Healthcare Customer Service Representative

Job Description

Job Description

Job description

Provalus is actively hiring entry-level Healthcare Customer Service Analysts to support data entry, inbound/ outbound call, & customer support/ experience activities. Start working right away with 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, and opportunities for career advancement. Start your career today!

WHY WORK FOR PROVALUS

Provalus is 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, Provalus invests in small towns—building local Centers of Excellence (including locations such as North Wilkesboro, NC and Tahlequah, OK) and developing talent from within those communities.

Key Reasons to Join Provalus

1. Real Career Path, Not Just a Job Provalus hires 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 not required for many entry-level roles. Provalus invests 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 that includes COMPANY PAID HEALTHCARE.

4. Purpose-Driven Work in Your Community Provalus is 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 and customer experience.

6. Growing Company with Expanding Opportunities Provalus continues to open and expand sites across the U.S., creating more roles and advancement paths. As the company grows, high performers have increased opportunities to take on greater responsibility, move into specialized technical work, or step into leadership.

Who Thrives at Provalus

People 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 experience.

THE JOB

Provalus is 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 is a great opportunity to start a career in the healthcare insurance industry, with accelerated career advancement opportunities for those who perform well.

THE JOB

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, accurate information regarding plan benefits and claims status.
• Process claims-related forms and other member/provider requests accurately and within required timeframes.
• Identify and escalate 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.
• Complete accurate call 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 with HIPAA and applicable regulations — full training provided.
• Communicate and coordinate with internal departments (e.g., claims, billing, provider relations) as needed.
• Ask questions and seek guidance from trainers, mentors, and team leads as you build your skills.
• Other duties as assigned.

Role Requirements include:

• Must have an HS Diploma or GED.
• No prior healthcare, insurance, or claims experience required — comprehensive training provided.
• Willingness to learn healthcare terminology, basic medical billing/coding concepts, and insurance claims processes.
• Ability to work onsite at the Provalus office. No remote positions are available currently.
• Excellent communication skills, including verbal and written communication.
• Ability to work well with others in a team environment.
• Good computer skills and comfort learning new software/systems; ability to multi-task.
• Willingness to learn and follow HIPAA and confidentiality requirements when handling sensitive information.
• Strong attention to detail and a willingness to double-check work for accuracy.
• Ability to stay calm, professional, and patient in stressful or fast-paced situations.
• Coachable and open to feedback, with a strong desire to grow within the healthcare insurance field.

What We Offer:

• Paid, structured on-the-job training — no experience necessary to get started.
• Clear path for career growth and advancement into more senior or leadership roles.
• Supportive team environment with ongoing coaching and mentorship.

Job Type: Full-time Work Location: In person

Founded in 2017, Provalus is a 100% US-based outsourcing organization dedicated to creating technology opportunities in areas where few traditionally exist. By leveraging a unique approach that includes creating talent in rural, veteran-heavy American communities, Provalus is generating a dedicated and superior workforce while fueling a new era of technology talent equipped to strengthen America’s future. Provalus hires and develops the best and brightest talent in every small town they call home to deliver dependable, scalable, quality BPO and IT services to their technology clients and end-users alike. Join the mission to provide outsourcing value from the US.

Company Description

Founded in 2017, Provalus is a 100% US-based outsourcing organization dedicated to creating technology opportunities in areas where few traditionally exist. By leveraging a unique approach that includes creating talent in rural, veteran-heavy American communities, Provalus is generating a dedicated and superior workforce while fueling a new era of technology talent equipped to strengthen America’s future. Provalus hires and develops the best and brightest talent in every small town they call home to deliver dependable, scalable, quality BPO and IT services to their technology clients and end-users alike. Join the mission to provide outsourcing value from the US.