Top 1477 Patient access representative Jobs in Downey 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
Surgery Scheduler - Orthopedics
Long Beach, CA —Long Beach, CA
- From $25 an hour
- Full-time
- Private practice
- Surgery
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Patient Access Representative
HANKER SYSTEMS PRIVATE LIMITE —West Hollywood, CA
- $25 - $28 an hour
- Contract
- Hospital
- HIPAA
- Mid-level
Quick Apply
1d
Financial Clearance Specialist III (Hybrid)
22nd Century Technologies, Inc. —Irwindale, CA
- $26 - $31 an hour
- Full-time
- Background check
- Microsoft Outlook
- Mid-level
Quick Apply
1d
Medical Front Office Receptionist
SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES, INC. —West Hollywood, CA
- $22 - $24 an hour
- Full-time
- Anatomy knowledge
- Blood sampling
- Vital signs
- Free parking
- Paid training
Quick Apply
Patient Access Representative
Adventist Health —Montebello, CA
- $25.00 - $30.91 an hour
- Full-time
- Hospital
- High school diploma or GED
- Experience equivalent to degree accepted
Medical Receptionist
RadNet Long Beach —Lakewood, CA
- $23 an hour
- Per diem
- Computer literacy
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
Front Office Representative I
PIH HEALTH —Whittier, CA
- $23.00 - $29.90 an hour
- Day shift
- Bilingual
- Urgent Care
- High school diploma or GED
Administrative Assistant
DAVITA —South Gate, CA
- $25 - $30 an hour
- Full-time
- Hospital
- Administrative experience
- High school diploma or GED
- Health insurance
- Dental insurance
6d
Front Desk Coordinator- Dental Office
Confidential —Pasadena, CA
- $27 - $32 an hour
- Full-time
- Dental office
- Mid-level
- 3 years
- Employee discount
Quick Apply
Patient Care Coordinator/Medical Assistant
Del Rey MD —Marina del Rey, CA
- $21 - $24 an hour
- Full-time
- Ability to walk for extended periods
- High school diploma or GED
- Travel
- Health insurance
- Dental insurance
Quick Apply
9d
Medical Receptionist
Lakhi M Sakhrani MD a Medical Corp —San Gabriel, CA
- $20 - $25 an hour
- Full-time
- Spanish
- Computer literacy
- No experience needed
- Health insurance
- Dental insurance
Quick Apply
2d
Patient Registration Rep
St Mary Medical Center —Long Beach, CA
- $26.31 - $33.05 an hour
- PRN
- Acute care
- Medical office experience
- High school diploma or GED
1d
Patient Access Representative II - Per Diem, Variable (Bellflower)
Los Angeles Community Hospitals —Bellflower, CA
- $28 an hour
- Per diem
- Hospital
- Computer literacy
- Adults
Receptionist
Skilled Home Health —Downey, CA
- $20 - $21 an hour
- PRN
- 18 years or older
- CPR Certification
- Word processing
Quick Apply
Nursing Unit Clerk, Transitional Care Unit, Part time, 2pm-10:30pm
PIH HEALTH —Whittier, CA
- $23.00 - $32.09 an hour
- Part-time
- Hospital
- Computer literacy
- Urgent Care
12d
Dental Receptionist - Downey
Children's Happy Teeth & Happy Braces —Downey, CA
- $19 - $23 an hour
- Full-time
- Dental office
- HIPAA
- Experience working with children
- Health insurance
- Dental insurance
Quick Apply
Patient Registration Representative I, FT Days
PIH HEALTH —Whittier, CA
- $23.00 - $31.71 an hour
- Full-time
- Spanish
- Hospital
- Computer literacy
2d
Admitting worker SR-ED Registration-Part time-Lakewood-Evenings
University of California, Irvine —Lakewood, CA
- $24.17 - $30.08 an hour
- Part-time
- Background check
- Customer service
- Computer literacy
- Health insurance
- Retirement plan
Front Office Clerk
THE CHILDREN'S CLINIC —Bellflower, CA
- $22 - $23 an hour
- Full-time
- Microsoft Word
- Spanish
- English
- Health insurance
- Dental insurance
Quick Apply

I want to receive the latest job alert for patient access representative in downey 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

patient access representative jobs near downey ca

Medical Receptionist jobs in San Gabriel, CA

Patient Access Representative II jobs in Bellflower, CA

Receptionist jobs in Downey, CA

Medical Receptionist jobs in Lakewood, CA

Dental Receptionist jobs in Downey, CA

Member Services Representative jobs in Long Beach, CA

Front Desk Receptionist jobs in West Hollywood, CA

Unit Clerk jobs in Whittier, CA

Office Clerk jobs in Bellflower, CA

Surgery Scheduler jobs in Long Beach, CA

Patient Care Coordinator jobs in Long Beach, CA

Patient Access Representative jobs in Montebello, CA

Patient Registration Representative jobs in Long Beach, CA

Administrative Assistant jobs in South Gate, CA

Medical Receptionist jobs in Delaware County, PA

Medical Courier jobs in Union, NJ

Medical Receptionist jobs in Canton, MI

Medical Records jobs in Chicago, IL

Medical Receptionist jobs in Carrollton, GA

Receptionist jobs in Elyria, OH

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

patient access representative jobs in downey ca

Member Service Representative

Surgery Scheduler - Orthopedics

Patient Access Representative

Financial Clearance Specialist III (Hybrid)

Medical Front Office Receptionist

Patient Access Representative

Medical Receptionist

Front Office Representative I

Administrative Assistant

Front Desk Coordinator- Dental Office

Patient Care Coordinator/Medical Assistant

Medical Receptionist

Patient Registration Rep

Patient Access Representative II - Per Diem, Variable (Bellflower)

Receptionist

Nursing Unit Clerk, Transitional Care Unit, Part time, 2pm-10:30pm

Dental Receptionist - Downey

Patient Registration Representative I, FT Days

Admitting worker SR-ED Registration-Part time-Lakewood-Evenings

Front Office Clerk

I want to receive the latest job alert for patient access representative in downey ca

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected