Client Services Representative

Company: Allient Health Plans
Location: Dalton
Posted on: May 28, 2023

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