Top 2620 Member services representative Jobs in Pomona, Ca

DQA Representative
PRIORITY AMBULANCE CALIFORNIA LLC —Rancho Cucamonga, CA
- $25 - $35 an hour
- Nursing
- Customer service
- HIPAA
Media Outreach Specialist (Upland)
REACH OUT WEST END INC —Upland, CA
- $24.16 an hour
- Weekends as needed
- Spanish
- Basic math
- English
- Health insurance
- Dental insurance
Will Call Representative
B2Sign, Inc. —Pomona, CA
- $18.50 an hour
- Full-time
- Bilingual
- Background check
- Spanish
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative - $22/hr
Rapid Response Monitoring —Corona, CA
- $22 an hour
- Part-time
- Background check
- Pass drug screening
- Residential
- Wellness program
- Health insurance
Quick Apply
13d
Merchant Services Customer Support Representative
Chino Commercial Bank —Ontario, CA
- Full-time
- Spanish
- Word processing
- Basic math
Quick Apply
1d
Service Team Member
EL Pollo Loco —San Dimas, CA
- $20 an hour
- Full-time
- 21 years or older
- Food Handler Certification
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Patient Account Registrar - Admitting
Chino Valley Medical Center —Chino, CA
- $23 an hour
- Per diem
- Hospital
- Customer service
- Adults
- Health insurance
- Dental insurance
Cashier
Scripps College —Claremont, CA
- $20.90 - $22.00 an hour
- Overtime
- Writing skills
- Basic math
- English
14d
Member Services Representative
SUPREME FITNESS GROUP —Pomona, CA
- $18.47 an hour
- Part-time
- 18 years or older
- Computer literacy
- High school diploma or GED
- Health insurance
- 401(k)
Cashier - Dinner/Close Shift
Raising Cane's —Chino, CA
- $20 an hour
- Urgently hiring
- No experience needed
- Ability to climb stairs
- Ability to lift 50 pounds
- Paid training
- Disability insurance
Quick Apply
Member Services Representative
Crunch Fitness —San Dimas, CA
- $33,000 - $50,000 a year
- Part-time
- 18 years or older
- CPR Certification
- High school diploma or GED
Quick Apply
Toyota Arena Guest Services Representative
Legends Global —Ontario, CA
- $18 an hour
- 8 hour shift
- 18 years or older
- English
- Reliable transportation
Team Member
Regal Cinemas, Inc —West Covina, CA
- Part-time
- Serving
- 21 years or older
- Communication skills
- 401(k) matching
Member Services Representative
Planet Fitness —Ontario, CA
- $17 - $19 an hour
- Computer literacy
- Cash register
- Computer skills
Quick Apply
Restaurant Crewmember - Lunch/Afternoon Shift
Raising Cane's —Chino, CA
- From $20 an hour
- Urgently hiring
- No experience needed
- Ability to climb stairs
- Ability to lift 50 pounds
- Paid training
- Disability insurance
Quick Apply
Service Associate
EōS Fitness —Montclair, CA
- $16.90 - $19.50 an hour
- Overtime
- Inventory management
- Computer literacy
- Microsoft Office
- Paid holidays
- Dental insurance
Quick Apply
Patient Services Representative I
Children's Hospital Los Angeles —Arcadia, CA
- $43,680 - $53,581 a year
- Weekends as needed
- Spanish
- Urgent Care
- English
12d
Office Coordinator
Western University of Health Sciences —Pomona, CA
- $30.00 - $34.54 an hour
- Full-time
- Background check
- Mid-level
- Office
- Paid time off
- Retirement plan
Floor Staff ( Ontario Mountain Village 14)
Regal Cinemas, Inc —Ontario, CA
- Part-time
- Serving
- Inventory management
- Communication skills
Client Service Representative
Terra Vista Animal Hospital —Rancho Cucamonga, CA
- $20 - $22 an hour
- Full-time
- Basic math
- Medical terminology
- 2 years
Quick Apply
12d

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member services representative jobs near pomona, ca

DQA Representative

PRIORITY AMBULANCE CALIFORNIA LLC
Rancho Cucamonga, CA

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Job Details

$25 - $35 an hour

Qualifications

High school diploma or GED

Full Job Description

ROLE SUMMARY

The DQA Representative is responsible for ensuring that information and documentation required for proper billing of claims is obtained and presented for all billable events for an assigned area.

This is a Non-Exempt/Hourly position.

KEY RESPONSIBILITIES

Specific Duties:

Demonstrates knowledge, understanding and compliance of company policies and procedures.
Demonstrates knowledge and understanding of (and compliance with) Federal, State, and local laws, rules, regulations, and guidelines as they pertain to reimbursement, collections, and compliance.
Demonstrates complete knowledge of proper billing, coding, and posting procedures.
Ensure security of buildings and all other company property.
Performs daily appropriate housekeeping duties.
Ability to work as a team member.
Complete and maintain appropriate training, certification, and licensure for their position.
Maintain a high level of customer service when dealing with patients, patient families, co-workers clients, other healthcare providers, and the general public.
Notify DQA Manager of any lapses in documentation resulting in less than full compliance with compliance and HIPAA standards.
Maintains security and privacy of all company and patient information at all times in accordance HIPPA and all other local, state, and federal regulations.
Is responsible for keeping billing and patient care records secure in accordance with proper HIPAA and document retention standards.
Reports to assigned shifts on time and properly groomed in appropriate business attire.
At all times sets an example of professionalism and places customer service, compliance, and safety above all else.
Notifies DQA Manager of any questions, concerns, or issues regarding billing, collections, or compliance matters.
Work closely with Operations and Dispatch Management and Personnel to ensure timely, accurate, and complete information and documentation is available to be submitted for proper billing services.
Thoroughly evaluate all documentation received from Operations Personnel (example PCRs, PCSs), Dispatch Personnel (example: CAD records, call types, priorities), and external customers (example: insurance and demographic information) and ensure any shortcomings or discrepancies are addressed prior to submitting documentation and information to the billing office. Should ensure that all items listed on the DQA Key Data Point Review Sheet are reviewed, present, and accurate prior to submission.
Timely process assigned work and appropriately forward information and documentation to the billing office using the assigned workflow options.
Perform other duties related to DQA or as assigned by management.

#IND1

QUALIFICATIONS

Education

High School Diploma or GED required.
Associate degree in EMS, Nursing, Healthcare Administration, Health Information Management, or related field preferred.

Experience

Minimum of two (2) years of EMS, healthcare documentation, clinical quality assurance, medical records review, ambulance billing support, or related experience preferred.
Current or previous EMT, AEMT, Paramedic, RN, or equivalent clinical experience preferred.
Experience with electronic patient care reporting systems preferred.

Knowledge, Skills, and Abilities

Knowledge of EMS documentation standards and patient care reporting requirements.
Knowledge of medical terminology.
Understanding of Medicare, Medicaid, and commercial insurance documentation requirements.
Understanding of HIPAA and patient privacy regulations.
Knowledge of state EMS regulations and applicable healthcare compliance requirements.
Strong analytical and critical thinking skills.
Excellent written and verbal communication skills.
Strong attention to detail and organizational skills.
Ability to manage multiple priorities and meet deadlines.
Proficiency with Microsoft Office Suite.
Ability to type a minimum of 40 WPM.
Ability to work independently and collaboratively within a team environment.

PHYSICAL REQUIREMENTS

The employee must be able to perform the essential functions of the position with or without reasonable accommodation.

The employee frequently:

Ability to sit for extended periods while working at a computer workstation.
Ability to use computers, keyboards, monitors, and standard office equipment.
Ability to communicate effectively in person, by telephone, and electronically.
Ability to occasionally lift and carry up to 25 pounds.

CORE COMPETENCIES

Attention to Detail
Accountability
Integrity and Confidentiality
Critical Thinking
Communication
Customer Service
Teamwork and Collaboration
Time Management
Problem Solving
Continuous Improvement
Adaptability
Professionalism

REPORTING RELATIONSHIP

Reports directly to the Document Quality Assurance Manager.

WORK ENVIRONMENT

Primarily office-based environment.
Frequent use of computers and electronic documentation systems.
Extended periods of sitting and computer work.
Occasional travel may be required for training, meetings, or operational support.
May be required to work flexible schedules based on operational needs.

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Refine Your Search

member services representative jobs in pomona, ca

DQA Representative

Media Outreach Specialist (Upland)

Will Call Representative

Customer Service Representative - $22/hr

Merchant Services Customer Support Representative

Service Team Member

Patient Account Registrar - Admitting

Cashier

Member Services Representative

Cashier - Dinner/Close Shift

Member Services Representative

Toyota Arena Guest Services Representative

Team Member

Member Services Representative

Restaurant Crewmember - Lunch/Afternoon Shift

Service Associate

Patient Services Representative I

Office Coordinator

Floor Staff ( Ontario Mountain Village 14)

Client Service Representative

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