Top 590 Retention 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
Client Account Representative
Los Angeles Telecom Services —Northridge, CA
- $4,800 - $5,350 a month
- Full-time
- Background check
- Entry level
Quick Apply
4d
Client Service Representative Property & Casualty-Hybrid - 40433
IOS Staffing Services —Pasadena, CA
- $60,000 - $75,000 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- 2 years
- Disability insurance
- Health insurance
Quick Apply
Attendant
SP Plus Corporation —Los Angeles, CA
- $19 an hour
- Full-time
- Clean driving record
- Basic math
- Driver's License
- Disability insurance
- Health insurance
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
3d
Academic Advisor
Loyola Marymount University —Los Angeles, CA
- $71,100 - $88,900 a year
- Full-time
- Microsoft Excel
- Customer service
- Mid-level
Customer Account Representative
Start Club Corp —Culver City, CA
- $3,800 - $4,500 a month
- Full-time
- High school diploma or GED
- Communication skills
- Entry level
Quick Apply
6d
Patient Service Representative
Gracelight Community Health —Los Angeles, CA
- $24.74 - $37.10 an hour
- Weekends as needed
- Spanish
- Word processing
- English
Quick Apply
Sales Representative
Sony Pictures Entertainment Inc. —Culver City, CA
- $34.65 - $45.04 an hour
- Full-time
- Microsoft Outlook
- Mid-level
- Fair chance
DMV Associate
Rusnak-Business Office Pasadena —Pasadena, CA
- $25 - $33 an hour
- Full-time
- Dealership
- Mid-level
- High school diploma or GED
- Wellness program
- Paid holidays
Quick Apply
6d
Customer Service Representative
Zolidco —Los Angeles, CA
- Full-time
- High school diploma or GED
- Communication skills
- Entry level
Quick Apply
Leasing Consultant PSH/LIHTC - Buena Esperanza
Quality Management Group Inc —Anaheim, CA
- $23 - $25 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Basic math
Quick Apply
Entry Level Sales Representative
Clearwater —Long Beach, CA
- $55,000 - $70,000 a year
- Full-time
- Sales
- No experience needed
- Business development
Quick Apply
Field Customer Service Rep (Ops 1002)
VOZZCOM INC —Huntington Park, CA
- $18.50 an hour
- Full-time
- Background check
- Spanish
- Clean driving record
- Paid training
- Mileage reimbursement
Quick Apply
6d
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
Inside Sales Merchant Services Payment Consultant
Westlake Services, LLC —Los Angeles, CA
- $20 an hour
- Full-time
- Google Workspace
- Mid-level
- Office
- Paid holidays
- Disability insurance
Quick Apply
13d
Sales Representative
Purchase Green Artificial Grass —Los Angeles, CA
- $20 - $22 an hour
- Full-time
- Spanish
- Clean driving record
- Ability to walk for extended periods
- Paid holidays
- 401(k)
Quick Apply
10d
Assistant General Manager
Westhome —Hollywood, CA
- $70,000 - $75,000 a year
- Weekends as needed
- Microsoft Excel
- Customer service
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Customer Service Representative Lead (Bilingual Mandarin)
Clever Care Health Plan —Arcadia, CA
- $26.15 - $30.53 an hour
- Weekends as needed
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- On-the-job training
Sales Manager
Kilter Termite & Pest Control —Long Beach, CA
- $80,000 - $90,000 a year
- Full-time
- Background check
- Clean driving record
- Customer service
- Paid training
- Paid holidays
Quick Apply
3d

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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

retention representative jobs in los angeles, ca

Member Service Representative

Client Account Representative

Client Service Representative Property & Casualty-Hybrid - 40433

Attendant

Administrative Assistant

Academic Advisor

Customer Account Representative

Patient Service Representative

Sales Representative

DMV Associate

Customer Service Representative

Leasing Consultant PSH/LIHTC - Buena Esperanza

Entry Level Sales Representative

Field Customer Service Rep (Ops 1002)

ICMS Case Manager

Inside Sales Merchant Services Payment Consultant

Sales Representative

Assistant General Manager

Customer Service Representative Lead (Bilingual Mandarin)

Sales Manager

I want to receive the latest job alert for retention representative in los angeles, ca

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