Top 231 Call center 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
Customer Service Associate
PropertyRate, LLC —Orange, CA
- $18.50 - $21.00 an hour
- 8 hour shift
- Hybrid work
- Background check
- Google Workspace
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
Bilingual Customer Experience Representative
Andasol Management, Inc. —Ontario, CA
- $18 an hour
- Full-time
- Spanish
- High school diploma or GED
- Conflict management
- Mileage reimbursement
- Paid holidays
Quick Apply
6d
Client Response Specialist - (Intake) - Personal Injury
Sweet James —Newport Beach, CA
- $23 - $28 an hour
- Weekends as needed
- Bilingual
- Background check
- Spanish
- Health savings account
- Health insurance
Quick Apply
Inside Sales Representative
TIMEPROOFUSA —Anaheim, CA
- $21 - $25 an hour
- Background check
- Computer literacy
- Residential
- Paid training
- Health insurance
Quick Apply
Customer Service Representative
Closet World —City of Industry, CA
- From $18.50 an hour
- Full-time
- Customer service
- English
- Microsoft Office
- Paid holidays
- Health insurance
Quick Apply
Will Call Representative
B2Sign, Inc. —Pomona, CA
- $18.50 an hour
- Full-time
- Bilingual
- Background check
- Spanish
- Health insurance
- Dental insurance
Quick Apply
Call Center Customer Service Representative
Blueprint Inc. —Claremont, CA
- Up to $69,500 a year
- Full-time
- Pass drug screening
- Research
- In-person
- Health insurance
- Dental insurance
Quick Apply
2d
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
7d
Customer Service Representative I (CSR I) - Paid Training
Call the Car —Diamond Bar, CA
- $19 - $20 an hour
- Weekends as needed
- Computer literacy
- Criminal background check
- Travel
- Paid training
- AD&D insurance
Quick Apply
12d
Telephone Sales Representative
Kensington Marketing Group —Anaheim, CA
- $17 - $22 an hour
- Full-time
- Customer service
- In-person
- Marketing
- Paid training
- Health insurance
Quick Apply
Customer Service Representative
Tax Relief Advocates —Irvine, CA
- $20 an hour
- Full-time
- Typing
- In-person
- 1 year
- Dental insurance
- Vision insurance
Quick Apply
13d
Inbound Sales Representative
TaxRise —Irvine, CA
- $150,000 - $240,000 a year
- Overtime
- Background check
- In-person
- Communication skills
- Paid training
- Health insurance
Quick Apply
Call Center Representative
TIMEPROOFUSA —Anaheim, CA
- $21 - $25 an hour
- Background check
- Computer literacy
- Residential
- Paid training
- Health insurance
Quick Apply
Call Center Representative I
TaxRise —Irvine, CA
- $22 - $23 an hour
- Overtime
- Background check
- Financial services
- In-person
- Paid training
- Health insurance
Quick Apply
6d
Call Center: Product Support Technician
Launch Tech USA —Ontario, CA
- From $18 an hour
- 8 hour shift
- Bilingual
- Spanish
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative (Phone Support)
Medon Inc —Tustin, CA
- $20 - $25 an hour
- Full-time
- Computer literacy
- English
- In-person
- Health insurance
- Dental insurance
Quick Apply
Call Center Representative
CR&R Incorporated —Stanton, CA
- $21 an hour
- Overtime
- Spanish
- English
- Residential
Quick Apply
Call Center Representative II
TaxRise —Irvine, CA
- $24 - $35 an hour
- Overtime
- Mid-level
- 3 years
- Financial services
- Health insurance
- Dental insurance
Quick Apply
5d
Credit Union Call Center Rep - Experience in a credit union is required!
Addvantage Credit Union Staffing —Glendale, CA
- $23 - $25 an hour
- Temporary
- Spanish
- High school diploma or GED
- 1 year
Quick Apply
1d

I want to receive the latest job alert for call center representative in walnut 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

call center representative jobs near walnut ca

Call Center Representative jobs in Anaheim, CA

Call Center Representative jobs in Glendale, CA

Call Center Representative jobs in Claremont, CA

Call Center Representative jobs in Stanton, CA

Customer Service Representative jobs in Tustin, CA

Call Center Representative jobs in Ontario, CA

Member Services Representative jobs in Long Beach, CA

Customer Service Representative jobs in Corona, CA

Customer Service Representative jobs in Irvine, CA

Call Center Representative jobs in Irvine, CA

Customer Service Representative jobs in Orange, CA

Call Center Night Shift jobs in Georgia

Remote Call Center jobs in Raleigh, NC

Call Center Representative jobs in Pittsburgh, PA

Call Center Representative jobs in Goose Creek, SC

Call Center Representative jobs in Wheaton, MD

Call Center Representative jobs in Parsippany Troy Hills, NJ

Customer Service Representative Remote Overnight jobs in North Carolina

Call Center Representative jobs in Brockton, MA

Target Distribution Center jobs in Shafter, CA

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

call center representative jobs in walnut ca

Member Service Representative

Customer Service Associate

Bilingual Customer Experience Representative

Client Response Specialist - (Intake) - Personal Injury

Inside Sales Representative

Customer Service Representative

Will Call Representative

Call Center Customer Service Representative

Customer Service Representative - $22/hr

Customer Service Representative I (CSR I) - Paid Training

Telephone Sales Representative

Customer Service Representative

Inbound Sales Representative

Call Center Representative

Call Center Representative I

Call Center: Product Support Technician

Customer Service Representative (Phone Support)

Call Center Representative

Call Center Representative II

Credit Union Call Center Rep - Experience in a credit union is required!

I want to receive the latest job alert for call center representative in walnut ca

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected