Provider Claims & Payments Support Specialist

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

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.