Arcadia Healthcare Solutions

  • Customer Service Representative

  • Overview

    Arcadia Solutions is a leader in the Value Based Care services and operations for clients and insurance companies who have shared financial risk and managed quality of care. We represent the provider community while recognizing the needs of insurance-based products and benefits. Our existing clients have used our services to thrive in the real-world of managed capitation and bonus attainment.

    Our Customer Service Representatives are responsible for answering the phones in a timely manner, being a skilled problem solver, have the ability to work well with others along with meeting set quality standards.  Be courteous and professional while providing information to callers. Plus additional projects and assistance with mailing projects as needed.


    • 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
    • Maintain accurate and complete call documentation
    • Maintain high level of professionalism
    • Return incoming calls
    • Other duties as assigned


    • Use of multiple systems including 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


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