Top 5385 Business services representative Jobs in Los Angeles, 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
Customer Success Representative
Kurv —Encino, CA
- From $26.44 an hour
- Full-time
- Office
- Finance
- Analysis skills
- Paid training
- Paid holidays
Quick Apply
Business Development Representative Senior Living Partnerships
Apex Healthcare Management llc —Los Angeles, CA
- From $750 a week
- Contract
- Mid-level
- Residential
- Home Health
Quick Apply
Client Account Representative
Los Angeles Telecom Services —Northridge, CA
- $4,800 - $5,350 a month
- Full-time
- Background check
- Entry level
Quick Apply
9d
Business Development Representative
Enviro-Master of Los Angeles South —Torrance, CA
- $50,000 - $110,000 a year
- Full-time
- Mid-level
- Business development experience
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
9d
Customer Care Representative
Golden Pet Brands —El Segundo, CA
- Remote
- Research
- Windows
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Office Administrator
Crossroads Management —Los Angeles, CA
- $80,000 - $95,000 a year
- Full-time
- Hybrid work
- Background check
- Office
- Team management
- Health insurance
- Paid time off
Quick Apply
Business Development Representative - West
The RealReal —Bellflower, CA
- $21 an hour
- Weekends as needed
- Remote
- Google Workspace
- Business development experience
- Analysis skills
- Paid parental leave
- Employee stock purchase plan
Quick Apply
Clerk-Call Center
PRWT Services, Inc. —Los Angeles, CA
- Full-time
- Spanish
- Research
- High school diploma or GED
- Opportunities for advancement
Quick Apply
Business Development Representative
The RealReal —Bellflower, CA
- $21 an hour
- Weekends as needed
- Remote
- Google Workspace
- Mid-level
- Business development experience
- Paid parental leave
- Employee stock purchase plan
Quick Apply
11d
Front Desk Agent
InterContinental —Los Angeles, CA
- $27.15 - $33.94 an hour
- Weekends as needed
- Sales
- Basic math
- High school diploma or GED
Administrative Assistant
City of Vernon —Vernon, CA
- $27.99 - $34.02 an hour
- Part-time
- Research
- Office
- Administrative experience
- Paid jury duty
- Paid parental leave
8d
Senior Administrative Assistant, Enforcement
Financial Industry Regulatory Authority, Inc. —Los Angeles, CA
- $26.37 - $55.49 an hour
- Overtime
- Hybrid work
- 6 years
- Word processing
- Mid-level
- Paid jury duty
- Commuter assistance
Quick Apply
10d
Sales Representative
Los Taxes De America —Woodland Hills, CA
- From $10,000 a month
- Part-time
- Background check
- Spanish
- Sales
- Employee discount
- Flexible schedule
Quick Apply
Optometrist
Watts Healthcare Corporation —Los Angeles, CA
- $151,000 - $175,000 a year
- Full-time
- High school diploma or GED
- Ability to lift 50 pounds
- In-person
- Health insurance
- Dental insurance
Quick Apply
Sales Development Representative
FUNERARIA LATINO AMERICANA —Los Angeles, CA
- $800 - $900 a week
- Full-time
- Spanish
- Up to 50% travel
- Customer service
- Travel reimbursement
- 401(k)
Quick Apply
Sales Representative - 業務代表 - 영업사원
Blue Marine Seafood Inc —Vernon, CA
- $45,978.11 - $350,000.00 a year
- Full-time
- Hybrid work
- Background check
- Sales
- Driver's License
- Paid time off
- Employee discount
Quick Apply
HR/Admin Associate (Bilingual English/Korean)
PK Retail Holdings —Brea, CA
- $26 - $33 an hour
- Full-time
- Background check
- Microsoft Outlook
- English
- Health insurance
- Dental insurance
Quick Apply
Inpatient/ Primary Care Physician
Kedren Community Health Center Inc —Los Angeles, CA
- $185,000 a year
- On call
- CPR Certification
- Medicine
- BLS Certification
Quick Apply
Account Manager
Max Sales Group Inc —La Puente, CA
- $50,000 - $60,000 a year
- Full-time
- Microsoft PowerPoint
- Background check
- Microsoft Excel
- Health savings account
- Health insurance
Quick Apply
2d

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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

business services representative jobs in los angeles, ca

Member Service Representative

Customer Success Representative

Business Development Representative Senior Living Partnerships

Client Account Representative

Business Development Representative

Customer Care Representative

Office Administrator

Business Development Representative - West

Clerk-Call Center

Business Development Representative

Front Desk Agent

Administrative Assistant

Senior Administrative Assistant, Enforcement

Sales Representative

Optometrist

Sales Development Representative

Sales Representative - 業務代表 - 영업사원

HR/Admin Associate (Bilingual English/Korean)

Inpatient/ Primary Care Physician

Account Manager

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