UM Customer Support Representative

PIH Health is seeking a dedicated and customer-oriented UM Customer Support Representative to join our Utilization Management team. This full-time, regular/at-will position is based at PHP and does not require travel. As a UM Customer Support Representative, you will be an integral part of a high-performance, customer-focused team environment. Your primary responsibility will be to provide exceptional customer service to our medical group members and providers. You will handle inquiries via telephone and/or emails, ensuring that all communications are addressed in a timely and accurate manner. 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. Our network includes multiple hospitals, outpatient medical office buildings, a multispecialty medical group, and a range of healthcare services. We are recognized for excellence in patient care and experience, and we are committed to providing cutting-edge advancements and quality healthcare. As a UM Customer Support Representative, you will play a crucial role in maintaining the high standards of our Utilization Management department. You will be expected to develop and maintain effective working relationships with all levels of management, staff, providers, and members. This role requires a candidate with a high attention to detail, excellent organizational skills, and the ability to prioritize and delegate effectively. The position is hourly, with no per diem. For more information about PIH Health, visit PIHHealth.org or follow us on social media platforms such as Facebook, Twitter, and Instagram.

Required Skills

• Excellent verbal and written communication skills
• Excellent phone etiquette
• Ability to prioritize and delegate effectively
• High attention to detail
• Excellent organizational skills
• Knowledge of medical terminology
• Bilingual (Spanish) preferred
• Develops and maintains effective working relationships with all levels of management, staff, providers, and members
  
  
  

Required Experience

• High School Graduate or equivalent certification
• Proficient in Windows, Microsoft Word, and Excel
• Experience in a managed care, IPA, or health plan environment a plus
  
  
  

Address

6557 Greenleaf Ave.

Salary

21.00-30.64

Shift

Days

FLSA Status

Non-Exempt

Zip Code

90601