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Client Services Specialist (Monday-Friday, 12-9PM EST)

Job Details

Who You Are
You are a motivated Client Services professional who is passionate about delivering an exceptional client experience. As a Client Services Specialist, you excel at multitasking, pipeline management, active listening, and have experience leveraging technology while maintaining a personal touch. You are a focused, no-quit, A+ player and thrive in a fast-paced environment where you can work with teammates that will match your drive and grit. 
 
Schedule: Monday-Friday, 12-9 PM EST

What You’ll Do

  • Provide in-depth support and solutions to BHG customers  
  • Communicate with customer through various channels  
  • Become a subject matter expert on BHG solutions & products 
  • Enter records of customer calls, interactions and inquires via a CRM system 
  • Build strong working relationships with customers and internal stakeholders  
  • Communicate with internal departments as needed

What You’ll Need

  • Associates degree preferred or related work experience 
  • 2-3 years of customer service experience  
  • Critical thinking and exceptional communication skills 
  • Ability to work in a fast-paced environment  
  • Ability to work independently
  • Navigate through various different software systems
  • MUST be able to work Monday – Friday on a 12-9PM schedule

APPLY HERE: Client Services Specialist

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Patient Onboarding Associate- Call Center (part time hours)

Job Details

Please note: Due to budgetary and payroll regulations, we are currently hiring only in select U.S. states listed below.
AR, KY, MS, SC, Norfolk VA, Virginia Beach VA, WV
AL, FL, GA, ID, MI, MO, IN, NJ, OH, TX (except Houston), TN, WI
 
Shifts Available:
 
  • Mon–Fri: 10:00 AM–2:00 PM PST | 12:00 PM–4:00 PM CT | 1:00 PM–5:00 PM ET
  • Thu–Mon: 9:00 AM–1:00 PM PST | 11:00 AM–3:00 PM CT | 12:00 PM–4:00 PM ET

Key Responsibilities

  • Deliver exceptional customer service in a fast-paced, metrics-driven call center environment.
  • Manage patient registration, scheduling, rescheduling, and healthcare provider communications.
  • Accurately collect and document patient demographics, medical history, insurance, and appointment information.
  • Handle inbound and outbound calls and emails while providing empathetic, solution-focused support.
  • Navigate multiple systems simultaneously to perform data entry, screen sharing, and patient guidance.
  • Adapt to changing processes, technology, and business priorities.
  • Work independently in a remote environment while maintaining productivity, accountability, and schedule adherence.
  • Maintain a distraction-free home workspace with reliable high-speed internet.
  • Meet established quality, productivity, and performance expectations.

Requirements:

  • Office Admin experience, 1 year required
  • Demonstrates a high level of customer service and interpersonal communication skills
  • Call/Contact center or other high call volume experience, 1 year preferred
  • Proficient with Google Suite
  • Highly detail-oriented
  • Ability to multi-task in a fast-paced work environment
  • High School Diploma or equivalent
  • Must be able to work in the US without restriction
  • Candidates must have reliable, high-speed internet to perform the duties of this remote role. Additionally, a backup internet option is required to ensure uninterrupted connectivity in case of outages.
  • Please Note:
  • While this is a remote position, we are currently only able to hire in select U.S. states due to employment and tax requirements. Unfortunately, we are not hiring in all states at this time.
  • We still encourage applicants to apply as eligibility will be confirmed during the early stages of the hiring process.
  • To qualify for a fully remote role candidates must reside outside of a 50 mile radius from our Nashville office.
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Job Details

As a Member Support Representative Tier 2, you will be responsible for providing live support for incoming calls directly from our members as they seek guidance with understanding our services, their eligibility, and their benefits. In addition to handling core member inquiries, Tier 2 representatives handle elevated technical troubleshooting, liaise directly with providers, and support operational projects. As part of our team, you will demonstrate a strong sense of urgency toward finding resolutions and maintain a high standard of personal accountability when handling sensitive and protected information.
 
This is a part-time position requiring approximately 30 hours per week. This position will offer time off and is not eligible for health insurance benefits. 
 
You will:
  • Empathetically and patiently interact with members and providers as you take live inbound calls.
  • Document interactions and ongoing resolutions to ensure seamless follow-up.
  • Ensure member records are accurate and complete.
  • Multitask using internal tools and resources to verify eligibility and coverage provider benefits while clearly communicating this information to the members during live calls
  • Field questions about the purpose and importance of telenutrition.
  • Match our members with the right dietitian and find appointment times that fit into their lives.
  • Assist members with troubleshooting platform and account issues and provide basic technology troubleshooting help.
  • Work with internal groups and external partners to address questions relating to food delivery and ordering groceries.
  • Maintain a high level of personal accountability when handling sensitive and protected information.
  • Collaborate with peers, leaders, and other internal groups to find accurate solutions to complex problems.

You are:

  • A strong communicator, both orally and in writing, that can adjust your communication style and preferences to fit the situation.
  • Able to manage multiple ongoing tasks without missing deadlines or cutoffs.
  • Resilient, and capable of quickly adapting to changes in workflows and processes, and able to pivot seamlessly when new information is provided.
  • Able to navigate knowledge bases and multiple systems simultaneously while staying engaged in communication on live calls.
  • Experienced in solving complex problems that require critical thinking and resource navigation.
  • Both independently motivated and team-minded, allowing you to manage your own time and tasks to hit your own goals while also supporting your peers and seeking help when needed.
  • Detail oriented and committed to providing accurate and complete resolutions, and willing to take ownership and responsibility for maintaining these standards.
  • Goal oriented and able to push yourself to meet both metric and quality goals.
  • Comfortable with both giving and receiving feedback, both between you and leadership and in a peer-to-peer capacity.  

You have:

  • Reliable high speed internet access with minimum speeds of roughly 100 Mbps download and 20 Mbps upload.
  • Experience working in a support role, either in person or on live calls.
  • The ability to communicate complex information concisely in writing. 
  • Experience working with sensitive and protected information, including PII and PHI, and a basic understanding of HIPAA. 
  • A completely private, secure, and quiet workspace.
  • Availability to work Monday through Friday from 2-8:30 PM PST.
$20.68 – $24 an hour

APPLY HERE: Member Support Representative Tier 2

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Referral Support Advocate (Temp)

Job Details

 
Referral Support Advocates work alongside our entire Care Team to lead our mission in finding our
members high quality providers for in person (and virtual) visits. If you are a task-oriented
individual with a  interest in making a real difference in member lives, we want to hear
from you.
 
Each member deserves world class service from their Care Team and access to high quality
doctors for their health care. We are looking for someone who goes above and beyond to find
the highest quality providers for our members to .
 
In Your First 30 Days:
  • Onboard with the Included Health team and engage in internal learning and training
  • Demonstrate knowledge of proprietary software and other required technology
  • Immediately make an impact for our members by managing Concierge Referrals and selecting the highest quality provider that meets members’ needs
  • Get to know your team members – catch up over lunch, shadow, and attend team outings
In Your First 60 Days:
  • Demonstrate your proficiency in running Concierge Referrals within the agreed service level agreements and the target quality standard
  • Develop an organizational system to manage your dashboard of active cases
  • Enhance your knowledge of our customers’ insurance plans and benefits offered to employees
In Your First 90 Days:
  • Be a vocal and active contributor during team meetings – we want to hear your perspective!
  • Demonstrate an ability to skillfully and  work with team members across Care, Clinical, and Quality Teams
  • Set individual level goals for the year with your manager, including quarterly milestones
 
Responsibilities:
  •  and completing all affiliated tasks with Concierge Referrals. Your daily duties will include;  members’ preferences and finding and presenting high quality providers
  • Work with a scheduling team to schedule appointments on the member’s behalf, and ensure the member is supported through their health care journey.
  • Balance velocity and quality performance targets while delighting your members
  • Understands and meets (or exceeds) all service level agreements
  • Be extremely detail oriented. You will be expected to gather  data and information from provider offices; including new  availability, insurance contracts, conditions treated and more
  • Ability to work in a  environment that is subject to rapid change.
  • Demonstrate problem solving, open and clear communication, and good judgment to appropriately manage your responsibilities.
  • Work with our Records Team to assist members in collecting their records to forward to their new providers
  • Collaborate with peers within the Member Care Advocates, Records Specialist, Clinical, Quality and Training teams
  • Have a focus on and drive continuous improvement, constantly questioning how and why we do things and suggest alternatives that improve the customer experience, efficiency, etc.
  • Continue to grow and create value within the role to leverage and improve upon the skills you already have, to take on new responsibilities, to build subject matter expertise and to experience different types of thought leadership
  • Discuss additional benefits offered to Included Health members and connect them with appropriate departments
 
Qualifications:
  • Great verbal communication skills. You will need to be able to explain our services to provider offices, verify office availability and  scheduling requirements.
  • Great written communication skills. You will need to communicate with our broader team in concise and informative messages.
  • Confident in asking questions and comfortable in raising your hand when you need help. Lost time can directly impact lives.
  • Pay attention to the little details – they matter
  • Perform  data collection and entry
  • Demonstrate adaptability with process changes in  and ambiguous environments
  • Be comfortable performing internet searches
  • Ability to troubleshoot basic technical issues
  • Be proficient with common office software – Google Apps, CRM systems, etc.
  • Demonstrate  organizational skills
  • Have a sense of humor, and like to have fun. We work hard. So we like to laugh a lot too.

APPLY HERE: Referral Support Advocate (Temp)

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Patient Billing Representative

Job Details

Join us as a Patient Billing Specialist, where you’ll support patients with payment processing, billing education, insurance verification, and claims-related inquiries. This role delivers empathetic, accurate, and compliant service while navigating healthcare billing systems and policies. Agents perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support.

Qualifications

  • Customer service or call center experience required.
  • Healthcare billing, insurance, or claims experience strongly preferred.
  • Payment processing or financial transaction experience preferred.
  • High school diploma or GED required; additional billing or healthcare education a plus.
  • Technical proficiency with EMR systems and standard computer applications.
  • Ability to work independently in a remote or virtual environment.
  • Must be able to speak, read, write, and understand English.
  • Background check required in accordance with applicable laws.

Essential Functions

These functions emphasize patient advocacy, analytical billing expertise, regulatory awareness, and high-quality service delivery.

Patient Payment & Account Support

  • Accurately process patient payments via phone in accordance with Privia financial responsibility policies.
  • Create, update, and maintain payment plans following established guidelines.
  • Ensure transaction accuracy, proper documentation, and data integrity.

Billing, Insurance & Claims Support

  • Interpret and clearly explain claim notes, balances, and billing outcomes to patients.
  • Verify, audit, and update insurance information for completeness and accuracy.
  • Add or update insurance data within the EMR and resubmit pending or corrected claims.
  • Educate patients on billing concepts including coordination of benefits, deductibles, coinsurance, copays, timely filing, and claim denials.
  • Identify discrepancies and coordinate with internal teams to resolve billing-related issues.

Problem Resolution & Patient Education

  • Research account history to determine the root cause of billing or payment concerns.
  • Recommend appropriate resolutions and next steps in alignment with Privia policies.
  • Maintain professionalism and empathy during complex or sensitive financial discussions.

Resource & System Utilization

  • Utilize Privia-approved billing systems, EMR platforms, tools, and knowledge resources.
  • Navigate multiple systems simultaneously while assisting patients.
  • Adhere to all documentation, privacy, and security requirements.

Reliability & Continuous Learning

  • Maintain schedule adherence and consistent availability during assigned hours.
  • Complete all required Privia and client-mandated training.
  • Participate in ongoing uptraining and cross-training initiatives.

Ethical & Compliant Conduct

  • Uphold HIPAA requirements, confidentiality standards, and Privia security protocols.
  • Demonstrate professionalism, accountability, and patient-centered service in all interactions.

Requirements

  • Strong verbal and written communication skills.
  • Analytical problem-solving abilities and high attention to detail.
  • Solid understanding of healthcare billing and insurance concepts.
  • Ability to clearly explain complex billing information in patient-friendly language.
  • Comfort working across multiple systems and tools simultaneously.
  • Organized, self-motivated, and collaborative approach to work.
 
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Customer Service Representative

Job Details

Five Star Solutions is looking for compassionate, patient, and dependable Customer Service Representatives to join our team.

We service a diverse customer base, making this role ideal for someone who genuinely enjoys helping others and understands the importance of patience, empathy, and clear communication.

Some calls may involve sensitive situations, including insurance claims related to cancer or the loss of a loved one. The ability to remain calm, listen carefully, provide reassurance, and treat every customer with dignity is essential.

 
 Responsibilities
  • Provide compassionate, professional customer service to policyholders
  • Assist customers with questions regarding life, cancer, and other insurance policies
  • Help initiate and navigate sensitive claims when needed
  • Listen carefully and demonstrate empathy during emotional conversations
  • Communicate clearly and at a comfortable pace for customers
  • Provide accurate information while maintaining a calm and reassuring demeanor
  • Document customer interactions accurately and follow established procedures
  • Protect customer information and maintain confidentiality
  • Deliver a positive customer experience on every call

Qualifications

The ideal candidate is:

  • Patient and compassionate
  • Calm and professional, even during emotional conversations
  • A strong, attentive listener
  • Comfortable speaking clearly and at a slower, conversational pace
  • Empathetic and genuinely interested in helping others
  • Comfortable handling sensitive or emotional situations
  • Reliable, dependable, and committed to a consistent schedule
  • Professional and respectful when working with customers of all ages
  • Previous customer service, call center, healthcare, insurance, or senior-customer experience is a plus

USD $45,000.00 – USD $47,500.00 /Yr.

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