Customer Service Representative

Prime Healthcare•Ontario, CA

1d•Onsite

About The Position

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0 million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! The Customer Service Representative serves as a primary point of contact for members and providers, handling incoming calls with professionalism and delivering exceptional customer service aimed at achieving first call resolution. This role is crucial in assisting callers by guiding them through the health plan, clarifying authorization requirements, providing updates regarding the status of referrals and assisting with other duties as needed. This position requires proficiency in utilizing multiple communication channels, a strong attention to detail, and meticulous documentation to ensure accurate and efficient service delivery.

Requirements

High School Graduate 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

Serves as a primary point of contact for members and providers, handling incoming calls with professionalism and delivering exceptional customer service aimed at achieving first call resolution.
Assists callers by guiding them through the health plan, clarifying authorization requirements, providing updates regarding the status of referrals and assisting with other duties as needed.
Utilizes multiple communication channels, a strong attention to detail, and meticulous documentation to ensure accurate and efficient service delivery.