CNSI and Kepro are now Acentra Health! 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 company’s mission, actively engage in problem-solving, and take ownership of your work daily. 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 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.Position is remoteJob 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.
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 nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.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 interest you. Best of luck in your search! The Acentra Health Talent Acquisition TeamVisit us at Acentra.com/careers/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. Requirements
High School diploma or equivalent
2+ year’s customer service/telephone experience in a similar call center environment and/or industry
Preferred Qualifications/Experience:
Previous experience in the medical office or other medical setting
General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus)
Knowledge of CPT and HCPCS codes
BenefitsBenefits 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. CompensationThe pay rate for this position is $17.21 per hour“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.”
