Entry-Level Healthcare Insurance Support Analyst (Onsite)

Provalus; Edenton (NC); On-site; USD 32,000 - 38,000; Full time

Benefits offered by this job

Paid training

Career growth

On-site benefits

Job summary

Provalus in Edenton, NC is hiring entry-level Healthcare Insurance Customer Support Representatives to process claims, handle member inquiries, and deliver quality service for health insurance products. No healthcare or insurance experience required—comprehensive, paid training is provided, with on-the-job coaching and a clear path for career advancement.

These full-time, in-person roles offer structured schedules, onsite training, and opportunities to move into more senior or specialized roles

Qualifications

• No prior healthcare or insurance experience required; comprehensive training provided.
• Strong communication skills are essential for customer interactions.
• Ability to work as part of a team in a fast-paced environment.

Responsibilities

• Learn and apply claims processing procedures, healthcare terminology, and company systems through structured, on-the-job training.
• Research claims status, benefits, eligibility, and coverage details using available resources, CRM, and internal systems.
• Handle and resolve member and provider inquiries related to claims processing, billing questions, coverage, and customer service issues.
• Provide members and providers with clear, accurate information regarding plan benefits and claims status.
• Process claims-related forms and other member/provider requests accurately and within required timeframes.
• Identify and elevate priority or complex issues to senior team members or management as needed.
• Route inbound calls to the appropriate internal resources, including claims, billing, or clinical teams.
• Follow up on more complicated member calls as needed, with support from senior team members.
• Complete accurate call notes and records in the CRM and claims processing systems.
• Gather and record relevant details from member/provider interactions, including comments, inquiries, complaints, and actions taken.
• Maintain strict confidentiality of PHI and PII in accordance with HIPAA and applicable regulations - full training provided.
• Communicate and coordinate with internal departments as needed.
• Ask questions and seek guidance from trainers, mentors, and team leads as you build your skills.
• Other duties as assigned.

Skills

Communication skills

Teamwork

Attention to detail

PHI/PII confidentiality

Education

HS Diploma or GED

Tools

CRM systems

Job description

Provalus in Edenton, NC is hiring entry-level Healthcare Insurance Customer Support Representatives to process claims, handle member inquiries, and deliver quality service for health insurance products. No healthcare or insurance experience required—comprehensive, paid training is provided, with on-the-job coaching and a clear path for career advancement.

These full-time, in-person roles offer structured schedules, onsite training, and opportunities to move into more senior or specialized roles