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Client Support Specialist

2 months ago


South Portland, Maine, United States Acentra Health Full time
Position Overview

Acentra Health is dedicated to enhancing health outcomes through innovative technology, comprehensive services, and clinical expertise. Our mission is to create health solutions that provide maximum value and impact.

Join Our Team

Acentra Health is currently seeking a Client Support Specialist to become a vital part of our expanding team.

Role Summary:

The primary objective of this role is to manage incoming calls, addressing customer inquiries, complaints, and requests while adhering to established policies and procedures. This position requires a solid understanding of the organization's services to meet both productivity and quality benchmarks.

Key Responsibilities:

  • Acquire and maintain a thorough understanding of internal policies, procedures, and services.
  • Utilize automated systems for logging and retrieving information; ensure accurate and timely data entry.
  • Handle inquiries via telephone, email, or mail, providing responses within designated turnaround times.
  • Respond to calls in a timely, accurate, and professional manner, following standard operating procedures.
  • Engage with external partners such as healthcare providers and beneficiaries.
  • Verify healthcare services to facilitate payment processes.
  • Identify medical claims that meet audit criteria and submit necessary documentation to auditors.
  • Investigate and resolve provider issues, escalating complex situations as needed.
  • Initiate cases by collecting and entering relevant demographic and service information.
  • Prepare daily, monthly, and quarterly reports as required for clinical operations and client reporting.

Qualifications:

Required:

  • High School diploma or equivalent.
  • A minimum of two years of experience in customer service.
  • Proficient PC skills, including email and standard applications.
  • Familiarity with medical terminology or the health insurance sector.

Preferred:

  • Strong verbal and listening skills to provide professional customer service.

Why Choose Acentra Health?

We are a collective of experienced leaders, clinicians, and industry professionals committed to transforming the healthcare landscape. Our partnerships with state and federal agencies, providers, and employers enable us to ensure improved healthcare and health outcomes.

Our Commitment to You:

At Acentra Health, you will engage in meaningful work that positively impacts lives across the nation. We prioritize our employees' well-being, equipping you with the necessary tools and support to excel in your career.

Thank You for Your Interest

We appreciate your time and interest in this position. Due to the volume of applications, only candidates selected for further consideration will be contacted. We value your interest in Acentra Health and encourage you to explore future opportunities.

Equal Opportunity Employer

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 law.

Benefits Overview

Our benefits package is designed to offer additional protection and support for your career and personal life. Benefits include comprehensive health plans, paid time off, retirement savings, wellness programs, educational assistance, and more.

Compensation Information

The compensation for this position is competitive and based on various factors, including relevant experience and skill level.