Customer Service Analyst - Healthcare
Listed on 2026-08-30
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Healthcare
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Customer Service/HelpDesk
Provalusis actively hiring entry-level Service Analysts to support data entry, inbound/ outbound call, & customer support/ experience activities. On-the-job training provided and accelerated career advancement opportunities. Main responsibilities will include transcribing customer information, answering questions from customers professionally, and responding to customer inquiries.
All positions are full-time with set schedules, professional training and development, andopportunitiesfor career advancement.
WHY WORK FOR PROVALUSProvalusis a 100% U.S.
-based company on a mission to create meaningful technology and customer experience careers in rural American communities where opportunities have traditionally been limited. Instead of sending work overseas,Provalusinvests in small towns—building local Centers of Excellence (including locations such as North Wilkesboro,NCand Tahlequah, OK) and developing talent from within those communities.
1. Real Career Path, Not Just a Job Provalushires people and actively develops them. Many team members start with customer support and advance into higher-level technical, quality, or leadership positions. On-the-job training is provided, and the company emphasizes skills growth and internal promotion.
2. Paid Training with No Experience Barrier Formal tech experience is notrequiredfor many entry-level roles.
Provalusinvests in training so you can learn systems, processes, and customer support skills while getting paid. This makes it an accessible starting point for people looking to build a long-term career in technology services.
3. Full-Time Stability and Benefits Positions are full-time with set schedules. Employees receive professional development support, opportunities for advancement, and a benefits package thatincludesCOMPANY PAID HEALTHCARE.
4. Purpose-Driven Work in Your Community Provalusis built around revitalizing rural economies. Team members work for a company that deliberately chooses small-town locations and hires locally. For many employees, this means building a career close to home while contributing to the economic growth of their own community.
5. Supportive, Team-Oriented Environment. The culture emphasizes collaboration, mentoring newer team members, and continuous improvement. Employees are encouraged to share frontline insights that improve processes andcustomerexperience.
6. Growing Company with Expanding Opportunities Provaluscontinues to open and expand sites across the U.S., creating more roles and advancement paths. As the company grows, high performers haveincreasedopportunities to take on greater responsibility, move into specialized technical work, or step into leadership.
Who Thrives at ProvalusPeople who succeed here typically value clear structure, customer interaction, steady full-time work, and the chance to grow skills over time.
Strong communication, reliability, a calm approach under pressure, and a willingness to learn are more important than prior technical
Provalusis actively hiring entry-level Healthcare Insurance Customer Support Representatives to support claims processing, member inquiries, and customer service activities for health insurance products. No prior healthcare or insurance experience is required— full paid training is provided on claims processes, healthcare terminology, HIPAA compliance, and internal systems. This isa great opportunity to start a career in the healthcare insurance industry, with accelerated career advancement opportunities for those who perform well.
THEJOB
Responsibilities include:
- 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 claims processing systems.
- Handle and resolve member and provider inquiries related to claims processing, billing questions, coverage, and general customer service issues.
- Provide members and providers with clear,accurateinformationregardingplan benefits and claims status.
- Process claims-related forms and other member/provider requests accurately and within requiredtimeframes.
- 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.
- Completeaccuratecall notes and claims documentation, updating 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 protected health information (PHI) and personally identifiable information (PII) in accordance withHIPAA and applicable regulations — full training provided.
- Communicate and coordinate with internal departments (e.g., claims, billing,…
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