Healthcare Customer Support Specialist

PriMed Management Consulting Services, Inc.; Stockton (CA); On-site; USD 29,000 - 41,000; Full time

Benefits offered by this job

Competitive salaries

Bonuses

Health and welfare benefits

Paid holidays

Time off for sick leave and vacation

401k plan that is among the best in t

Job summary

Hill Physicians Medical Group is seeking a Customer Service representative to assist members with eligibility, benefits, claims, and authorizations. You will triage inquiries, navigate multiple systems, and document interactions accurately to support a high-quality member experience.

Minimum 1 year in a healthcare call center and strong Microsoft Office skills are required. A High School diploma is needed; experience with medical claims and PPO/HMO plans is highly valued.

Qualifications

• Minimum 1 year of Customer Service call center experience.
• Experience working in a healthcare setting.
• Experience handling medical claims and eligibility inquiries.
• Knowledge of various insurance types (PPO, HMO, etc.).
• Strong written and verbal communication skills.

Responsibilities

• Respond to inquiries and resolve eligibility, benefits, claims, and authorizations.
• Triaging and routing cases and documenting interactions across multiple systems.

Skills

Customer service

Written and verbal communication

Education

High School diploma/GED

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

Job description

Hill Physicians Medical Group is seeking a Customer Service representative to assist members with eligibility, benefits, claims, and authorizations. You will triage inquiries, navigate multiple systems, and document interactions accurately to support a high-quality member experience.

Minimum 1 year in a healthcare call center and strong Microsoft Office skills are required. A High School diploma is needed; experience with medical claims and PPO/HMO plans is highly valued.