UM Customer Support Representative

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 Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

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.

• 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 environment
• Knowledgeable in EzCap/EzNet