Orlando Onsite Customer Care Specialist

Prime Therapeutics; Atlanta (GA); On-site; USD 25,000 - 34,000; Full time

Job summary

Prime Therapeutics is seeking a Customer Care Specialist to provide exceptional support to members and providers on eligibility, benefits, claims, and authorizations. The role requires handling calls, documenting intake, and delivering outstanding service to internal and external stakeholders.

The position is on-site in Florida and expects strong communication, data entry accuracy, and ability to multi-task in a high-volume environment. Prior healthcare call center experience is a plus.

Qualifications

• High school diploma or GED required.
• Preferred healthcare or insurance call center experience.
• Proficient typist with strong written and verbal communication.

Responsibilities

• Handle inbound calls and resolve administrative concerns related to eligibility, benefits, claims, and authorizations.
• Make outbound calls to resolve member issues or gather information for prior authorizations.
• Research and communicate member information (eligibility, benefits, claims) while maintaining confidentiality.
• Enter patient data into systems for EAP, Care, and Utilization Management.
• Educate providers and members on claims submission, treatment plans, and appeals.
• Identify and respond to crisis calls and assist clinicians until resolution.
• Assist with process improvements and document interactions thoroughly.

Skills

Typing 35+ WPM

Written & verbal communication

Multi-tasking

HIPAA knowledge

CRM familiarity

Education

High school diploma or GED

Tools

Genesys

CRM systems

Job description

Prime Therapeutics is seeking a Customer Care Specialist to provide exceptional support to members and providers on eligibility, benefits, claims, and authorizations. The role requires handling calls, documenting intake, and delivering outstanding service to internal and external stakeholders.

The position is on-site in Florida and expects strong communication, data entry accuracy, and ability to multi-task in a high-volume environment. Prior healthcare call center experience is a plus.