Top 4185 Member services representative Jobs in Carson, Ca

Enrollment Representative
Champion Health Plan —Long Beach, CA
- From $23 an hour
- Overtime
- Background check
- Spanish
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
7d
Temporary Medical Collections Representative
University of California, Irvine —Anaheim, CA
- $26.58 - $37.75 an hour
- Temporary
- Background check
- English
- Research
- Paid holidays
- Health insurance
Customer Enrollment Representative
Confidencial —Anaheim, CA
- $3,950 - $4,800 a month
- Full-time
- Sales
- In-person
- Reliable transportation
Quick Apply
3d
Customer Service Representative
Bella Dahl —Los Angeles, CA
- $20 - $23 an hour
- 8 hour shift
- Microsoft Outlook
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
9d
Customer Service Representative (CSR)
SoCal Consulting Group —Buena Park, CA
- $950 - $1,350 a week
- Full-time
- In-person
- Communication skills
- Entry level
Quick Apply
2d
Customer Service Representative 1 (Aerospace Industry)
LISI —Torrance, CA
- $20 - $26 an hour
- Full-time
- Microsoft Access
- Microsoft Outlook
- Ability to walk for extended periods
- Health savings account
- Health insurance
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Rene Hawkins - State Farm Agent —Gardena, CA
- $20 - $23 an hour
- Full-time
- Spanish
- Office
- Communication skills
- Health insurance
- Paid time off
Quick Apply
Front Desk Agent (Part-Time)
FAIRMONT —Long Beach, CA
- $28 an hour
- Overtime
- 1 year
- Entry level
Quick Apply
Patient Service Representative
THE CHILDREN'S CLINIC —Long Beach, CA
- $21.50 - $23.00 an hour
- Full-time
- Microsoft Word
- Spanish
- English
- Health insurance
- Dental insurance
Quick Apply
Member Services Representative
Crunch Fitness —Long Beach, CA
- $33,000 - $50,000 a year
- Part-time
- 18 years or older
- CPR Certification
- High school diploma or GED
Quick Apply
Front Desk Agent
FAIRMONT —Long Beach, CA
- $28 an hour
- Overtime
- 1 year
- Entry level
Quick Apply
Guest Services Representative| Residence Inn Redondo Beach, CA
Residence Inn Redondo Beach, CA —Redondo Beach, CA
- $20 an hour
- Weekends as needed
- Inventory control
- Sales
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
Guest Service Representative
Redondo Beach Hotel —Redondo Beach, CA
- $20 - $21 an hour
- Part-time
- Hotel
- Accounting
- Entry level
- Health insurance
- 401(k)
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Chris Barredo - State Farm Agent —Hawaiian Gardens, CA
- $20 - $23 an hour
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Guest Services Representative - Residence Inn Redondo Beach, CA
Hotel Equities —Redondo Beach, CA
- $20 an hour
- Weekends as needed
- Inventory control
- Sales
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
Member Care Representative I
LBS Financial Credit Union —Long Beach, CA
- $19.75 - $21.25 an hour
- Full-time
- Office
- High school diploma or GED
- Travel
- AD&D insurance
- Paid holidays
Quick Apply
Customer Service Representative
JR286 —Torrance, CA
- Microsoft Outlook
- Office
- Organizational skills
- Paid parental leave
- Paid holidays
Quick Apply
1d
Member Service Representative (Part-Time) - Inglewood
Navy Federal Credit Union —Inglewood, CA
- $23.75 - $27.55 an hour
- Part-time
- Research
- Office
- Communication skills
- Referral program
7d
Customer Service Representative
PLS —Wilmington, CA
- $18.47 - $20.47 an hour
- Weekends as needed
- Ability to sit for extended periods
- Fair chance
- Financial services
- Health insurance
- Dental insurance
Quick Apply
Service Team Member - 17
WSS —Wilmington, CA
- $18.47 an hour
- Weekends as needed
- 18 years or older
- Merchandising
- Basic math
Quick Apply

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Enrollment Representative

Champion Health Plan
Long Beach, CA

Quick Apply

Job Details

Full-time
From $23 an hour
7 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Customer communication
Interpersonal skills
Administrative experience
High school diploma or GED
Attention to detail
Problem-solving
Productivity software
Cross-functional collaboration

Full Job Description

Position Summary

Champion is seeking an experienced Enrollment Representative to support Medicare Advantage enrollment operations. This position is responsible for the accurate and timely processing of enrollment, eligibility, and membership transactions while ensuring compliance with CMS regulations and company policies.

The ideal candidate has experience in Medicare Advantage or managed care enrollment, enjoys working in a fast-paced environment, and is committed to accuracy, compliance, and exceptional customer service.

Responsibilities

As an Enrollment Representative, you will:

Process Medicare Advantage enrollment, disenrollment, eligibility, and membership transactions accurately and within required turnaround times.
Review enrollment applications and supporting documentation for completeness, accuracy, and CMS compliance.
Verify Medicare eligibility and required enrollment documentation.
Enter, maintain, and update member information in enrollment systems.
Process enrollment corrections, retroactive enrollments, eligibility updates, reconciliations, and membership adjustments.
Conduct outbound member outreach, including Outbound Enrollment Verification (OEV) calls, to verify enrollment requests, obtain missing information, resolve discrepancies, and support CMS compliance requirements.
Research and resolve enrollment discrepancies, transaction errors, and eligibility issues.
Maintain accurate electronic documentation to support regulatory compliance and audit readiness.
Respond to enrollment-related inquiries from members, brokers, providers, and internal departments.
Partner with Member Services, Broker Relations, Marketing, Compliance, and other departments to resolve enrollment issues efficiently.
Protect confidential member information and comply with HIPAA, CMS, and Fraud, Waste & Abuse (FWA) requirements.
Participate in quality audits, training, and process improvement activities.
Support departmental operations during Annual Enrollment Period (AEP), Open Enrollment Period (OEP), and other peak enrollment periods.
Other duties as assigned.

Qualifications

Required

High School Diploma or GED.
Minimum 3 year of experience in Medicare Advantage, managed care, health plan enrollment, eligibility, customer service, or a related healthcare administrative role.
Strong attention to detail and commitment to accuracy.
Excellent organizational, analytical, and problem-solving skills.
Effective verbal and written communication skills.
Ability to manage multiple priorities while meeting deadlines.
Ability to work effectively as part of a team and collaborate respectfully with coworkers, supervisors, and other departments.
Ability to receive, understand, and follow instructions, established procedures, coaching, and supervisory direction.
Flexibility to work overtime and weekends, as requested, during AEP, OEP, and other high-volume or peak operational periods.
Proficiency with Microsoft Office applications.

Preferred

Experience working in a CMS-regulated healthcare environment.
Knowledge of Medicare Advantage enrollment processes and CMS regulations.
Experience with enrollment and eligibility systems.
Bilingual (English/Spanish) is a plus.

Pay: From $23.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

member services representative jobs in carson, ca

Enrollment Representative

Temporary Medical Collections Representative

Customer Enrollment Representative

Customer Service Representative

Customer Service Representative (CSR)

Customer Service Representative 1 (Aerospace Industry)

Customer Service Representative - State Farm Agent Team Member

Front Desk Agent (Part-Time)

Patient Service Representative

Member Services Representative

Front Desk Agent

Guest Services Representative| Residence Inn Redondo Beach, CA

Guest Service Representative

Customer Service Representative - State Farm Agent Team Member

Guest Services Representative - Residence Inn Redondo Beach, CA

Member Care Representative I

Customer Service Representative

Member Service Representative (Part-Time) - Inglewood

Customer Service Representative

Service Team Member - 17

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