Top 798 Authorization 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
Patient Authorization Representative
UCLA Health —Los Angeles, CA
- $31.99 - $50.24 an hour
- Multiple hires
- Computer literacy
- Mid-level
- Analysis skills
6d
Patient Service Representative - Neurology (Pasadena)
UCLA Health —Pasadena, CA
- $31.88 - $45.66 an hour
- Full-time
- Mid-level
- Neurology
- Computer skills
5d
Patient Service Representative - Primary & Specialty Care Clinics (Pasadena)
UCLA Health —Pasadena, CA
- $31.88 - $45.66 an hour
- Full-time
- Mid-level
- Clinic
- Computer skills
6d
Patient Access Representative - Per Diem
UCLA Health —Los Angeles, CA
- $41.32 an hour
- Part-time
- Spanish
- Microsoft Outlook
- Basic math
6d
Authorization Representative, Float - Urology (Burbank)
UCLA Health —Burbank, CA
- $31.88 - $45.66 an hour
- Full-time
- Spanish
- Word processing
- Computer literacy
6d
Patient Service Representative - Goldberg Migraine Clinic
UCLA Health —Los Angeles, CA
- $31.88 - $45.66 an hour
- Full-time
- Customer service
- Clinic
- Neurology
6d
Patient Service Representative-Redondo Beach Primary, Specialty, & Immediate Care
UCLA Health —Redondo Beach, CA
- $31.88 - $45.66 an hour
- Full-time
- Mid-level
- Computer skills
6d
MOTOR VEHICLE REPRESENTATIVE
Department of Motor Vehicles —Los Angeles County, CA
- $3,745 - $5,429 a month
- Part-time
- Office
- US work authorization
- Fingerprint clearance
- Disability insurance
- Health insurance
4d
Patient Service Representative - Geriatrics, Westwood
UCLA Health —Los Angeles, CA
- $31.88 - $45.66 an hour
- Full-time
- Mid-level
- Geriatrics
5d
Patient Service Representative - Dermatology, West Los Angeles
UCLA Health —Los Angeles, CA
- $31.88 - $45.66 an hour
- Full-time
- Mid-level
6d
Patient Service Representative - Digestive Diseases, Santa Monica
UCLA Health —Santa Monica, CA
- $31.88 - $45.66 an hour
- Full-time
- Mid-level
- Computer skills
5d
Patient Access Representative - Admitting - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
USC —Los Angeles, CA
- $22.88 - $35.55 an hour
- 8 hour shift
- Inpatient
- English
- High school diploma or GED
Patient Service Representative II - Neurosurgery Clinic
Cedars-Sinai —Los Angeles, CA
- $25.06 - $38.84 an hour
- 8 hour shift
- Hospital
- HIPAA
- Mid-level
Patient Access Representative III - Duarte
City of Hope —Duarte, CA
- $25.78 - $36.09 an hour
- Full-time
- Hospital
- Medical office experience
- Mid-level
Patient Service Representative II - Orthopaedic Center
Cedars-Sinai —Beverly Hills, CA
- $25.57 - $39.63 an hour
- 8 hour shift
- Hospital
- HIPAA
- Mid-level
Patient Access Representative
Adventist Health —Montebello, CA
- $25.00 - $30.45 an hour
- Full-time
- Hospital
- High school diploma or GED
- Experience equivalent to degree accepted
Patient Service Representative
Gracelight Community Health —Los Angeles, CA
- $24.74 - $37.10 an hour
- Weekends as needed
- Spanish
- Word processing
- English
Quick Apply
Surgery Scheduler - E.N.T. (Ear, Nose & Throat)
Cedars-Sinai —Beverly Hills, CA
- $25.00 - $37.15 an hour
- 8 hour shift
- Surgery
- High school diploma or GED
- Perioperative Care
9d
Patient Access Representative - Per Diem
Shriners Hospitals for Children —Pasadena, CA
- $23.00 - $30.54 an hour
- Online Application
- 18 years or older
- Spanish
- English
4d

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

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

authorization representative jobs near los angeles ca

Patient Services Representative jobs in Pasadena, CA

Patient Access Representative jobs in Los Angeles, CA

Authorization Representative jobs in Los Angeles, CA

Senior Patient Services Representative jobs in Los Angeles, CA

Patient Services Representative jobs in Santa Monica, CA

Patient Access Representative jobs in Pasadena, CA

Patient Access Representative III jobs in Duarte, CA

Member Services Representative jobs in Long Beach, CA

Patient Services Representative jobs in Los Angeles, CA

Patient Services Representative jobs in El Segundo, CA

Patient Transport jobs in Tulsa, OK

Patient Services Representative jobs in Berkeley, CA

Liquor Sales Representative jobs in Florida

Amazon Data Services jobs in South Bend, IN

Patient Services Representative jobs in Sonora, CA

Patient Services Representative jobs in Olympia, WA

Preferred Professional Services Pps Agency jobs in Waterbury, CT

Medical Sales Representative jobs in Miami, FL

Patient Services Representative jobs in Detroit, MI

Patient Services Representative jobs in Sioux City, IA

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

authorization representative jobs in los angeles ca

Member Service Representative

Patient Authorization Representative

Patient Service Representative - Neurology (Pasadena)

Patient Service Representative - Primary & Specialty Care Clinics (Pasadena)

Patient Access Representative - Per Diem

Authorization Representative, Float - Urology (Burbank)

Patient Service Representative - Goldberg Migraine Clinic

Patient Service Representative-Redondo Beach Primary, Specialty, & Immediate Care

MOTOR VEHICLE REPRESENTATIVE

Patient Service Representative - Geriatrics, Westwood

Patient Service Representative - Dermatology, West Los Angeles

Patient Service Representative - Digestive Diseases, Santa Monica

Patient Access Representative - Admitting - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Patient Service Representative II - Neurosurgery Clinic

Patient Access Representative III - Duarte

Patient Service Representative II - Orthopaedic Center

Patient Access Representative

Patient Service Representative

Surgery Scheduler - E.N.T. (Ear, Nose & Throat)

Patient Access Representative - Per Diem

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

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected