Top 3900 Community representative Jobs in Lynwood 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
Business Development Representative - Full-time
MedPartners Management —Santa Fe Springs, CA
- $60,000 - $70,000 a year
- 8 hour shift
- Psychiatry
- Addiction Medicine
- HIPAA
- Mileage reimbursement
- Paid holidays
Quick Apply
5d
Disabilities and Mental Health Coordinator
The Blind Children's Center —Los Angeles, CA
- From $33.43 an hour
- 8 hour shift
- Bilingual
- Background check
- LMFT
- Mileage reimbursement
- Health savings account
Quick Apply
CSPP Program Specialist
Human Services Association —South Gate, CA
- $37 - $41 an hour
- Weekends as needed
- Background check
- CPR Certification
- Management
- Health insurance
- Dental insurance
Quick Apply
Admissions Advisor
Career College —Carson, CA
- $25 - $38 an hour
- Full-time
- Spanish
- Sales
- English
- Paid parental leave
- Health insurance
Quick Apply
Communications Specialist
GRACELIGHT COMMUNITY HEALTH —Los Angeles, CA
- $36.57 - $45.81 an hour
- Full-time
- Marketing
- Mid-level
- Office
Quick Apply
Referral Coordinator, Remote, House LA and OC
PIH HEALTH —Whittier, CA
- $23.00 - $33.31 an hour
- Evenings as needed
- Remote
- Spanish
- Microsoft Excel
- Microsoft Outlook
7d
Patient Registration Rep
St Mary Medical Center —Long Beach, CA
- $26.31 - $33.05 an hour
- PRN
- Acute care
- Medical office experience
- High school diploma or GED
5d
UM Coordinator, Inpatient (Remote | Part-Time | Weekends | Pacific Time Required)
Alignment Healthcare USA, LLC —Orange, CA
- $41,472 - $62,208 a year
- Part-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
7d
Admissions and Records Coordinator
Rio Hondo College —Whittier, CA
- $7,747.98 - $9,914.07 a month
- Online Application
- Microsoft Excel
- Microsoft Outlook
- High school
5d
Credentialing Representative
Optum —El Segundo, CA
- $18 - $32 an hour
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Research
7h
Family Services Coordinator
California Hospital Medical Center —Los Angeles, CA
- $29.38 - $43.70 an hour
- Full-time
- Mid-level
- Driver's License
- Bachelor's degree
4d
Dispatcher
Durham School Services —Compton, CA
- $35 an hour
- Full-time
- Bilingual
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Per Diem-Admitting worker PRN-Utilization review-Los Alamitos-Days
University of California, Irvine —Los Alamitos, CA
- $31.24 an hour
- Per diem
- Remote
- Background check
- Customer service
- Computer literacy
- Health insurance
- Retirement plan
12d
Mentor
Children's Institute, Inc. —Long Beach, CA
- $26.75 - $32.10 an hour
- Full-time
- Microsoft Word
- Spanish
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
Patient Service Representative I - OR Administration
Cedars-Sinai —Los Angeles, CA
- $25.00 - $25.49 an hour
- 8 hour shift
- Hospital
- High school diploma or GED
- Fair chance
Systems Navigator
Los Angeles Homeless Services Authority —Los Angeles, CA
- $26.27 - $36.73 an hour
- Full-time
- Hybrid work
- Spanish
- Clean driving record
- Microsoft Excel
- Paid holidays
- Disability insurance
12d
Program Coordinator (2-Positions)
Charles R. Drew University of Medicine and Science —Los Angeles, CA
- $26.55 an hour
- Part-time
- Hybrid work
- Bilingual
- Microsoft Excel
- Microsoft Outlook
Quick Apply
HUMAN RESOURCES MANAGEMENT ASSISTANT (Part-Time)
City of Signal Hill, CA —Signal Hill, CA
- $36.10 - $46.08 an hour
- Part-time
- Clean driving record
- Pass drug screening
- English
- Paid holidays
- Disability insurance
12d
Patient Access Representative II - Per Diem, Variable (Bellflower)
Los Angeles Community Hospitals —Bellflower, CA
- $28 an hour
- Per diem
- Hospital
- Computer literacy
- Adults

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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

community representative jobs in lynwood ca

Member Service Representative

Business Development Representative - Full-time

Disabilities and Mental Health Coordinator

CSPP Program Specialist

Admissions Advisor

Communications Specialist

Referral Coordinator, Remote, House LA and OC

Patient Registration Rep

UM Coordinator, Inpatient (Remote | Part-Time | Weekends | Pacific Time Required)

Admissions and Records Coordinator

Credentialing Representative

Family Services Coordinator

Dispatcher

Per Diem-Admitting worker PRN-Utilization review-Los Alamitos-Days

Mentor

Patient Service Representative I - OR Administration

Systems Navigator

Program Coordinator (2-Positions)

HUMAN RESOURCES MANAGEMENT ASSISTANT (Part-Time)

Patient Access Representative II - Per Diem, Variable (Bellflower)

I want to receive the latest job alert for community representative in lynwood ca

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