Healthcare Member Support Specialist

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

Job summary

Prime Healthcare, based in Ontario, California, is seeking a Customer Service Representative to serve as the primary contact for members and providers. The role emphasizes delivering exceptional service, guiding callers through health plan details, and ensuring accurate documentation and updates on referrals.

The position requires a high school diploma or GED, prior customer service experience in a fast-paced setting, and strong computer skills with Microsoft Office.

Qualifications

• Customer service experience in a fast-paced office setting.
• Ability to handle a high call volume in a professional manner.
• Working knowledge of self-funded or managed care health plans.
• Proficient with Microsoft Office on Windows.

Responsibilities

• Serve as the primary point of contact for members and providers.
• Handle incoming calls with professionalism and deliver first call resolution.
• Guide callers through the health plan and clarify authorization requirements.
• Provide updates regarding referrals and assist with related duties.

Skills

Customer Service Experience

High Call Volume Handling

Education

High School Diploma or GED

Tools

Microsoft Office (Windows)

Job description

Prime Healthcare, based in Ontario, California, is seeking a Customer Service Representative to serve as the primary contact for members and providers. The role emphasizes delivering exceptional service, guiding callers through health plan details, and ensuring accurate documentation and updates on referrals.

The position requires a high school diploma or GED, prior customer service experience in a fast-paced setting, and strong computer skills with Microsoft Office.