Top 962 Patient service representative Jobs in Walnut, 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
Cantonese-English Bilingual Healthcare Customer Service Representative - Remote in California
TTEC —California
- $22.65 an hour
- Full-time
- Remote
- English
- Research
- Windows
- Wellness program
- Tuition reimbursement
Front Desk Representative
Nhan Hoa Comprehensive Health Care Clinic —Garden Grove, CA
- $22 - $24 an hour
- Full-time
- Background check
- CPR Certification
- Vital signs
- Health insurance
- Dental insurance
Quick Apply
10d
Medical Receptionist
Orange County Ophthalmology Medical Group —Garden Grove, CA
- From $22 an hour
- Full-time
- OSHA
- Customer service
- Computer literacy
- Health insurance
- 401(k)
Quick Apply
3d
Medical Receptionist- Ophthalmology
Confidential —Downey, CA
- From $20 an hour
- Full-time
- Spanish
- Customer service
- Computer literacy
- COVID-19 protective measures
- Paid time off
Quick Apply
3d
Customer Service Representative - Reception
East Valley Community Health Center —La Puente, CA
- $21.00 - $24.80 an hour
- Spanish
- Hospital
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
Patient Representative
Riverside Medical Clinic —Eastvale, CA
- $23.00 - $33.18 an hour
- Full-time
- Writing skills
- High school diploma or GED
- Clinic
10d
Call Center Scheduler - Internal Med Clinic - Full Time - Days - 8hr Covina Covina, California
Emanate Health —Covina, CA
- $23.00 - $34.50 an hour
- 8 hour shift
- Spanish
- Computer literacy
- Medical office experience
- Health insurance
- Dental insurance
Patient Account Registrar - Admitting
Chino Valley Medical Center —Chino, CA
- $23 an hour
- Per diem
- Hospital
- Customer service
- Adults
- Health insurance
- Dental insurance
Patient Support Representative
Azul Vision —Glendora, CA
- $23 - $24 an hour
- 8 hour shift
- Up to 50% travel
- Computer literacy
- Mid-level
Quick Apply
13d
REP, IMAGING SUPPORT
Pomona Valley Hospital Medical Center —Pomona, CA
- $23.00 - $30.89 an hour
- Part-time
- Hospital
- High school diploma or GED
- Computer skills
Medical Receptionist
Medical Beauty And Weight Loss —La Puente, CA
- $19 - $21 an hour
- Part-time
- Spanish
- Computer literacy
- English
Quick Apply
Front Desk Coordinator - West Covina
The Joint Chiropractic —West Covina, CA
- $18.74 an hour
- Part-time
- High school diploma or GED
- Clinic
- Ability to lift 50 pounds
Quick Apply
Imaging Representative - Full Time - Days - 8hr QVH West Covina, California
Emanate Health —West Covina, CA
- $23.00 - $34.50 an hour
- 8 hour shift
- Hospital
- High school diploma or GED
- Typing
- On-the-job training
Patient Access Representative - Admitting - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medical Center of USC —Los Angeles, CA
- $22.88 - $35.55 an hour
- 8 hour shift
- Background check
- Hospital
- English
Registration Representative - Full Time - Nights - 8hr QVH West Covina, California
Emanate Health —West Covina, CA
- $23.00 - $34.50 an hour
- 8 hour shift
- Bilingual
- Customer service
- High school diploma or GED
7d
OR Clerk
San Antonio Regional Hospital —Upland, CA
- $23.00 - $31.82 an hour
- Per diem
- Computer literacy
- Writing skills
- No experience needed
11d
Patient Access Representative III - Duarte
City of Hope —Duarte, CA
- $25.78 - $36.09 an hour
- Full-time
- Hospital
- Medical office experience
- Mid-level
6d
Front Office Medical Receptionist - Full-time or Part-time, Covina CA
Usborne Family Medicine, Inc. —Covina, CA
- $18.44 - $22.00 an hour
- Part-time
- Background check
- Computer literacy
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
Patient Registration Representative I, FT Days
PIH HEALTH —Whittier, CA
- $23.00 - $31.71 an hour
- Full-time
- Spanish
- Hospital
- Computer literacy
5d

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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 service representative jobs in walnut, ca

Member Service Representative

Cantonese-English Bilingual Healthcare Customer Service Representative - Remote in California

Front Desk Representative

Medical Receptionist

Medical Receptionist- Ophthalmology

Customer Service Representative - Reception

Patient Representative

Call Center Scheduler - Internal Med Clinic - Full Time - Days - 8hr Covina Covina, California

Patient Account Registrar - Admitting

Patient Support Representative

REP, IMAGING SUPPORT

Medical Receptionist

Front Desk Coordinator - West Covina

Imaging Representative - Full Time - Days - 8hr QVH West Covina, California

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

Registration Representative - Full Time - Nights - 8hr QVH West Covina, California

OR Clerk

Patient Access Representative III - Duarte

Front Office Medical Receptionist - Full-time or Part-time, Covina CA

Patient Registration Representative I, FT Days

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