Top 89467 Jobs in Hawthorne, CA

Member Service Representative
Champion Health Plan/ Champion Payer Solutions —Long Beach, CA
- From $22 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Sales & Operations Associate
Okaya USA —Torrance, CA
- $55,000 - $75,000 a year
- Full-time
- Background check
- Microsoft Outlook
- ERP systems
- Health insurance
- Dental insurance
Quick Apply
Activity-Based Training (exercise) Tech
NextStep Fitness —Lawndale, CA
- $18 - $20 an hour
- Part-time
- High school diploma or GED
- Neurology
- In-person
Quick Apply
12d
Sales Representative Floral (LAX Area)
Mayesh Wholesale Florist, Inc. —Los Angeles, CA
- $22 - $24 an hour
- Weekends as needed
- Background check
- Microsoft Outlook
- Sales
- Health insurance
- Dental insurance
Quick Apply
1d
Sales Assistant
AxEnd Inc —Redondo Beach, CA
- $50,000 a year
- Full-time
- Hybrid work
- Bachelor of Science
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
PATTERN MAKER / CUTTER - FURNITURE MANUFACTURER
Lily Jack —Inglewood, CA
- $20 - $24 an hour
- Full-time
- Residential
- In-person
- Entry level
Quick Apply
BIDS
Unified Protective Services, Inc —Hawthorne, CA
- $19 - $23 an hour
- Temporary
- Sales
- High school diploma or GED
- Business development experience
- Referral program
Quick Apply
Sales Professional
Moon Valley Nurseries —Torrance, CA
- $70,304 - $350,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Criminal background check
- Health insurance
- Dental insurance
Quick Apply
Flight Coordinator
DO & CO —Redondo Beach, CA
- $28.16 an hour
- Weekends as needed
- Computer literacy
- Mid-level
- Driver's License
- Health insurance
- 401(k)
Quick Apply
3d
Packers
CorTech —Vernon, CA
- $19 an hour
- Overtime
- Warehouse experience
- Reliable transportation
- Entry level
9d
RECEIVING CLERK II (1 shift)
LISI —Torrance, CA
- $20.10 - $26.00 an hour
- Full-time
- Ability to walk for extended periods
- Word processing
- Computer literacy
Quick Apply
Team Member
Quick Quack Car Wash —Lawndale, CA
- $20.40 an hour
- Part-time
- High school diploma or GED
- Ability to lift 50 pounds
- US work authorization
Quick Apply
Cannabis Guide
The Artist Tree —Hawthorne, CA
- From $17 an hour
- Part-time
- Bilingual
- Sales
- Inventory management
- Employee discount
Quick Apply
11d
Dietetic Clerk
Sodexo —Inglewood, CA
- $25.70 an hour
- Weekends as needed
- Hospital
- Office
- 1 year
- Paid holidays
- Health insurance
Custodian
PRIDE Industries —Hawthorne, CA
- $20.06 an hour
- Full-time
- Classroom
- Computer literacy
- Office
Store Associate - Carson (00416)
In-N-Out —Carson, CA
- $22 an hour
- Part-time
- No experience needed
- Quick service & fast food restaurant
- Computer skills
- Profit sharing
- Health insurance
Teammate - Sport & Outdoor
DICK'S Sporting Goods —Delta, CA
- $16.50 - $24.50 an hour
- Part-time
- Background check
- Sales
- High school diploma or GED
9d
Teammate- Golf
DICK'S Sporting Goods —Delta, CA
- $16.50 - $24.50 an hour
- Part-time
- Background check
- High school diploma or GED
- Entry level
8d
Unarmed Security Officer -All Shifts
Prosegur —Torrance, CA
- $22 an hour
- Full-time
- Ability to walk for extended periods
- Computer literacy
- Pass drug screening
- 401(k)
Quick Apply
Store Support
Home Depot —Hawthorne, CA
- $20 - $22 an hour
- Entry level
- Time management

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Member Service Representative

Champion Health Plan/ Champion Payer Solutions
Long Beach, CA

Quick Apply

Job Details

Full-time
From $22 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Flexible schedule

Qualifications

Spanish
Customer communication
Teamwork
Customer retention
Managed care
Managed care organization experience
Call center experience
HIPAA
English
Vietnamese
High school diploma or GED
Medical terminology

Full Job Description

SCOPE OF ROLE

The Member Service Representative (MSR) serves as the first point of contact for customers, providers, and advocates, ensuring exceptional customer experiences through accurate and helpful communication. This role involves handling incoming calls from Medicare Advantage members, assisting with benefit inquiries, referrals, claims, and guiding them to community resources as needed. The ideal candidate will be bilingual, proficient in medical terminology, and knowledgeable in CMS, Medicare, and HIPAA regulations. Strong proficiency in Microsoft Applications and a commitment to delivering top-tier service are essential.

ROLE RESPONSIBILITIES

The Member Service Representative job description is intended to point out major responsibilities within the role, but it is not limited to these functions:

KEY RESPONSIBILITIES % OF TIME

 Serve as the primary point of contact for customers, providers, and advocates, handling calls with professionalism and courtesy.

 Provide clear, concise, and accurate information to ensure customers fully understand their benefits, referrals, claims, and available resources.

 Ensure prompt and efficient service by answering all incoming calls within the

department’s established time frame.

 Escalate complex issues to management or relevant departments as necessary to

ensure customer concerns are thoroughly addressed.

 Collaborate with internal teams to resolve problems and enhance overall customer

satisfaction.

 Accurately document customer interactions, including actions taken, resolutions

provided, and any follow-up required.

 Adhere to department policies and HIPAA regulations to maintain confidentiality and

security of member information.

 Manage complaints, grievances, and appeals efficiently according to department

protocols.

 Assist in onboarding and training new staff, sharing knowledge and best practices.

 Complete required training promptly to stay current with procedures, systems, and

regulations.

 Consistently meet or exceed standards for quality, productivity, and adherence to

schedules.

 Participate in outbound call campaigns for welcome calls, enrollment verification calls, appointment scheduling,

retention efforts, and other health-related programs.

 Contribute to policy and procedure development related to customer experience.

 Stay updated on CMS, Medicare, and HIPAA regulations to ensure compliance and

provide accurate information.

 Utilize medical terminology and healthcare knowledge to assist members with inquiries.

 Adapt to changes in shifts, responsibilities, and operational needs as required.

 Facilitate member requests for provider changes, transportation, and other assistance.

 Maintain a positive attitude and practice excellent customer service principles.

 Perform other duties as assigned to contribute to the team and department’s success

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

 High School diploma or GED required.

 Associate degree (AA) degree (preferred).

 Minimum (2) or more years of direct customer service EXPERIENCE

 Knowledge of Medi-Cal, Medicare Managed Care Plans.

 Medical front office experience preferred.

PROFESSIONAL COMPETENCIES

 Strong communication skills (verbal and written).

 Highly organized with the ability to prioritize work to meet deadlines.

 Strong adaptability and openness to change.

 Knowledge of HIPAA regulations with a commitment to data privacy.

 Strategic skills in problem-solving, critical thinking, and innovation.

 Ability to collaborate effectively with business partners throughout the organization.

 Experience assisting members with Medicare Advantage or HMO, including referrals and authorizations.

 Outbound/inbound call center experience with a focus on problem-solving and escalation.

 Bilingual in English/Spanish or Vietnamese/English required.

 Proficiency in Microsoft Applications (Word, Excel, Outlook).

 Ability to multitask and prioritize tasks effectively.

 Flexibility to work varying shifts, including evenings and weekends.

LICENSURES AND CERTIFICATIONS

No licensures or certifications are required.

WORK ENVIRONMENT and ESSENTIAL PHYSICAL FUNCITONS:

Work Environment:

 Must be available for scheduling 7 days a week, including evenings, overnights, weekends, and holidays.

 Shifts may change based on operational needs; flexibility is essential.

Essential Physical Functions:

 Ability to work onsite in an open office setting, primarily sitting at a desk and working on a computer.

 Regularly required to talk, hear, stand, walk, sit, and use hands to handle or feel objects and controls.

 Frequently lifts/moves up to 10 pounds. Specific vision abilities include close vision and the ability to adjust focus.

EEO/AFFIRMATIVE ACTION STATEMENT

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse group of employees committed to meeting the needs of Champion Payer Solutions/ Champion Health Plan, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Job Type: Full-time

Pay: From $22.00 per hour

Benefits:

401(k)
Dental insurance
Flexible schedule
Health insurance
Paid time off
Vision insurance

Experience:

Managed care: 2 years (Required)

Language:

Spanish (Preferred)
Vietnamese (Preferred)

Ability to Commute:

Long Beach, CA 90815 (Required)

Ability to Relocate:

Long Beach, CA 90815: Relocate before starting work (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

jobs in Hawthorne, CA

Member Service Representative

Sales & Operations Associate

Activity-Based Training (exercise) Tech

Sales Representative Floral (LAX Area)

Sales Assistant

PATTERN MAKER / CUTTER - FURNITURE MANUFACTURER

BIDS

Sales Professional

Flight Coordinator

Packers

RECEIVING CLERK II (1 shift)

Team Member

Cannabis Guide

Dietetic Clerk

Custodian

Store Associate - Carson (00416)

Teammate - Sport & Outdoor

Teammate- Golf

Unarmed Security Officer -All Shifts

Store Support

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