Top 211 Call center representative Jobs in Ladera Heights 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
Bilingual Customer Service Representative
Confidential-Manufacturing —Vernon, CA
- $19 - $21 an hour
- Full-time
- Computer literacy
- Data analysis skills
- English
Quick Apply
Customer Service Representative
RA & Associates, APC —Glendale, CA
- $18 - $20 an hour
- 8 hour shift
- Spanish
- In-person
- Communication skills
- Free parking
- Health insurance
Quick Apply
2d
Customer Service Representative
GotPrint.com —Burbank, CA
- $20 - $22 an hour
- Full-time
- Bilingual
- Spanish
- Customer service
- Free parking
- Paid training
Quick Apply
Technical Support Technician
Digital Watchdog —Cerritos, CA
- $18 - $20 an hour
- 8 hour shift
- Background check
- High school diploma or GED
- Mentoring
- Health savings account
- Health insurance
Quick Apply
Call Center Representative
Wilshire Law Firm —Los Angeles, CA
- $25 - $33 an hour
- Full-time
- 18 years or older
- Mid-level
- Typing
- AD&D insurance
- Paid holidays
Call Center Agent
GRACELIGHT COMMUNITY HEALTH —Los Angeles, CA
- $24.68 - $35.29 an hour
- Full-time
- No high school diploma
- Mid-level
- 3 years
Quick Apply
3d
Hospital Customer Service Collections Representative
UCLA Health —Los Angeles, CA
- $27.65 - $39.27 an hour
- HIPAA
- Mid-level
- 3 years
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
Customer Service Representative - Inbound Call Center
Metropolis Technologies —Santa Monica, CA
- $22 an hour
- Full-time
- Microsoft Word
- Computer literacy
- Research
- Disability insurance
- Health insurance
Dental Call Center Agent (Weekends Required)
Confidential —Gardena, CA
- $18 - $22 an hour
- Weekends as needed
- Spanish
- Dental office
- Customer service
Quick Apply
1d
Customer Experience Associate I
Braille Institute of America —Los Angeles, CA
- $48,000 - $54,000 a year
- Weekends as needed
- Hybrid work
- Spanish
- Office
- High school diploma or GED
- Opportunities for advancement
Quick Apply
3d
Customer Service Representative
RAPID PLUMBING —Inglewood, CA
- $17.50 - $19.00 an hour
- Part-time
- Bilingual
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Telemarketing Representative
ACTION MARKETING —Torrance, CA
- $18.75 - $26.00 an hour
- Part-time
- Customer service
- Computer literacy
- High school diploma or GED
- Paid training
Quick Apply
AT&T Customer Support Representative
BPG Management —Reseda, CA
- $50,000 - $55,000 a year
- Full-time
- Background check
- Computer literacy
- Conflict management
- Professional development assistance
Quick Apply
12d
Call Center Representative - Immediate Start
Merixcen —Los Angeles, CA
- $38,000 - $46,000 a year
- Urgently hiring
- Computer literacy
- High school diploma or GED
- Computer skills
- Paid training
- Dental insurance
Quick Apply
Call Center Agent
Kedren Community Health Center Inc —Los Angeles, CA
- $21 - $25 an hour
- Computer literacy
- HIPAA
- Medical terminology
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
Fin Care Specialist I (Customer Service)
Cedars-Sinai —Los Angeles, CA
- $25.06 - $38.84 an hour
- 8 hour shift
- High school diploma or GED
- Fair chance
- Business Administration
- Health insurance
- Dental insurance
Contact Center Representative I
L.A. Care Health Plan —Los Angeles, CA
- $45,760 - $47,823 a year
- Weekends as needed
- Spanish
- Writing skills
- HIPAA
- Wellness program
- Health insurance

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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

call center representative jobs in ladera heights ca

Member Service Representative

Bilingual Customer Service Representative

Customer Service Representative

Customer Service Representative

Technical Support Technician

Call Center Representative

Call Center Agent

Hospital Customer Service Collections Representative

Medical Call Center Representative

Customer Service Representative - Inbound Call Center

Dental Call Center Agent (Weekends Required)

Customer Experience Associate I

Customer Service Representative

Telemarketing Representative

AT&T Customer Support Representative

Call Center Representative - Immediate Start

Call Center Agent

Health Care Call Center Agent

Fin Care Specialist I (Customer Service)

Contact Center Representative I

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