Imagine a place where every call you answer helps someone navigate their health journey, where your kindness turns confusion into confidence, and where you can work from the comfort of your own home. That’s the world Acentra Health is building, and they’re looking for a caring, detail‑oriented Customer Service Representative to join their remote team. If you love helping people and thrive in a fast‑paced environment, keep reading—this could be the start of something wonderful.

Quick Snapshot

Job Type: Full‑time, Remote

Salary: Starting at USD $17.20 per hour

Firm: Acentra Health

Location: Fully remote

Work Schedule: Shifts between 8:45 a.m.–8:15 p.m. ET Monday‑Friday and 9:45 a.m.–7:15 p.m. ET on weekends and holidays_

Full job description

If you’re ready to make a real difference while enjoying flexible remote work, this could be the perfect fit!

Company Overview

Acentra Health empowers 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—an invitation to embrace the mission, actively engage in problem‑solving, and take ownership of your work every day. We offer unparalleled opportunities to take charge of your career and accelerate better outcomes while joining a team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Job Summary

The Customer Service Representative supports the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints, and requests in accordance with internal policies and procedures, and utilizing working knowledge of the organization’s services to meet productivity and quality standards. This position is *remote*.

Shift details

Monday – Friday: 8:45 a.m. – 8:15 p.m. ET

Weekends & holidays: 9:45 a.m. – 7:15 p.m. ET

Responsibilities

• Develop and maintain working knowledge of internal policies, procedures, and services (departmental and operational).
• Use automated systems to log and retrieve information.
• Perform accurate, timely data entry of electronic faxes.
• Receive inquiries from customers or providers by telephone, email, fax, or mail and communicate responses within required turnaround times.
• Respond to telephone inquiries and complaints promptly, accurately, and courteously, following standard operating procedures.
• Interact with hospitals, physicians, beneficiaries, or other program recipients.
• Investigate and resolve or report customer problems; identify and escalate difficult situations to the appropriate party.
• Meet or exceed standards for call volume and service level per department guidelines.
• Initiate files by collecting and entering demographic, provider, and procedure information into the system.
• Serve as liaison between Review Supervisors and external providers.
• Maintain logs and document disposition of incoming and outgoing calls.
• Read, understand, and adhere to all corporate policies, including HIPAA Privacy and Security Rules.

Qualifications (Requirements)

• High School diploma or equivalent.
• Minimum of two years of customer service experience.
• Ability to research and resolve issues related to Medicaid program and service eligibility.
• PC proficiency, including Microsoft Office Suite.
• Knowledge of medical terminology.
• Knowledge of the health insurance industry.
• Effective verbal and listening skills.
• Knowledge of CPT and HCPCS codes preferred.
• Spanish‑English language skills a plus (but not required).

Benefits

Comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

Pay range starting from USD $17.20 / hour; placement within the range depends on experience and skill level.

How to Apply

Thank you for your interest! Due to high volume, only candidates selected for interview will be contacted. To apply, submit your resume and a brief cover letter describing relevant experience through the online portal.

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, national origin, disability, veteran status, or any other protected status.

Knowing a second language is a bonus, not compulsory

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