Top 720 Patient services representative Jobs in Huntington Beach, 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
Front Desk Receptionist/ Medical Assistant
Medical Office-Specialist —Costa Mesa, CA
- $18 - $20 an hour
- Full-time
- Bilingual
- CPR Certification
- Vital signs
- Health insurance
- Dental insurance
Quick Apply
Medical Front Office - Patient Service Specialist
Select Physical Therapy —Aliso Viejo, CA
- $22 - $24 an hour
- Full-time
- Spanish
- Ability to walk for extended periods
- English
- Health insurance
- Dental insurance
Front Desk Receptionist
Grow and Learn —Santa Ana, CA
- $17 - $22 an hour
- Full-time
- Spanish
- Microsoft Outlook
- Office
- Health insurance
- Dental insurance
Quick Apply
1d
Front Office Assistant
MemorialCare Medical Foundation —Huntington Beach, CA
- $23.00 - $30.08 an hour
- 8 hour shift
- BLS Certification
- High school diploma or GED
- Medical terminology
- Health insurance
2d
Patient Transport: Support Services
Hoag Health System —Newport Beach, CA
- Hospital
- BLS Certification
- Basic math
Patient Office Representative II
City of Hope —Newport Beach, CA
- $22.07 - $28.73 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Clinic
HOSP UNIT SVC CRD 2 - Delivery Room - Nights - PT - Fountain Valley
University of California, Irvine —Fountain Valley, CA
- $26.65 - $33.09 an hour
- Part-time
- Background check
- English
- High school diploma or GED
- Health insurance
- Retirement plan
Pre-Registration Financial Coordinator, Outpatient Access Center
CHOC Children's —Orange, CA
- $24.25 - $39.99 an hour
- Full-time
- Spanish
- Medical office experience
- English
Patient Access Coordinator
Hanger, Inc. —Fountain Valley, CA
- $23 - $25 an hour
- Full-time
- Experience working with individuals with disabilities
- Computer literacy
- Windows
- Paid parental leave
- Paid holidays
5d
Temporary Front Office Services Representative
University of California, Irvine —Irvine, CA
- $25.45 - $36.05 an hour
- Temporary
- Background check
- HIPAA
- English
- Paid holidays
- Health insurance
5d
Front Office Receptionist
CosmedDerm —Huntington Beach, CA
- $20 - $24 an hour
- Part-time
- Administrative experience
- Organizational skills
- In-person
Quick Apply
Nutrition Assistant I: Patient Nutrition Services
Hoag Health System —Newport Beach, CA
- Hospital
- ServSafe
- Computer literacy
Front Desk Receptionist
Therapy Lab of OC —Fountain Valley, CA
- $20 - $25 an hour
- Part-time
- Clinic
- Pediatrics
- In-person
- 401(k)
Quick Apply
Receptionist
PDS Health —Huntington Beach, CA
- $17 - $24 an hour
- Full-time
- Hospitality
- Dental office
- Computer literacy
- Health insurance
- Dental insurance
Registration Representative - Evenings
Orange Coast Memorial Medical Center —Fountain Valley, CA
- $22.50 - $31.57 an hour
- Full-time
- Spanish
- Hospital
- Medical office experience
- Health insurance
16h
Admissions Rep III: Irvine Registration
Hoag Health System —Irvine, CA
- Full-time
- Microsoft Outlook
- Computer literacy
- Mid-level
Medical Receptionist
RadNet Orange County —Newport Beach, CA
- $23 an hour
- Per diem
- Computer literacy
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
Transfer Center Representative : Transfer Center
Hoag Health System —Newport Beach, CA
- Full-time
- Surgery
- Computer literacy
- HIPAA
8d
Clinic Scheduler: Orange Coast Women's Medical Group Call Center
Hoag Health System —Costa Mesa, CA
- High school diploma or GED
- 1 year
- Medical terminology
13d

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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 huntington beach, ca

Member Service Representative

Front Desk Receptionist/ Medical Assistant

Medical Front Office - Patient Service Specialist

Front Desk Receptionist

Front Office Assistant

Patient Transport: Support Services

Patient Office Representative II

HOSP UNIT SVC CRD 2 - Delivery Room - Nights - PT - Fountain Valley

Pre-Registration Financial Coordinator, Outpatient Access Center

Patient Access Coordinator

Temporary Front Office Services Representative

Front Office Receptionist

Nutrition Assistant I: Patient Nutrition Services

Front Desk Receptionist

Receptionist

Registration Representative - Evenings

Admissions Rep III: Irvine Registration

Medical Receptionist

Transfer Center Representative : Transfer Center

Clinic Scheduler: Orange Coast Women's Medical Group Call Center

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