Customer Service Agent – Data Entry Work From Home

Job Type: Customer Service Representative from home
Location: Florida work from home
Company: Acentra Health

You’ll be involved in work that truly makes a difference in people’s lives all over the nation. As a firm that values its workers, we provide you with the resources and motivation you need to produce the best job of your professional life.

A crucial element of any incentives program is benefits. Our benefits are intended to give you more safety, stability, and assistance for your professional life as well as your personal life when you’re not working. Comprehensive health plans, paid time off, retirement savings, corporate wellness, support for education, corporate discounts, and more are just a few of our advantages.

Responsibilities:

• Create a client file for each candidate.
• Respond to and monitor questions from service providers and members on program and service eligibility. Within predetermined timeframes, address problems or forward them to the proper parties for resolution.
• Answer phones, put callers on hold, and give necessary instructions.
• Process and produce correspondence about program and service eligibility, prior authorization of services, and necessary tracking within the allotted time frames.
• Inquiries about the status of previous authorizations are tracked and appropriately resolved, and providers are assisted in documenting activities in accordance with established norms.
• Within predetermined timeframes and procedures, record and log information about inquiries and complaints.

The list of responsibilities is not meant to be exhaustive and could occasionally be updated to incorporate other tasks that management may see important.

Requirements:

Essential Requirements

• Minimum requirement is a high school diploma; a bachelor’s or associate’s degree in a human services field is desirable.

Know-How, Proficiency, and Abilities

Information:

• General familiarity with corporate procedures and office environments
• Broad familiarity with eligibility verification (preference for Medicaid eligibility and program requirements related to a program of interest)
• Preferred is familiarity with CPT and HCPCS codes.
• Ability to use a PC with Microsoft Office Suite

Ability:

• Excellent communication skills both in writing and speaking
• Simple data entry abilities
• Outstanding ability to serve customers
• Ability to fulfill workload requirements set forth by the department
• Capacity to collaborate effectively with team members and management to help the department reach its objectives
• The capacity to multitask
• Strong aptitude for organizing
• Familiarity with Microsoft products

Skill Set:

• Possessing the capacity to interact with coworkers and outside clients in a successful manner
• Ability to investigate and settle problems pertaining to Medicaid program and service eligibility is required.
• Expertise
• One or more years of experience in a customer service or administrative support role
• Preferably, prior experience working in a medical office or other medical setting