Client Services Support Representative

Health-One-Alliance,-LLC; Dalton (GA); On-site; USD 42,000 - 68,000; Full time

Benefits offered by this job

401K

Health Insurance

Paid Time Off

Dental Insurance

Vision Insurance

Life Insurance

Short Term Disability

Long Term Disability

Flexible Spending Account

Health Savings Account

Job summary

HealthOne is seeking a Client Services Support Representative in the United States (Georgia). The role handles provider calls about claims status and payment-related inquiries, processes member payments by phone, and ensures accurate documentation in the system, all while maintaining HIPAA compliance in a high-volume environment.

Qualifications include a high school diploma or equivalent, customer service experience, and strong confidentiality and time-management skills.

Qualifications

• Requires a high school diploma or its equivalent.
• Customer service experience preferred.
• Confidentiality and time management skills are essential.
• Bilingual preferred.

Responsibilities

• Answers incoming provider phone calls regarding claims status and payment-related questions.
• Researches claim status and communicates findings clearly to the provider.
• Takes member payments over the phone and processes them according to company procedures.
• Documents all interactions in the appropriate system(s) accurately and timely.
• Adheres to standard operating procedures, call scripts, and compliance requirements.
• Escalates unresolved or complex issues to appropriate internal teams as necessary.
• Meets defined performance targets related to call handling time, accuracy, and quality.
• Attends training sessions and team meetings as scheduled.

Skills

Customer service

HIPAA compliance

Data entry

Time management

Education

High school diploma or equivalent

Job description

MISSIONOur mission is to enhance well-being by connecting individuals with vital health resources through a compassionate workforce that embodies the spirit of neighbors helping neighbors.VALUESHealthOne is guided by a cultural framework that embodies our values and drives our decisions.Our PURPOSE is to care for people by connecting them to resources that help protect them in health related situations. To fulfill our purpose, we align our PRIORITIES to ensure each decision we make is ethical, empathetic, economical, and efficient. We care for PEOPLE by being welcoming, authentic, truthful, consistent, and humble. We are continuously looking for ways to improve our PROCESS and how we get things done.HealthOne seeks individuals with integrity and heart to embody our values. Whether you’re starting your career or looking to develop additional skills to reach your full potential, HealthOne provides the means to help you achieve your goals.JOB PURPOSEThe Client Services Support Representative is responsible for handling incoming provider phone calls related to claims status and inquiries, as well as processing member payments over the phone. While the role includes taking payments from members, it does not involve handling other member-related questions such as benefit interpretation, general member services, or enrollment inquiries. This position supports a focused set of call types, ensuring the delivery of timely, accurate information and professional service in a high-volume, time-sensitive environment.ESSENTIAL JOB DUTIESAnswers incoming provider phone calls regarding claims status and payment-related questionsResearches claim status and communicates findings to the provider clearly and accuratelyTakes member payments over the phone and processes them according to company proceduresDocuments all interactions in the appropriate system(s) accurately and timelyAdheres to standard operating procedures, call scripts, and compliance requirementsEscalates unresolved or complex issues to appropriate internal teams as necessaryMeets defined performance targets related to call handling time, accuracy, and qualityAttends training sessions and team meetings as scheduledMaintains regular and predictable attendanceConsistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practiceWorks to encourage and promote Company culture throughout the organizationOther duties as may be assignedQUALIFICATIONSRequires a high school diploma or its equivalentAbility to learn quickly and be self-motivatedCustomer service experience preferredConfidentiality and time management skillsBilingual preferredKnowledge of healthcare billing, claims and insurance a bonusPHYSICAL REQUIREMENTSProlonged periods of sitting at a desk and working on a computer. Moderate to significant amount of stress in meeting deadlines and dealing with day-to-day responsibilities.BENEFITS401K (4% Match, Immediate Vesting)Accident insuranceCompetitive salaryCritical Illness InsuranceDental InsuranceEmployee Assistance ProgramFlexible Spending AccountHealth & Wellness ProgramHealth Savings AccountLife & AD&D InsuranceLong Term DisabilityMedical InsurancePaid Time OffPet InsuranceShort Term DisabilityVision InsurancePRE-EMPLOYMENT SCREENINGDrug Screen and Background Check RequiredHEALTHONE IS AN EQUAL OPPORTUNITY EMPLOYERAll qualified applicants will receive consideration for employment without regard to race, color, creed, religion, disability, sex, age, ethnic or national origin, marital status, sexual orientation, gender identity or presentation, pregnancy, genetics, veteran status, or any other status protected by state or federal law.