Top 1422 Customer service representative Jobs in Fountain Valley 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
Insurance-Experienced P&C CSR-Office-Customer Service Representative
CIF Insurance Agency —Huntington Beach, CA
- $60,000 - $75,000 a year
- Full-time
- Background check
- Customer service
- Mid-level
- COVID-19 protective measures
- Health insurance
Quick Apply
AT&T Customer Support Associate
Crow & Stone Business Group —Fountain Valley, CA
- $900 - $1,400 a week
- Full-time
- Background check
- High school diploma or GED
- In-person
- 401(k)
- On-the-job training
Quick Apply
7d
Call Center Representative
TaxRise —Irvine, CA
- $24 - $25 an hour
- Overtime
- Background check
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
6d
Call Center Representative
Orthopaedic Associates of Southern California —Tustin, CA
- $17 - $21 an hour
- Full-time
- Writing skills
- Administrative experience
- In-person
- Health insurance
- Dental insurance
Quick Apply
In-Office Customer Care/Warranty Representative
Lennar —Irvine, CA
- $34.92 - $39.00 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Computer literacy
- Paid parental leave
- Health insurance
Customer Service Representative II (M-F 6:00am-2:30pm)
Niagara Bottling —Diamond Bar, CA
- $24.59 - $32.58 an hour
- Full-time
- Research
- Mid-level
- High school diploma or GED
- Health savings account
- AD&D insurance
Quick Apply
5d
Client Services - Client Services Representative
Veritext —Costa Mesa, CA
- $24.65 - $27.74 an hour
- Full-time
- Hybrid work
- Mid-level
- US work authorization
- Organizational skills
- Paid parental leave
- Disability insurance
Quick Apply
3d
Customer Care
Noritz America —Fountain Valley, CA
- $20 - $25 an hour
- Monday to Friday
- Pass drug screening
- Office
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Customer Service Representative
Fortis Fire & Safety —Orange, CA
- $28 - $33 an hour
- Background check
- Heavy lifting
- Construction site
- Paid jury duty
- Paid holidays
Quick Apply
4d
Contact Center Agent
Independent Living Systems —Irvine, CA
- $21 - $29 an hour
- Full-time
- HIPAA
- Administrative experience
- High school diploma or GED
Quick Apply
Client Service Specialist
Cogency Global —Irvine, CA
- $50,000 - $55,000 a year
- Monday to Friday
- Remote
- Typing
- Communication skills
- Entry level
14d
Customer Service Rep. (ERP Experience Required)
AIRTECH INTERNATIONAL INC —Huntington Beach, CA
- $25 - $26 an hour
- Monday to Friday
- Oracle
- Basic math
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
3d
CCSB Call Center Representative I
Pinnacle Health Solutions —Irvine, CA
- $35,288.33 - $45,874.31 a year
- Full-time
- Remote
- Spanish
- Microsoft Outlook
- Computer literacy
Quick Apply
Senior Customer Service Representative
Motion Industries (MOT) —Cerritos, CA
- $24.60 - $32.00 an hour
- Full-time
- Sales
- 5 years
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
5d
Customer Support Specialist
GPA Specialty Substrate Solutions —Cerritos, CA
- $58,000 - $62,000 a year
- 8 hour shift
- Hybrid work
- Microsoft Excel
- 5 years
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Debt Relief/Debt Collections Customer Service Representative
Relintex —Irvine, CA
- $23 - $27 an hour
- Full-time
- Background check
- Spanish
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Mandarin-English Bilingual Healthcare Customer Service Representative - Remote in California
TTEC —California
- From $22.65 an hour
- Remote
- English
- Research
- Windows
- Wellness program
- Tuition reimbursement
Registered Client Service Associate - Newport Beach, CA
LPL Financial —Newport Beach, CA
- $28.47 - $47.44 an hour
- Full-time
- Mid-level
- Office
- 3 years
- Health insurance
- Paid time off
Quick Apply
11d
Vietnamese-English Bilingual Healthcare Customer Service Representative - Remote in California
TTEC —California
- From $21.65 an hour
- Remote
- English
- Windows
- High school diploma or GED
- Wellness program
- Tuition reimbursement

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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

customer service representative jobs in fountain valley ca

Member Service Representative

Insurance-Experienced P&C CSR-Office-Customer Service Representative

AT&T Customer Support Associate

Call Center Representative

Call Center Representative

In-Office Customer Care/Warranty Representative

Customer Service Representative II (M-F 6:00am-2:30pm)

Client Services - Client Services Representative

Customer Care

Customer Service Representative

Contact Center Agent

Client Service Specialist

Customer Service Rep. (ERP Experience Required)

CCSB Call Center Representative I

Senior Customer Service Representative

Customer Support Specialist

Debt Relief/Debt Collections Customer Service Representative

Mandarin-English Bilingual Healthcare Customer Service Representative - Remote in California

Registered Client Service Associate - Newport Beach, CA

Vietnamese-English Bilingual Healthcare Customer Service Representative - Remote in California

I want to receive the latest job alert for customer service representative in fountain valley ca

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