Top 1299 Member service representative Jobs in Los Angeles, Ca

Enrollment Representative
Champion Health Plan —Long Beach, CA
- From $23 an hour
- Overtime
- Background check
- Spanish
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
10d
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
Business Development Representative, Los Angeles - Orange Counties
Next Mod Inc. —Los Angeles, CA
- From $70,304 a year
- Weekends as needed
- Hybrid work
- Clean driving record
- Sales
- Marketing
- Health insurance
- Dental insurance
Quick Apply
12d
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
Admitting Patient Rep II
Children's Hospital Los Angeles —Los Angeles, CA
- $47,840 - $53,872 a year
- Full-time
- Mid-level
- High school diploma or GED
- Pediatrics
4d
Teller (Member Service Representative I)
SchoolsFirst FCU —Inglewood, CA
- $22.33 - $32.38 an hour
- Part-time
- High school diploma or GED
- 1 year
- Entry level
9d
Front Office Admin - Patient Service Representative I
Unicare Community Health Center —Huntington Park, CA
- $25 - $30 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
Front Office Representative I
PIH HEALTH —Whittier, CA
- $23.00 - $29.90 an hour
- Day shift
- Bilingual
- Urgent Care
- High school diploma or GED
Front Desk Representative - Urgent Care, ELA
VIACARE COMMUNITY HEALTH CENTER —Los Angeles, CA
- $24.00 - $26.01 an hour
- Overtime
- Urgent Care
- Administrative experience
- High school diploma or GED
Quick Apply
Commercial Lines Customer Service Representative
Clouse Insurance Agency —California
- $25 - $28 an hour
- Part-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- 401(k)
- Work from home
3d
Customer Service Representative (CSR)
Confidential —Buena Park, CA
- $950 - $1,350 a week
- Full-time
- High school diploma or GED
- In-person
- Leadership
- 401(k)
Quick Apply
4d
Patient Financial Responsibility Representative
UCLA Health —Los Angeles, CA
- $30.47 - $47.85 an hour
- Multiple hires
- English
- Mid-level
- Epic
Patient and Guest Relations Representative - Conc and Volunteer Svcs - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
USC —Los Angeles, CA
- $22.88 - $35.55 an hour
- 8 hour shift
- Acute care
- Spanish
- Surgery
Retail Associate
Lucas Museum of Narrative Art —Los Angeles, CA
- $22 - $24 an hour
- Part-time
- Ability to walk for extended periods
- Merchandising
- Ability to climb stairs
Quick Apply
13d
Senior Patient Service Rep - Fair Oaks (Pasadena)
Cedars-Sinai —Pasadena, CA
- $25.17 - $39.01 an hour
- 8 hour shift
- Mid-level
- Outpatient experience
- High school diploma or GED
Patient/Guest Relations Representative - Conc and Volunteer Svcs – Full Time 8 Hour Rotating Shifts (Non-Exempt) (Non-Union)
USC —Los Angeles, CA
- $22.00 - $34.18 an hour
- 8 hour shift
- Spanish
- Surgery
- Hospital
Patient/Guest Relations Representative - Conc and Volunteer Svcs - Part Time 8 Hour Rotating Shift (Non-Exempt) (Non-Union)
Keck Medical Center of USC —Los Angeles, CA
- $22.00 - $34.18 an hour
- 8 hour shift
- Background check
- Spanish
- Surgery
Digital Member Service Representative
L A Federal Credit Union —Glendale, CA
- $26.51 - $38.75 an hour
- Hybrid work
- Research
- Mid-level
- Office
Quick Apply
7d
Executive Assistant
Adventist Health —Glendale, CA
- $31.84 - $41.54 an hour
- 8 hour shift
- Mid-level
- Office
- High school diploma or GED
10d

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Enrollment Representative

Champion Health Plan
Long Beach, CA

Quick Apply

Job Details

Full-time
From $23 an hour
10 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Customer communication
Interpersonal skills
Administrative experience
High school diploma or GED
Attention to detail
Problem-solving
Productivity software
Cross-functional collaboration

Full Job Description

Position Summary

Champion is seeking an experienced Enrollment Representative to support Medicare Advantage enrollment operations. This position is responsible for the accurate and timely processing of enrollment, eligibility, and membership transactions while ensuring compliance with CMS regulations and company policies.

The ideal candidate has experience in Medicare Advantage or managed care enrollment, enjoys working in a fast-paced environment, and is committed to accuracy, compliance, and exceptional customer service.

Responsibilities

As an Enrollment Representative, you will:

Process Medicare Advantage enrollment, disenrollment, eligibility, and membership transactions accurately and within required turnaround times.
Review enrollment applications and supporting documentation for completeness, accuracy, and CMS compliance.
Verify Medicare eligibility and required enrollment documentation.
Enter, maintain, and update member information in enrollment systems.
Process enrollment corrections, retroactive enrollments, eligibility updates, reconciliations, and membership adjustments.
Conduct outbound member outreach, including Outbound Enrollment Verification (OEV) calls, to verify enrollment requests, obtain missing information, resolve discrepancies, and support CMS compliance requirements.
Research and resolve enrollment discrepancies, transaction errors, and eligibility issues.
Maintain accurate electronic documentation to support regulatory compliance and audit readiness.
Respond to enrollment-related inquiries from members, brokers, providers, and internal departments.
Partner with Member Services, Broker Relations, Marketing, Compliance, and other departments to resolve enrollment issues efficiently.
Protect confidential member information and comply with HIPAA, CMS, and Fraud, Waste & Abuse (FWA) requirements.
Participate in quality audits, training, and process improvement activities.
Support departmental operations during Annual Enrollment Period (AEP), Open Enrollment Period (OEP), and other peak enrollment periods.
Other duties as assigned.

Qualifications

Required

High School Diploma or GED.
Minimum 3 year of experience in Medicare Advantage, managed care, health plan enrollment, eligibility, customer service, or a related healthcare administrative role.
Strong attention to detail and commitment to accuracy.
Excellent organizational, analytical, and problem-solving skills.
Effective verbal and written communication skills.
Ability to manage multiple priorities while meeting deadlines.
Ability to work effectively as part of a team and collaborate respectfully with coworkers, supervisors, and other departments.
Ability to receive, understand, and follow instructions, established procedures, coaching, and supervisory direction.
Flexibility to work overtime and weekends, as requested, during AEP, OEP, and other high-volume or peak operational periods.
Proficiency with Microsoft Office applications.

Preferred

Experience working in a CMS-regulated healthcare environment.
Knowledge of Medicare Advantage enrollment processes and CMS regulations.
Experience with enrollment and eligibility systems.
Bilingual (English/Spanish) is a plus.

Pay: From $23.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

member service representative jobs in los angeles, ca

Enrollment Representative

Member Service Representative

Business Development Representative, Los Angeles - Orange Counties

Bilingual Customer Service Representative

Customer Service Representative

Admitting Patient Rep II

Teller (Member Service Representative I)

Front Office Admin - Patient Service Representative I

Front Office Representative I

Front Desk Representative - Urgent Care, ELA

Commercial Lines Customer Service Representative

Customer Service Representative (CSR)

Patient Financial Responsibility Representative

Patient and Guest Relations Representative - Conc and Volunteer Svcs - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Retail Associate

Senior Patient Service Rep - Fair Oaks (Pasadena)

Patient/Guest Relations Representative - Conc and Volunteer Svcs – Full Time 8 Hour Rotating Shifts (Non-Exempt) (Non-Union)

Patient/Guest Relations Representative - Conc and Volunteer Svcs - Part Time 8 Hour Rotating Shift (Non-Exempt) (Non-Union)

Digital Member Service Representative

Executive Assistant

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