Arcadia Healthcare Solutions

Call Center Representative



The Call Center Representative is responsible for answering the phones in a timely and courteous manner and providing appropriate answers to callers.  Additional projects and assistance with mailing projects is also required.


  • Assure the accurate and timely handling of client calls with total follow through.
  • Provide excellent customer service.
  • Answer client and provider questions including, but not limited to:  claims payment, status and coverage information.
  • Interpret client health plan protocol.
  • Backup to the claims processing area by assisting with reports and workflow queues as assigned.
  • Check tracer documentation
  • Phone call logs
  • Return incoming calls
  • Return mail investigation
  • Other duties as assigned


  • Proficiency in Microsoft Office Applications
  • Excellent verbal and written communication skills
  • Spanish speaking (preferred)
  • Good attention to detail and commitment to quality
  • Positive mental attitude
  • Ability to multi-task
  • Deadline oriented
  • Ability to work independently with minimal supervision
  • Health Care/Health insurance background preferred


  • High school diploma.



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