Top 1060 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
Dental Receptionist
Confidential —Hawthorne, CA
- $24 - $28 an hour
- Urgently hiring
- Background check
- Spanish
- Dental office
- Health insurance
- Dental insurance
Quick Apply
3d
Patient Financial Services Representative
E-Solutions IT Services Private Limited —Whittier, CA
- $21 - $23 an hour
- Call employer
- Background check
- In-person
- 1 year
Quick Apply
Patient Access Representative
E-Solutions IT Services Private Limited —Los Angeles, CA
- $19 - $21 an hour
- Contract
- Microsoft Word
- Background check
- HIPAA
Quick Apply
Health Care Call Center Agent
Complete Care Community Health Center —Los Angeles, CA
- $21 - $22 an hour
- Full-time
- Spanish
- Computer literacy
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Patient Registration Rep
St Mary Medical Center —Long Beach, CA
- $25.05 - $31.47 an hour
- PRN
- Medical office experience
- HIPAA
- High school diploma or GED
Unit Secretary - 4 East Outpatient FT Days
Torrance Memorial Medical Center —Torrance, CA
- $25.00 - $32.95 an hour
- Full-time
- Clinic
- Outpatient
- Entry level
Quick Apply
7d
Patient Service Rep
Cedars-Sinai —Marina del Rey, CA
- $24 - $33 an hour
- 8 hour shift
- Fair chance
- Entry level
Admitting Clerk
St. Francis Medical Center —Lynwood, CA
- $23 an hour
- Per diem
- Adults
- High school diploma or GED
- Children
3d
Patient Service Representative I
Cedars-Sinai —Los Angeles, CA
- $24.00 - $33.56 an hour
- 8 hour shift
- High school diploma or GED
- Fair chance
- In-person
Scheduling Coordinator
Wave Plastic Surgery —Los Angeles, CA
- From $25 an hour
- Full-time
- Spanish
- Surgery
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
3d
Patient Registration Representative
California Hospital Medical Center —Los Angeles, CA
- $26.31 - $33.05 an hour
- PRN
- Acute care
- Surgery
- Computer literacy
2d
Patient Services Representative I
Children's Hospital Los Angeles —Los Angeles, CA
- $43,680 - $48,880 a year
- Full-time
- Spanish
- English
- High school diploma or GED
1d
Medical Call Center Representative
ImmunityBio —El Segundo, CA
- $28.10 - $30.90 an hour
- Full-time
- High school diploma or GED
- In-person
- Medical terminology
- AD&D insurance
- Disability insurance
Medical Receptionist (Temporary)
RadNet Los Angeles —Torrance, CA
- $23 an hour
- Temporary
- Computer literacy
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
Patient Access Rep I
Cedars-Sinai —Los Angeles, CA
- $24.00 - $31.96 an hour
- Overtime
- Medical office experience
- High school diploma or GED
- Organizational skills
4d
Patient Service Representative II
Cedars-Sinai —Los Angeles, CA
- $25.06 - $38.84 an hour
- 8 hour shift
- Hospital
- HIPAA
- Mid-level
5d
Patient Services Specialist
Keck Medical Center of USC —Los Angeles, CA
- $25 - $27 an hour
- Full-time
- Background check
- HIPAA
- High school diploma or GED
Patient Services Representative II
Children's Hospital Los Angeles —Los Angeles, CA
- $44,782.40 - $59,696.00 a year
- 8 hour shift
- Spanish
- English
- Mid-level
1d
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
1d

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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

Dental Receptionist

Patient Financial Services Representative

Patient Access Representative

Health Care Call Center Agent

Patient Registration Rep

Unit Secretary - 4 East Outpatient FT Days

Patient Service Rep

Admitting Clerk

Patient Service Representative I

Scheduling Coordinator

Patient Registration Representative

Patient Services Representative I

Medical Call Center Representative

Medical Receptionist (Temporary)

Patient Access Rep I

Patient Service Representative II

Patient Services Specialist

Patient Services Representative II

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

I want to receive the latest job alert for patient services representative in gardena ca

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