Health One Alliance, LLC
Client Services Representative-1 page is loaded## Client Services Representative-1locations:
Dalton, Georgiatime type:
Full timeposted on:
Posted Yesterdayjob requisition id:
JR - 68MISSIONOur 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.VALUESHealthOne 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.HealthOne 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, HealthOne provides the means to help you achieve your goals.JOB PURPOSEThe 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 DUTIESReceives client calls or inquiries, which include potential/current/previous members, brokers and providers, and routes appropriatelyProvides timely and accurate information to clientsProcesses client requests according to established department policies and proceduresCompletes research and investigative activities to address client inquiriesWorks closely with other departments to gather informationProvides timely feedback to clients through outbound calling, email, mail or faxProvides timely feedback to the company regarding service failures, systemic issues or client concernsAssists in the completion of special projectsAssists in the documentation, evaluation and revision of department policies and proceduresMeets or exceeds service level agreements in call center metricsAttends and participates in meetings and trainings as requiredRegular and predictable attendanceConsistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practiceMaintains regular and predictable attendanceConsistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practiceWorks to encourage and promote Company culture throughout the organizationOther duties as may be assignedQUALIFICATIONSRequires a high school diploma or its equivalentAbility to learn quickly and be self-motivatedCustomer service experience preferredConfidentiality and time management skillsBilingual preferredKnowledge of healthcare billing, claims and insurance a bonusPHYSICAL REQUIREMENTSProlonged 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.BENEFITS401K (4% Match, Immediate Vesting)Accident insuranceCompetitive salaryCritical Illness InsuranceDental InsuranceEmployee Assistance ProgramFlexible Spending AccountHealth & Wellness ProgramHealth Savings AccountLife & AD&D InsuranceLong Term Disability Medical InsuranceMedical InsurancePaid Time OffPet InsuranceShort Term DisabilityVision InsurancePRE-EMPLOYMENT SCREENINGDrug Screen and Background Check RequiredHEALTHONE IS AN EQUAL OPPORTUNITY EMPLOYERAll 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 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.
HealthOne 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.
HealthOne 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, HealthOne provides the means to help you achieve your goals. #J-18808-Ljbffr
Dalton, Georgiatime type:
Full timeposted on:
Posted Yesterdayjob requisition id:
JR - 68MISSIONOur 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.VALUESHealthOne 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.HealthOne 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, HealthOne provides the means to help you achieve your goals.JOB PURPOSEThe 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 DUTIESReceives client calls or inquiries, which include potential/current/previous members, brokers and providers, and routes appropriatelyProvides timely and accurate information to clientsProcesses client requests according to established department policies and proceduresCompletes research and investigative activities to address client inquiriesWorks closely with other departments to gather informationProvides timely feedback to clients through outbound calling, email, mail or faxProvides timely feedback to the company regarding service failures, systemic issues or client concernsAssists in the completion of special projectsAssists in the documentation, evaluation and revision of department policies and proceduresMeets or exceeds service level agreements in call center metricsAttends and participates in meetings and trainings as requiredRegular and predictable attendanceConsistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practiceMaintains regular and predictable attendanceConsistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practiceWorks to encourage and promote Company culture throughout the organizationOther duties as may be assignedQUALIFICATIONSRequires a high school diploma or its equivalentAbility to learn quickly and be self-motivatedCustomer service experience preferredConfidentiality and time management skillsBilingual preferredKnowledge of healthcare billing, claims and insurance a bonusPHYSICAL REQUIREMENTSProlonged 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.BENEFITS401K (4% Match, Immediate Vesting)Accident insuranceCompetitive salaryCritical Illness InsuranceDental InsuranceEmployee Assistance ProgramFlexible Spending AccountHealth & Wellness ProgramHealth Savings AccountLife & AD&D InsuranceLong Term Disability Medical InsuranceMedical InsurancePaid Time OffPet InsuranceShort Term DisabilityVision InsurancePRE-EMPLOYMENT SCREENINGDrug Screen and Background Check RequiredHEALTHONE IS AN EQUAL OPPORTUNITY EMPLOYERAll 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 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.
HealthOne 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.
HealthOne 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, HealthOne provides the means to help you achieve your goals. #J-18808-Ljbffr