The UM Customer Support Representative works in a high-performance, customer-focused team environment. He / she is responsible for providing support to the Utilization Management department by providing customer service to its medical group members and providers via telephone and / or emails.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region.

The fully integrated network is comprised of PIH Health Hospital - Whittier, PIH Health Hospital - Downey and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, women’s health, urgent care and emergency services.

The organization is recognized by Watson Health as one of the nation’s Top Hospitals, and College of Healthcare Information Management Executives (CHIME) as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.

Required Skills Excellent verbal and written communication skills.Excellent phone etiquette.Able to prioritize and delegate effectively.

High attention to detail.Excellent organizational skills.Knowledge of medical terminology.Bilingual (Spanish) preferred.Able to multitask.

Develops and maintains effective working relationships with all levels of management, staff, providers, and members.Maintains an understanding of current CPT / HCPCS and ICD-10codes.

Required Experience Required : High School Graduate or equivalent certification.Proficient in Windows, Microsoft Word, and Excel.

Minimum of two years’ experience in a managed care, IPA, or health plan environmentKnowledgeable in EzCapSalary18.57-30.64ShiftDaysFLSA StatusNon-ExemptZip Code90601#J-18808-Ljbffr

Last updated : 2024-03-05