Healthcare Call Center Associate I - Florida-Based

Prime Therapeutics; Phoenix (AZ); On-site; USD 25,000 - 35,000; Full time

Job summary

Prime Therapeutics is hiring a Customer Care Associate I. Based near Orlando, FL, you will assist members and providers with eligibility, benefits, claims and service authorizations.

You’ll handle calls, document information accurately, and strive for first-call issue resolution while meeting quality and productivity standards. You’ll engage in outbound outreach, research records across networks, and guide users through claims processes while maintaining confidentiality and HIPAA compliance.

Qualifications

• Typing speed of 35+ WPM and strong written and verbal communication.
• Ability to multi-task and navigate multiple computer systems.
• Familiarity with HIPAA and healthcare terminology.

Responsibilities

• Handle inbound calls; document intake accurately and deliver excellent service.
• Make outbound calls to resolve member issues and obtain additional information.
• 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, treatment plans and appeals.

Skills

Typing 35+ WPM

Communication skills

Multi-tasking

HIPAA knowledge

Healthcare terminology

Education

High school diploma or GED

Tools

Genesys

CRM platforms

Job description

Prime Therapeutics is hiring a Customer Care Associate I. Based near Orlando, FL, you will assist members and providers with eligibility, benefits, claims and service authorizations.

You’ll handle calls, document information accurately, and strive for first-call issue resolution while meeting quality and productivity standards. You’ll engage in outbound outreach, research records across networks, and guide users through claims processes while maintaining confidentiality and HIPAA compliance.