Customer Service Analyst - Healthcare

Provalusis actively hiring entry-level 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, andopportunitiesfor career advancement. Start your career today!

WHY WORK FOR PROVALUS

Provalusis 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 townsbuilding local Centers of Excellence (including locations such as North Wilkesboro,NCand Tahlequah, OK) and developing talent from within those communities.

Key Reasons to JoinProvalus

1. Real Career Path, Not Just a JobProvalushires people and actively develops them. Many team members start with customer supportand 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 CommunityProvalusis 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. Theculture 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 OpportunitiesProvaluscontinues 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 atProvalus

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

THE JOB

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 isrequired full paid training is provided on claims processes, healthcare terminology, HIPAA compliance, and internal systems. This isa great opportunityto 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,accurateinformationregardingplan benefits and claims status.
• Process claims-related forms and other member/provider requests accurately and within requiredtimeframes.
• Identifyand escalate priority or complex issues to senior team members or management as needed.
• Route inbound calls to theappropriate internalresources, 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, 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 havean HSDiploma or GED.
• No prior healthcare, insurance, or claims experiencerequired comprehensive training provided.
• Willingness to learn healthcare terminology, basic medical billing/coding concepts, and insurance claims processes.
• Ability to work onsite at theProvalusoffice. No remote positions are availablecurrently.
• 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, witha strong desireto 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.