Client Services Support Representative

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 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 DUTIES Answers incoming provider phone calls regarding claims status and payment-related questions

Researches claim status and communicates findings to the provider clearly and accurately

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

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 assignedQUALIFICATIONSRequires 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.

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 Paid Time Off Pet Insurance Short Term Disability Vision InsurancePRE-EMPLOYMENT SCREENING Drug Screen and Background Check RequiredHEALTHONE 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.