Top 814 Patient services representative Jobs in San Pedro, 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
Enrollment Representative
Champion Health Plan —Long Beach, CA
- From $23 an hour
- Overtime
- Background check
- Spanish
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Front Desk Receptionist/ Insurance coordinator
ARTSCI dental —Redondo Beach, CA
- $18 - $25 an hour
- Full-time
- Dental office
- High school diploma or GED
- In-person
- Health insurance
- Dental insurance
Quick Apply
2d
RECEPTIONIST/MARKETING REPRESENTATIVE
RootVision Endo —Lakewood, CA
- $16 - $20 an hour
- Full-time
- HIPAA
- No experience needed
- Office
- Health insurance
- Dental insurance
Quick Apply
Medical Receptionist Position Available- Plastic Surgery
Plastic Surgery Institute —Beverly Hills, CA
- $21 - $27 an hour
- 8 hour shift
- Bilingual
- Private practice
- Spanish
- Health insurance
- Dental insurance
Quick Apply
RECEPTIONIST
Del Amo Behavioral Health System —Torrance, CA
- $23.00 - $36.74 an hour
- PRN
- Adults
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Patient Services Specialist - PMI Float Southern LA County
Providence —San Pedro, CA
- $24.00 - $31.52 an hour
- Full-time
- Clinic
- Fair chance
- Entry level
- Paid parental leave
- Paid holidays
Patient Engagement Representative
Pediatric Associates —San Pedro, CA
- Full-time
- Mid-level
- Office
- High school diploma or GED
Medical Receptionist/Front Desk
Ear, Nose, and Throat Practice —Torrance, CA
- From $24 an hour
- Full-time
- Clinic
- In-person
- Associate's degree
- Health insurance
- Dental insurance
Quick Apply
Front Office Assistant
MemorialCare Medical Foundation —Long Beach, CA
- $23.00 - $30.08 an hour
- Part-time
- BLS Certification
- Urgent Care
- High school diploma or GED
- Health insurance
2d
Front Desk Coordinator
Ivy Fertility-Reproductive Partners Medical Group —Long Beach, CA
- $20 - $25 an hour
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Health savings account
- Health insurance
Quick Apply
Patient Access Rep II - Patient Access Contact Center - Breast Center - Full-Time, Remote Eligible, Days
Cedars-Sinai —Los Angeles, CA
- $25.00 - $37.74 an hour
- 8 hour shift
- Remote
- Hospital
- HIPAA
- Mid-level
4d
Medical Front Desk Receptionist
Headlands Research —Rolling Hills Estates, CA
- $20 - $23 an hour
- Full-time
- Spanish
- English
- Office
- Health savings account
- Paid holidays
Patient Service Co-ordinator
Prime Medical —San Pedro, CA
- $19 - $21 an hour
- Full-time
- Spanish
- English
- Mid-level
Quick Apply
Medical Receptionist
BEHAVIORAL HEALTH SERVICES INC —Wilmington, CA
- $22.00 - $26.40 an hour
- Weekends as needed
- Clinic
- Entry level
Quick Apply
Medical Receptionist
Golden State Dermatology —Torrance, CA
- $21 - $25 an hour
- Full-time
- Surgery
- Clinic
- US work authorization
- Commuter assistance
- Paid holidays
Quick Apply
3d
Front office Medical Receptionist for Pregnancy Practice
Coastal Perinatal Center, Inc —Torrance, CA
- $18 - $22 an hour
- Full-time
- In-person
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Radiology Information Specialist I - Per Diem
Torrance Memorial Medical Center —Torrance, CA
- $27.21 an hour
- Per diem
- Hospital
- Outpatient
- Radiology
Quick Apply
Patient Operations Specialist
Harbor Community Clinic —San Pedro, CA
- $24 - $27 an hour
- Overtime
- Background check
- Spanish
- BLS Certification
Quick Apply
Patient Service Representative
Ocean View Psychiatric Hospital —Long Beach, CA
- $30 - $32 an hour
- 12 hour shift
- Background check
- CPR Certification
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
11d

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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

patient services representative jobs in san pedro, ca

Member Service Representative

Enrollment Representative

Front Desk Receptionist/ Insurance coordinator

RECEPTIONIST/MARKETING REPRESENTATIVE

Medical Receptionist Position Available- Plastic Surgery

RECEPTIONIST

Patient Services Specialist - PMI Float Southern LA County

Patient Engagement Representative

Medical Receptionist/Front Desk

Front Office Assistant

Front Desk Coordinator

Patient Access Rep II - Patient Access Contact Center - Breast Center - Full-Time, Remote Eligible, Days

Medical Front Desk Receptionist

Patient Service Co-ordinator

Medical Receptionist

Medical Receptionist

Front office Medical Receptionist for Pregnancy Practice

Radiology Information Specialist I - Per Diem

Patient Operations Specialist

Patient Service Representative

I want to receive the latest job alert for patient services representative in san pedro, ca

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