Top 4713 Member services representative Jobs in Long 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
ICMS Case Manager
LINC HOUSING CORPORATION —Long Beach, CA
- $23.69 - $27.87 an hour
- Weekends as needed
- Background check
- Writing skills
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
ICMS Case Manager
LINC HOUSING CORPORATION —Wilmington, CA
- $23.69 - $27.87 an hour
- Weekends as needed
- Microsoft Word
- Background check
- Writing skills
- Disability insurance
- Health insurance
Quick Apply
Customer Service Representative
Mainfreight Inc —Carson, CA
- $50,000 - $55,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Continuous improvement
- Paid training
- Health insurance
Quick Apply
Career Services Coordinator
National Polytechnic College —Lakewood, CA
- $23 - $25 an hour
- Full-time
- Classroom
- Microsoft Outlook
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative
Accelerated, Inc. —Compton, CA
- From $28 an hour
- Full-time
- Bilingual
- Customer service
- English
- Health insurance
- Dental insurance
Quick Apply
4d
Front Desk Agent (Part-Time)
FAIRMONT —Long Beach, CA
- $28 an hour
- Overtime
- Computer literacy
- Hotel
- High school diploma or GED
Quick Apply
8d
Front Desk Agent
FAIRMONT —Long Beach, CA
- $28 an hour
- Overtime
- Computer literacy
- Hotel
- High school diploma or GED
Quick Apply
2d
Member Services Representative
Crunch Fitness —Long Beach, CA
- $33,000 - $50,000 a year
- Part-time
- 18 years or older
- CPR Certification
- High school diploma or GED
Quick Apply
Crew Member
Wendy's —Long Beach, CA
- Full-time
- Basic math
- No high school diploma
- No experience needed
- Health insurance
- Dental insurance
Member Care Representative I
LBS Financial Credit Union —Long Beach, CA
- $19.75 - $21.25 an hour
- Full-time
- Office
- High school diploma or GED
- Travel
- AD&D insurance
- Paid holidays
Quick Apply
Patient Service Representative
THE CHILDREN'S CLINIC —Long Beach, CA
- $21.50 - $23.00 an hour
- Full-time
- Microsoft Word
- Spanish
- English
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative 1 (Aerospace Industry)
LISI —Torrance, CA
- $20 - $26 an hour
- Full-time
- Microsoft Access
- Microsoft Outlook
- Ability to walk for extended periods
- Health savings account
- Health insurance
Quick Apply
5d
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
2d
Cashier at the Aquarium of The Pacific
Legends Global —Long Beach, CA
- $19.25 an hour
- Part-time
- Ability to stand for extended periods
- Ability to lift 25 pounds
- Food Handler Certification
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
Floor Staff - $17/hr
Regal Cinemas, Inc —Long Beach, CA
- $17 an hour
- Part-time
- Inventory management
- 21 years or older
- Communication skills
- 401(k) matching
13d
Front Desk Representative, Bellflower
Via Care Community Health Center —Bellflower, CA
- $24.00 - $26.01 an hour
- 8 hour shift
- Administrative experience
- High school diploma or GED
- Driver's License
Quick Apply
Crew Member
Papa John's —Long Beach, CA
- $15.50 - $17.50 an hour
- Part-time
- Quick service & fast food restaurant
- Cleaning
- In-person
- COVID-19 protective measures
- Health insurance
Quick Apply
Part-Time AP/AR Clerk
Legends Global —Long Beach, CA
- $25 an hour
- Part-time
- Office
- High school diploma or GED
- Math
- Disability insurance
- Health insurance
8d

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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

member services representative jobs in long beach, ca

Member Service Representative

ICMS Case Manager

ICMS Case Manager

Customer Service Representative

Career Services Coordinator

Customer Service Representative

Front Desk Agent (Part-Time)

Front Desk Agent

Member Services Representative

Crew Member

Member Care Representative I

Patient Service Representative

Customer Service Representative 1 (Aerospace Industry)

Patient Services Representative I

Cashier at the Aquarium of The Pacific

Medical Call Center Representative

Floor Staff - $17/hr

Front Desk Representative, Bellflower

Crew Member

Part-Time AP/AR Clerk

I want to receive the latest job alert for member services representative in long beach, ca

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