Top 1058 Patient services representative Jobs in Gardena, 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
Enrollment Representative
Champion Health Plan —Long Beach, CA
- From $23 an hour
- Overtime
- Background check
- Spanish
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
11d
Medical Receptionist
Orange County Ophthalmology Medical Group —Garden Grove, CA
- From $22 an hour
- Full-time
- OSHA
- Customer service
- Computer literacy
- Health insurance
- 401(k)
Quick Apply
4d
Concierge & Patient Experience Lead - Luxury Med Spa
La’Vish Laser Center —Los Angeles, CA
- Up to $25 an hour
- Part-time
- Surgery
- Mid-level
- In-person
Quick Apply
Insurance Verification Specialist (Beverly Hills)
90210 Surgery Medical Center- Venture —Beverly Hills, CA
- $24 - $26 an hour
- Full-time
- Background check
- Customer service
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
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
5d
RECEPTIONIST
Del Amo Behavioral Health System —Torrance, CA
- $23.00 - $36.74 an hour
- PRN
- Adults
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
9d
Patient Services Specialist - PMI Float Southern LA County
Providence —Torrance, CA
- $24.00 - $31.52 an hour
- Full-time
- Clinic
- Fair chance
- Entry level
- Paid parental leave
- Paid holidays
Admitting Patient Rep II
Children's Hospital Los Angeles —Los Angeles, CA
- $47,840 - $53,872 a year
- Full-time
- Mid-level
- High school diploma or GED
- Pediatrics
4d
Mobile Imaging Driver/Patient Service Representative
RadNet Temecula Valley —Hawthorne, CA
- $26 - $28 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Computer skills
- Health savings account
- Health insurance
Patient Access Representative - Per Diem
UCLA Health —Santa Monica, CA
- $40.91 an hour
- Weekends as needed
- Spanish
- Microsoft Outlook
- Basic math
6d
Administrative Assistant
DAVITA —Inglewood, CA
- $25 - $30 an hour
- Full-time
- Hospital
- Administrative experience
- High school diploma or GED
- Health insurance
- Dental insurance
11d
Patient Access Representative - Westwood (Part-Time)
UCLA Health —Los Angeles, CA
- $29.83 - $39.36 an hour
- Part-time
- Microsoft Outlook
- Basic math
- Mid-level
6d
Patient Services Specialist - Admitting
Providence —San Pedro, CA
- $25.00 - $32.90 an hour
- Part-time
- Hospital
- Inpatient
- High school diploma or GED
- Paid parental leave
- Paid holidays
Receptionist Floater
St Johns Community Health —Compton, CA
- $30 an hour
- Full-time
- Bilingual
- High school diploma or GED
- Clinic
- 403(b) matching
- Paid holidays
Quick Apply
Patient Access Representative - Santa Monica (Part-Time)
UCLA Health —Santa Monica, CA
- $29.83 - $39.36 an hour
- Part-time
- Microsoft Outlook
- Basic math
- Mid-level
6d
Patient Service Representative - Rose (afternoon shift)
UCLA Health —Venice, CA
- $26.42 - $37.49 an hour
- Spanish
- English
- Administrative experience
Patient Access Rep
Keck Medical Center of USC —Los Angeles, CA
- Full-time
- Background check
- Mid-level
- Fair chance
Scheduling Coordinator I
AltaMed Health Services Corporation —Long Beach, CA
- $25.75 - $32.19 an hour
- Full-time
- Background check
- Spanish
- English
- 403(b) matching
- Paid holidays
Patient Service Representative I - OR Administration
Cedars-Sinai —Los Angeles, CA
- $25.00 - $25.49 an hour
- 8 hour shift
- Hospital
- High school diploma or GED
- Fair chance

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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

patient services representative jobs in gardena, ca

Member Service Representative

Enrollment Representative

Medical Receptionist

Concierge & Patient Experience Lead - Luxury Med Spa

Insurance Verification Specialist (Beverly Hills)

Patient Registration Rep

RECEPTIONIST

Patient Services Specialist - PMI Float Southern LA County

Admitting Patient Rep II

Mobile Imaging Driver/Patient Service Representative

Patient Access Representative - Per Diem

Administrative Assistant

Patient Access Representative - Westwood (Part-Time)

Patient Services Specialist - Admitting

Receptionist Floater

Patient Access Representative - Santa Monica (Part-Time)

Patient Service Representative - Rose (afternoon shift)

Patient Access Rep

Scheduling Coordinator I

Patient Service Representative I - OR Administration

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