Enable job alerts via email!

Customer Service Representative - SCA (Remote)

Acentra Health

Virginia, McLean (MN, VA)

Remote

USD 26,000 - 36,000

Full time

6 days ago
Be an early applicant

Boost your interview chances

Create a job specific, tailored resume for higher success rate.

Job summary

An innovative firm is seeking a Customer Service Representative to enhance the Medicare Appeal process. This role involves addressing customer inquiries, resolving issues, and ensuring compliance with internal policies. As a remote position, it offers flexibility while allowing you to contribute meaningfully to health solutions. Join a passionate team dedicated to improving health outcomes and enjoy comprehensive benefits, including health plans and educational assistance. This is a fantastic opportunity for those looking to make a positive impact in the healthcare industry.

Benefits

Comprehensive Health Plans
Paid Time Off
Retirement Savings
Corporate Wellness
Educational Assistance
Corporate Discounts

Qualifications

  • Ability to communicate effectively with team members and customers.
  • Proficiency in PC and data entry tasks.

Responsibilities

  • Support the Medicare Appeal process by answering calls and resolving inquiries.
  • Maintain logs and document call dispositions.

Skills

Effective Communication
Problem-Solving
Research Skills
Data Entry

Education

High School Diploma

Tools

Microsoft Office Suite

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 seeks a Customer Service Representative to join our growing team.

Job Summary:

The Customer Service Representative is responsible for supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints and requests adhering to internal policies and procedures and utilizing working knowledge of the organization's services to meet productivity and quality standards.

*This position is remote*

Job Responsibilities:

  • Develops and maintains working knowledge of internal policies, procedures, and services (both departmental and operational)
  • Utilizes automated systems to log and retrieve information. Performs accurate and timely data entry of electronic faxes
  • Receives inquiries from customers or providers by telephone, email, fax, or mail and communicates response within required turnaround times
  • Responds to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures
  • Interacts with hospitals, physicians, beneficiaries, or other program recipients
  • Investigates and resolves or reports customer problems. Identifies and escalates difficult situations to the appropriate party
  • Meets or exceeds standards for call volume and service level per department guidelines
  • Initiates files by collecting and entering demographic, provider, and procedure information into the system
  • Serves as liaison between the Review Supervisors and external providers
  • Maintains logs and documents disposition of incoming and outgoing calls
  • Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

Qualifications

Required Qualifications

  • High School diploma or equivalent
  • Must have ability to effectively communicate with team members and external customers
  • Must have ability to research and resolve issues related to Medicaid program and service eligibility
  • PC proficiency to include Microsoft Office Suite

Preferred Qualifications/Experience:

  • 2+ year's customer service/telephone experience in a similar call center environment and/or industry
  • Previous experience in the medical office or other medical setting preferred
  • General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus preferred)
  • Knowledge of CPT and HCPCS codes preferred

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

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest.

Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Careers - Acentra Health

EOE 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, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

The pay range for this position is below.

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


Pay Range

USD $26,368.00 - USD $35,776.00 /Yr.
Get your free, confidential resume review.
or drag and drop a PDF, DOC, DOCX, ODT, or PAGES file up to 5MB.

Similar jobs

Remote Customer Service Representative

GetInsured

Springfield

Remote

USD 10,000 - 60,000

6 days ago
Be an early applicant

Sr. Service Desk Agent

CGS Federal (Contact Government Services)

Springfield

Remote

USD 31,000 - 46,000

Yesterday
Be an early applicant

Customer Service And Sales Support Representative

Rustman Agency

Springfield

Remote

USD 10,000 - 60,000

30+ days ago

Customer Service Representative, PT Evenings

Circle K

Springfield

On-site

USD 10,000 - 60,000

8 days ago

Customer Specialist

CarMax

Easton

On-site

USD 35,000 - 55,000

5 days ago
Be an early applicant

Customer Service Associate (PT)

Cloud10 Car Wash

Mechanicsburg

On-site

USD 10,000 - 60,000

9 days ago

Customer Service Representative

Lensa

Springfield

Hybrid

USD 10,000 - 60,000

30+ days ago

Flexible and Remote- Client Service Rep

Global Elite

Springfield

Hybrid

USD 10,000 - 60,000

21 days ago

AVN - Customer Service Representative

UNAVAILABLE

Easton

On-site

USD 35,000 - 55,000

30+ days ago