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 Call Center Representative to join our growing team. Job Summary: The Call Center Representative is a front-line service position aiding state benefit system members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims, and authorization of services from members or providers. *This position is remote within the State of Tennessee but candidates residing in the Nashville area are preferred as training will be onsite in Nashville for the first four weeks. Responsibilities: Available to work scheduled work hours based on operational needs Accurately respond to inbound phone calls and processing provider and member inquiries Under general supervision, resolve customers' service or billing complaints by demonstrating sound judgement Contact customers to respond to complex inquiries or notify them of claim investigation results Refer unresolved customer grievances, appeals, and claim resolution to designated departments Keep records of customer interactions and transactions Actively listen and probe callers to determine the purpose of the calls Research and communicate information regarding member eligibility and claims status Assume responsibility for self-development and career progression Educate providers on how to submit claims and when/where to submit a treatment plan Perform necessary follow-up tasks to ensure member or provider needs are completely met Support team members and participate in team activities 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 2+ years of customer service-related experience Previous experience with computer applications, such as Microsoft Word and PowerPoint Must reside within the State of Tennessee Preferred Qualifications Bilingual in Spanish Verbal and written communication skills, attention to detail, customer service skills Ability to work independently and manage one's time Ability to accurately document and record customer/client information 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 Acentra.com/careers/ 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, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. 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 $12.37 - USD $18.00 /Hr.