploma or equivalent.
• Requires a minimum of two years of customer service experience.
• Medical terminology course(s) preferred.
• Bilingual Spanish-English a plus.

Responsibilities

• Regular and reliable attendance is required, including the ability to work scheduled hours and meet job responsibilities in a timely manner.
• This position primarily involves working at a desk and using a computer for extended periods of time.
• 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.
• Complete daily, monthly, and quarterly reports necessary for clinical team operations.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

Skills

Customer service experience

Bilingual Spanish-English

Education

High School diploma or equivalent

Job description

Company Overview

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.

Job Summary and Responsibilities

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

Job 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.

• Regular and reliable attendance is required, including the ability to work scheduled hours and meet job responsibilities in a timely manner.
• This position primarily involves working at a desk and using a computer for extended periods of time.

• 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.
• Complete daily, monthly, and quarterly reports necessary for clinical team operations.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

Qualifications

Required Qualifications

• Requires a High School diploma or equivalent.
• Requires a minimum of two years of customer service experience.
• Medical terminology course(s) preferred.

Preferred Qualifications

• Knowledge of medical terminology.
• Knowledge of the health insurance industry.
• Effective verbal and listening skills.
• Bilingual Spanish-English a plus.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

• comprehensive health plans
• paid time off
• retirement savings
• corporate wellness
• educational assistance
• corporate discounts
• and more

Experience in Lieu of Degree

For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.

Compensation

The pay range for this position is listed below.

Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

Pay Range

USD $15.85 - USD $18.00 /Hr.

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.