Florida Onsite Customer Care Advocate

Prime Therapeutics; Lansing (MI); On-site; USD 25,000 - 35,000; Full time

Job summary

Prime Therapeutics, LLC in Florida (Orlando area) seeks a Customer Care Specialist to support members and providers with eligibility, benefits, claims and service authorizations. You will handle inbound calls, document information, and strive to resolve issues on the first call.

This onsite role requires a high school diploma or GED, strong written and verbal communication, and the ability to multi‑task in a high‑volume call center.

Qualifications

• High school diploma or GED.
• Must be eligible to work in the United States without visa sponsorship.

Responsibilities

• Engage inbound callers professionally to determine purpose of call and resolve administrative concerns such as claims and dissatisfaction.
• Make outbound calls to resolve member issues or obtain information for prior authorizations.
• Research eligibility, benefits, claims, and authorizations while maintaining confidentiality.
• Enter patient data into systems for EAP, Care, and Utilization Management.
• Educate providers and members on claims submission, treatment plans, and reimbursements across networks.
• Identify and respond to crisis calls and triage decisions not requiring clinical judgment.
• Support continuous improvement by identifying inefficiencies and ensuring needs are met.
• Document interactions and route inquiries to the correct teams.

Skills

Verbal communication

Written communication

Multitasking

Typing 35+ WPM

Call center experience

Education

High school diploma or GED

Tools

Genesys

CRM platforms

Job description

Prime Therapeutics, LLC in Florida (Orlando area) seeks a Customer Care Specialist to support members and providers with eligibility, benefits, claims and service authorizations. You will handle inbound calls, document information, and strive to resolve issues on the first call.

This onsite role requires a high school diploma or GED, strong written and verbal communication, and the ability to multi‑task in a high‑volume call center.