Customer Service Representative

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen 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.

Required qualifications:

Effective 01/01/2022 High School Graduate or GED required
1. Customer Service experience in a fast-paced office setting
2. Ability to handle a high call volume in a professional and courteous manner
3. Working knowledge of self-funded medical plans and/or Managed Care plans
4. Computer literate in Microsoft Office Windows

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $24.62. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf