Florida Onsite Customer Care Specialist: Help Members Fast

Prime Therapeutics; Richmond (VA); Vor Ort; USD 23.000 - 34.000; Vollzeit

Zusammenfassung

Prime Therapeutics seeks a Customer Care Specialist to support members and providers with eligibility, benefits, claims and service authorizations. This role emphasizes accurate data entry, effective communication, and adherence to HIPAA in a high-volume call center environment.

Onsite in Florida (Orlando area) with opportunities to contribute to process improvements and customer satisfaction while meeting performance standards.

Qualifikationen

• High school diploma or GED required.
• Experience in healthcare or insurance call centers preferred.
• Familiarity with HIPAA and healthcare terminology.

Aufgaben

• Handle inbound and outbound calls to resolve member and provider issues.
• Document interactions and enter data into systems with accuracy.
• Explain claim processes, benefits, and authorization requirements.
• Escalate complex issues and refer to appropriate teams.
• Meet quality and productivity standards with first-call resolution when possible.

Kenntnisse

Communication skills

Typing 35+ WPM

Multi-tasking

Written communication

HIPAA knowledge

Ausbildung

High school diploma

Tools

Genesys

CRM software

Jobbeschreibung

Prime Therapeutics seeks a Customer Care Specialist to support members and providers with eligibility, benefits, claims and service authorizations. This role emphasizes accurate data entry, effective communication, and adherence to HIPAA in a high-volume call center environment.

Onsite in Florida (Orlando area) with opportunities to contribute to process improvements and customer satisfaction while meeting performance standards.