Healthcare Customer Service Specialist — First-Call Resolution

Prime Healthcare Services; Ontario (CA); On-site; USD 34,000 - 38,000; Full time

Benefits offered by this job

Health insurance and benefits

Job summary

Prime Healthcare in Ontario, CA seeks a Customer Service Representative to serve as the primary contact for members and providers, delivering professional service and resolving inquiries on the first call when possible.

The role requires guiding callers through health plans, clarifying authorization needs, and updating on referrals while maintaining meticulous documentation and using multiple communication channels.

Qualifications

• High School Diploma or GED required.
• Customer service experience in a fast-paced office setting.
• Ability to handle a high call volume in a professional and courteous manner.
• Working knowledge of self-funded medical plans and/or Managed Care plans.
• Computer literate in Microsoft Office Windows.

Responsibilities

• Serve as a primary point of contact for members and providers, handling incoming calls with professionalism and delivering exceptional customer service.
• Guide callers through the health plan, clarifying authorization requirements, and providing updates on referrals.

Skills

Customer service

Education

High School Diploma or GED

Tools

Microsoft Office Windows

Job description

Prime Healthcare in Ontario, CA seeks a Customer Service Representative to serve as the primary contact for members and providers, delivering professional service and resolving inquiries on the first call when possible.

The role requires guiding callers through health plans, clarifying authorization needs, and updating on referrals while maintaining meticulous documentation and using multiple communication channels.