Healthcare Customer Support Specialist

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

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.