Healthcare Support Specialist - Onsite (Florida)

Prime Therapeutics; Austin (TX); In loco; USD 25.000 - 35.000; Tempo pieno

Descrizione del lavoro

Prime Therapeutics is seeking a Customer Care Specialist who will be onsite in the Orlando area, handling inquiries related to eligibility, benefits, claims, and service authorizations. The role emphasizes high-quality customer service and accurate documentation while meeting performance standards.

The candidate should be a proactive multitasker with strong communication skills, familiarity with HIPAA, and experience with Genesys and CRM platforms.

Competenze

• High school diploma or GED.
• Proficient typist with strong written and verbal communication.
• Ability to multi-task across computer platforms.
• Familiar with HIPAA regulations and healthcare terminology.
• Experience with Genesys and CRM platforms preferred.

Mansioni

• Handle inbound calls and document inquiries in designated systems with accuracy.
• Make outbound calls to resolve member issues or obtain information for prior authorizations.
• Educate members/providers on eligibility, benefits, claims, and authorizations across networks.
• Identify and respond to crisis calls; triage as needed until resolution.
• Support process improvements by identifying inefficiencies and completing follow-up tasks.

Conoscenze

Fast typist

Multitasking

Excellent communication

HIPAA knowledge

Formazione

High school diploma

Strumenti

Genesys

CRM platforms

Descrizione del lavoro

Prime Therapeutics is seeking a Customer Care Specialist who will be onsite in the Orlando area, handling inquiries related to eligibility, benefits, claims, and service authorizations. The role emphasizes high-quality customer service and accurate documentation while meeting performance standards.

The candidate should be a proactive multitasker with strong communication skills, familiarity with HIPAA, and experience with Genesys and CRM platforms.