Client Services Representative

Client Services Representative-1 page is loaded## Client Services Representative-1locations:
Dalton, Georgia time type:
Full time posted on:
Posted Yesterday job requisition :
JR - 68

MISSIONO

ur 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.

VALUES Health

One 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.

Health One 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, Health One provides the means to help you achieve your goals.

JOB PURPOSE The Client Services Representative addresses inquiries, questions and concerns in all areas including enrollment, eligibility, claims, benefit interpretation, and referrals/authorizations for medical care. The position is responsible for receiving, responding to, and directing member, broker and provider phone calls and other communications and provides available information upon request and escalates issues as appropriate.

ESSENTIAL JOB DUTIES Receives client calls or inquiries, which include potential/current/previous members, brokers and providers, and routes appropriately

Provides timely and accurate information to clients

Processes client requests according to established department policies and procedures

Completes research and investigative activities to address client inquiries

Works closely with other departments to gather information

Provides timely feedback to clients through outbound calling, email, mail or fax Provides timely feedback to the company regarding service failures, systemic issues or client concerns

Assists in the completion of special projects

Assists in the documentation, evaluation and revision of department policies and procedures

Meets or exceeds service level agreements in call center metrics

Attends and participates in meetings and trainings as required

Regular and predictable attendance

Consistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practice

Maintains regular and predictable attendance

Consistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practice

Works to encourage and promote Company culture throughout the organization

Other duties as may be assigned

QUALIFICATIONS Requires a high school diploma or its equivalent

Ability to learn quickly and be self-motivated

Customer service experience preferred

Confidentiality and time management skills

Bilingual preferred

Knowledge of healthcare billing, claims and insurance a bonus

PHYSICAL REQUIREMENTS Prolonged 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. Must be able to drive a vehicle and daytime/overnight travel as required.

BENEFITS
401K (4% Match, Immediate Vesting)
Accident insurance

Competitive salary

Critical Illness Insurance Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program Health Savings Account Life & AD&D Insurance Long Term Disability Medical Insurance Medical Insurance Paid Time Off Pet Insurance Short Term Disability Vision Insurance

PRE-EMPLOYMENT SCREENING Drug Screen and Background Check Required

HEALTHONE IS AN EQUAL OPPORTUNITY EMPLOYER All 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.

Our…