Customer Service Representative - SCA

July 3, 2026 Auto Import

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 Customer Service Representative to join our growing team. Job Summary:The Call Center Representative is a front-line customer service role that assists state benefit system members and providers with questions regarding eligibility, benefits, claims, service authorizations, and program policies and procedures. This position responds to incoming calls, resolves customer inquiries, complaints, and requests, and adheres to established internal policies and procedures. <ul type="disc"><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Regular and reliable attendance is required, including the ability to work scheduled hours and meet job responsibilities in a timely manner.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">This position primarily involves working at a desk and using a computer for extended periods of time.</li><li style="font-style: italic; font-family: arial, helvetica, sans-serif; font-size: 10pt;">This position is remote, but candidates must reside within driving distance of El Paso, TX or Tallahassee, FL as needs could change from remote to on-site in the future.</li></ul> Responsibilities:<ul><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Available to work scheduled work hours based on operational needs. A shift will be assigned to you between the hours of 8:00am-8:00pm Monday through Friday</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Develop and maintain working knowledge of internal policies, procedures, and services.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Utilize automated systems to log and retrieve information; perform accurate and timely data entry.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Receive inquiries by telephone, email, fax, or mail and communicate responses within required turnaround times.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Respond to telephone inquiries in a prompt, accurate, and courteous manner.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Interact with external partners such as hospitals, physicians, beneficiaries, or other program recipients.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Perform verification of healthcare services to facilitate payment for received services.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Identify medical claims meeting CPT/DRG audit criteria and submit the necessary billing data.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Serve as liaison between the internal and external partners.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Investigate and resolve or report provider problems.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Meet or exceed standards for call volume and service level per department guidelines.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Initiate cases by collecting and entering demographic, provider, and procedure information into the system.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Complete daily, monthly, and quarterly reports necessary for clinical team operations.</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.</li></ul> Qualifications Required Qualifications<ul type="disc"><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">High School Diploma or GED equivalent</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Experience with computer applications, such as Microsoft Word and PowerPoint</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Minimum of one year of call center experience</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Must live within driving distance from El Paso, TX or Tallahassee, FL</li></ul>Preferred Qualifications<ul type="disc"><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Verbal and written communication skills, attention to detail, customer service skills</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Ability to work independently and manage one's time</li><li style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Ability to accurately document and record customer/client information</li></ul> 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. Experience in Lieu of Degree For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree. 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 <a href="https://acentrahealth-my.sharepoint.com/personal/jayson_miller_acentra_com/Documents/Documents/JD's/Visit%20us at Acentra.com/careers/" target="_blank" rel="noopener">Visit us at https://careers.acentra.com/jobs</a> 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, 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 $15.85 - USD $19.81 /Hr.

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