Client Services Representative
Company: Allient Health Plans
Location: Dalton
Posted on: May 28, 2023
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Job Description:
ApplyDescriptionWHO ARE WE?Created by Georgia providers,
HealthOne (HOA) is a not-for-profit organization that seeks to
improve access to affordable and quality health care. Initially
started as a Preferred Provider Organization that was leased by
major employees, HealthOne has expanded its offering to multiple
lines of health insurance for individuals/families and businesses.
In 2020, HOA expanded into ICHRA administrative service for
employers and their employees. HOA is proud to call Georgia home
and is fiercely committed to our community. This unwavering
commitment continuously seeks ways to develop and expand services
throughout Georgia.WHY HealthOne?HealthOne is guided by a cultural
framework that embodies our values and drives our decisions.As a
company our PURPOSE is to care for people by connecting them to
resources that help protect them in health related situations. We
fulfill our purpose by filtering our decisions through a PRIORITIES
lens of asking, "Is what we are about to do ethical, empathetic,
economical, and efficient?". By caring for PEOPLE, we are
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.RequirementsESSENTIAL JOB DUTIES* Receives customer
calls or inquiries, which include potential/current/previous
members, brokers and providers, and routes appropriately* Provides
timely and accurate information to customers* Processes customer
requests according to established department policies and
procedures* Completes research and investigative activities to
address customer inquiries* Works closely with other departments to
gather information* Provides timely feedback to customers through
outbound calling, email, mail or fax* Provides timely feedback to
the company regarding service failures, systemic issues or customer
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* Maintains
work area in a clean and orderly condition and ensures safe
operating conditions within area of responsibility* Works to
encourage and promote Company culture throughout the organization*
Other duties as may be assignedQUALIFICATIONS* Requires a high
school diploma or its equivalent* Related experience preferred*
Bilingual preferred* Confidentiality and time management skills*
Ability to learn quickly and be self-motivated* Knowledge of
healthcare billing and claims preferred* Insurance experience
preferredPHYSICAL REQUIREMENTSSignificant amount of sitting and
typing. Moderate amount of walking and writing. Moderate to
significant amount of stress in meeting deadlines and dealing with
day-to-day events in the execution of job duties. Needs flexibility
and adaptability to change. Candidate must be self-disciplined and
a self-starter and able to work independently with a flexible work
schedule.BENEFITS401K (4% Match, Immediate Vesting)Accident
insuranceCompetitive salaryCritical Illness InsuranceDental
InsuranceEmployee Assistance ProgramFlexible Spending AccountHealth
& Wellness ProgramHealth Savings AccountLife & AD&D
InsuranceLong Term DisabilityMedical 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.
Keywords: Allient Health Plans, Chattanooga , Client Services Representative, Sales , Dalton, Tennessee
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