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.
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
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
PIH Health is the Communities’ Health and Wellness Partner
Our network of highly trained and compassionate physicians, nurses, clinicians, staff and volunteers work tirelessly and collaboratively every day to maintain and enhance the health and wellbeing of every member of our service areas. And when needed, we are here to coordinate care, manage chronic disease, and treat health conditions for the best possible outcomes.
We’re a nonprofit, regional healthcare network with three hospitals, numerous outpatient medical offices, 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. Our leadership is dedicated to putting patients first—a cornerstone of our mission, vision and values—as we deliver top-quality healthcare.
We serve more than 3.7 million residents in the Los Angeles County, Orange County and San Gabriel Valley region.
Why PIH Health?
Our culture is built around our core values, which are the guiding principles for everything we do. For over 60 years, PIH Health has maintained a sense of community and a family-like cultur...e where patients are the top priority, and employees and volunteers are proud to be affiliated with such an outstanding organization.
PIH Health Hospital - Whittier
Our Whittier campus delivers outstanding and compassionate care to patients, every day. Among other awards, PIH Health Hospital - Whittier has been named one of the nation’s 100 Top Hospitals® for the third consecutive year by Truven Health Analytics. PIH Health Hospital in Whittier, CA is located 30 minutes east of Los Angeles, close to the Los Angeles and Orange County border. There are many great communities in which to live that surround the hospital. This means easy access to work, great dining, shopping, entertainment and spectacular beaches. Whatever your passion, you’ll find the right place for it here.
PIH Health Hospital - Downey is a nonprofit hospital with a rich, nearly 100-year history of meeting the healthcare needs of its community. The Downey campus is part of the PIH Health comprehensive health network consisting of two hospitals, 18 medical office locations and a host of specialty services. According to US News & World Report, the hospital scores highly in patient safety and orthopedics. With 955 employees, the hospital is the 5th largest employer in the city of Downey.
