Top 705 Patient services representative Jobs in Irvine, 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
Member Services Specialist (Bilingual - Vietnamese)
Astiva Health —Orange, CA
- $25 - $28 an hour
- Full-time
- Mid-level
- 2 years
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
5d
Medical Office Assistant
Halo Staffing Group —Orange, CA
- From $25 an hour
- Part-time
- Spanish
- English
- Organizational skills
- Paid sick time
Quick Apply
6d
Patient Services Associate (Temporary)
Pediatrix —Laguna Hills, CA
- $21.00 - $30.82 an hour
- Temporary
- HIPAA
- Mid-level
- High school diploma or GED
- Paid time off
- Employee assistance program
Customer Service Representative (Bilingual Spanish)
Clever Care Health Plan —Huntington Beach, CA
- $22 - $25 an hour
- 8 hour shift
- Hybrid work
- Background check
- Spanish
- Microsoft Excel
12d
Patient Services Representative - Front Desk - Newport Beach, CA
Island Dermatology —Newport Beach, CA
- $21 - $22 an hour
- 8 hour shift
- Ability to walk for extended periods
- Ability to climb stairs
- High school diploma or GED
Quick Apply
11d
Front Desk Receptionist
Grow and Learn —Irvine, CA
- $17 - $22 an hour
- Full-time
- Spanish
- Microsoft Outlook
- Office
- Health insurance
- Dental insurance
Quick Apply
9d
Front Office Assistant
MemorialCare Medical Foundation —Irvine, CA
- $23.00 - $30.08 an hour
- 8 hour shift
- BLS Certification
- Outpatient experience
- High school diploma or GED
- Health insurance
3d
Admitting Worker - Cancer Center Admin - SL - FT Days
University of California, Irvine —Irvine, CA
- $26.65 - $33.09 an hour
- Weekends as needed
- Remote
- Background check
- Basic math
- Administrative experience
- Health insurance
- Retirement plan
Access/Senior Access Representative- Patient Access Center- FT Day Shift
University of California, Irvine —Irvine, CA
- $27.88 an hour
- Full-time
- Remote
- Background check
- Spanish
- English
- Health insurance
- Retirement plan
9d
Access/Senior Access Representative- Patient Access Center- PT Day Shift 20 hours
University of California, Irvine —Irvine, CA
- $26.71 an hour
- Part-time
- Remote
- Background check
- Spanish
- English
- Health insurance
- Retirement plan
9d
Admitting Worker - CAC - Ambulatory Admin -FT Days
University of California, Irvine —Irvine, CA
- $26.65 - $33.09 an hour
- Weekends as needed
- Background check
- Basic math
- Administrative experience
- Health insurance
- Retirement plan
4d
Admitting Worker - Irvine Plaza Ambulatory Support - FT Days
University of California, Irvine —Irvine, CA
- $26.65 - $33.09 an hour
- Weekends as needed
- Background check
- Basic math
- Administrative experience
- Health insurance
- Retirement plan
2d
Principal Access Representative- Patient Access Center- PT Day Shift
University of California, Irvine —Irvine, CA
- $29.38 - $36.57 an hour
- Part-time
- Remote
- Background check
- Spanish
- English
- Health insurance
- Retirement plan
9d
Patient Services Representative, Edinger Pediatrics
CHOC Children's —Fountain Valley, CA
- $23.00 - $32.88 an hour
- Full-time
- Spanish
- Word processing
- BLS Certification
Patient Representative - Dermatology - Full Time
Riverside Medical Clinic —Temescal Valley, CA
- $23.00 - $34.32 an hour
- Full-time
- Writing skills
- High school diploma or GED
- Clinic
2d
Patient Access Representative III - OC Per Diem
City of Hope —Irvine, CA
- $25.78 - $36.09 an hour
- Per diem
- Clinic experience
- Mid-level
- High school diploma or GED
Temporary Front Office Services Representative
University of California, Irvine —Irvine, CA
- $26.72 - $37.85 an hour
- Temporary
- Background check
- HIPAA
- English
- Paid holidays
- Health insurance
Receptionist - Memorial Care Surgery Center - Orange Coast
SCA Health —Fountain Valley, CA
- $25 - $27 an hour
- Full-time
- Bilingual
- High school diploma or GED
- Computer skills
- Disability insurance
- Health insurance
13d
Principal Admitting Worker - ED Registration Irvine - PT Nights
University of California, Irvine —Irvine, CA
- $28.28 - $35.16 an hour
- Part-time
- Background check
- Spanish
- Customer service
- Health insurance
- Retirement plan
10d

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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 irvine, ca

Member Service Representative

Member Services Specialist (Bilingual - Vietnamese)

Medical Office Assistant

Patient Services Associate (Temporary)

Customer Service Representative (Bilingual Spanish)

Patient Services Representative - Front Desk - Newport Beach, CA

Front Desk Receptionist

Front Office Assistant

Admitting Worker - Cancer Center Admin - SL - FT Days

Access/Senior Access Representative- Patient Access Center- FT Day Shift

Access/Senior Access Representative- Patient Access Center- PT Day Shift 20 hours

Admitting Worker - CAC - Ambulatory Admin -FT Days

Admitting Worker - Irvine Plaza Ambulatory Support - FT Days

Principal Access Representative- Patient Access Center- PT Day Shift

Patient Services Representative, Edinger Pediatrics

Patient Representative - Dermatology - Full Time

Patient Access Representative III - OC Per Diem

Temporary Front Office Services Representative

Receptionist - Memorial Care Surgery Center - Orange Coast

Principal Admitting Worker - ED Registration Irvine - PT Nights

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