Top 107669 Jobs in Los Angeles, 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
Apparel Production Assistant
Rockstar Original —Vernon, CA
- $18 - $23 an hour
- Full-time
- Spanish
- Microsoft Excel
- ERP systems
- Health insurance
- 401(k)
Quick Apply
Child Development Specialist
Positive Development —Boyle Heights, CA
- $20 - $30 an hour
- Part-time
- Background check
- Caregiving
- Driver's License
- Paid training
- Mileage reimbursement
Quick Apply
Telemarketers / Appointment Setters- CONTRACT POSITION
Shir Genius Marketing —Sherman Oaks, CA
- $20 - $25 an hour
- Full-time
- In-person
- Entry level
Quick Apply
Games Supervisor- Amusement Park
Pacific Park —Santa Monica, CA
- $22 - $25 an hour
- Part-time
- Merchandising
- Mid-level
- Ability to lift 50 pounds
- Tuition reimbursement
- Employee discount
Quick Apply
Secretary
Systems Technology Forum —Los Angeles, CA
- From $75,000 a year
- Full-time
- Customer service
- Office
- 3 years
- AD&D insurance
- Health insurance
Quick Apply
Meat Packer
Sysco —Vernon, CA
- $10 - $48 an hour
- Heavy lifting
- Customer service
- Basic math
Enrollment Associate
Confidential —Pasadena, CA
- $3,600 - $5,600 a month
- Full-time
- Background check
- High school diploma or GED
- In-person
- 401(k)
- Professional development assistance
Quick Apply
5d
Inventory Associate
STIIIZY —Los Angeles, CA
- $20 - $21 a year
- Weekends as needed
- Merchandising
- Analysis skills
- Math
- Store discount
- Paid training
Quick Apply
Greeter
South Beverly Grill —Beverly Hills, CA
- $17.81 an hour
- Part-time
- US work authorization
- Restaurant
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Crew Member
Planet Fitness - CA —Glendale, CA
- $18.60 an hour
- Full-time
- 18 years or older
- Computer literacy
- High school diploma or GED
- Health insurance
- Employee discount
Quick Apply
Food & Beverage Associate
Crafty —Santa Monica, CA
- $24 an hour
- Full-time
- Merchandising
- Ability to lift 50 pounds
- Conflict management
- Health insurance
- Dental insurance
Quick Apply
Greeter
Walgreens —Los Angeles, CA
- $17.87 - $20.00 an hour
- Part-time
- English
- Fair chance
- Entry level
Housekeeper II
Servicon —Los Angeles, CA
- $24.75 an hour
- Full-time
- Inpatient
- English
- Office
Rewards Activation Team Member
Los Angeles Dodgers LLC —Los Angeles, CA
- $18.47 - $20.00 an hour
- Part-time
- Microsoft Excel
- Office
- Ability to lift 50 pounds
Quick Apply
Restroom Attendant
Universal Studios Hollywood —Hollywood, CA
- $21 - $25 an hour
- Part-time
- Ability to walk for extended periods
- Fair chance
- Ability to stand for extended periods
2d
70120-Merchandise Associate
TJ Maxx —Los Angeles, CA
- $17.87 - $18.37 an hour
- Part-time
- Merchandising
- Organizational skills
- Fair chance
- Paid parental leave
- Health savings account
Moving Helpers
Customand —Los Angeles, CA
- $18 - $26 an hour
- Full-time
- High school diploma or GED
- Ability to lift 50 pounds
- Communication skills
- Paid training
- Dental insurance
Quick Apply
Retail Sales Associate
New Balance —Pasadena, CA
- $20 - $26 an hour
- 8 hour shift
- Sales
- Customer service
- Entry level
- Health insurance
- Dental insurance
Quick Apply
4d
Facility Helper
ABM Industries —Glendale, CA
- $30 an hour
- Full-time
- Entry level
Quick Apply

I want to receive the latest job alert for jobs in Los Angeles, CA

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Jobs jobs near Los Angeles, CA

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 Los Angeles, CA

Member Service Representative

Apparel Production Assistant

Child Development Specialist

Telemarketers / Appointment Setters- CONTRACT POSITION

Games Supervisor- Amusement Park

Secretary

Meat Packer

Enrollment Associate

Inventory Associate

Greeter

Crew Member

Food & Beverage Associate

Greeter

Housekeeper II

Rewards Activation Team Member

Restroom Attendant

70120-Merchandise Associate

Moving Helpers

Retail Sales Associate

Facility Helper

I want to receive the latest job alert for jobs in Los Angeles, CA

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected