Top 969 Patient services representative Jobs in Westminster, 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
9d
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
9d
Dental Treatment Coordinator
The Smile Lounge —Los Alamitos, CA
- $27 - $30 an hour
- Part-time
- Private practice
- Dental office
- Mid-level
- Continuing education credits
- Paid time off
Quick Apply
Front Desk - MedSpa
Confidential —Newport Beach, CA
- From $22 an hour
- Part-time
- Sales
- Customer service
- Medical office experience
- Employee discount
- Flexible schedule
Quick Apply
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
3d
Patient Services Representative, Edinger Pediatrics
CHOC Children's —Fountain Valley, CA
- $23.00 - $32.88 an hour
- Full-time
- Spanish
- Word processing
- BLS Certification
4d
Patient Services Representative - Front Desk - Seal Beach, CA
Pacific Dermatology Specialists —Seal Beach, CA
- $22 - $25 an hour
- 8 hour shift
- Spanish
- Ability to walk for extended periods
- Ability to climb stairs
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
10d
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
5d
Hyper Wellness Representative
Restore Hyper Wellness - RHWM045 —Cerritos, CA
- $18 - $21 an hour
- Part-time
- 1 year
- Entry level
- Employee discount
- Opportunities for advancement
Quick Apply
7d
Patient Care & Reimbursement Specialist (Customer Service Call Center)
RIS Rx —Irvine, CA
- $20 - $23 an hour
- Full-time
- Microsoft Word
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Facility and Rep Experience Representative
H-Wave —Huntington Beach, CA
- $23 - $25 an hour
- Full-time
- Background check
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Dental Front Desk Receptionist
California Oral Surgery —Huntington Beach, CA
- $22 - $27 an hour
- Full-time
- Dental office
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
Insurance Department Administrative Assistant
Creative Solutions for Hope —Costa Mesa, CA
- $20 an hour
- Full-time
- Computer literacy
- Sanitation
- Maintenance
- Paid training
- Health insurance
Quick Apply
2d
Patient Access Coordinator
Hanger, Inc. —Fountain Valley, CA
- $23 - $25 an hour
- Computer literacy
- Administrative experience
- High school diploma or GED
Quick Apply
Medical Receptionist
RadNet Orange County —Orange, CA
- $23 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
2d
Medical Front Desk Receptionist
EXCEL IMAGING CENTER —Garden Grove, CA
- $17 - $20 an hour
- Part-time
- Computer literacy
- English
- Computer skills
- Paid training
Quick Apply
1d
(Part Time) Front Desk Receptionist / Patient Coordinator
Solaire Medical Spa —Costa Mesa, CA
- $20 - $25 an hour
- Part-time
- Organizational skills
- In-person
- Communication skills
- Paid training
- Employee discount
Quick Apply
Patient Services Rep. (Admitting) - PT 8hr Nights
KPC GLOBAL MEDICAL CENTERS INC. —Santa Ana, CA
- $23.00 - $26.95 an hour
- 8 hour shift
- Heavy lifting
- English
- High school diploma or GED
- AD&D insurance
- Health insurance
Quick Apply

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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 westminster, ca

Member Service Representative

Enrollment Representative

Front Desk Representative

Dental Treatment Coordinator

Front Desk - MedSpa

Patient Registration Rep

Patient Services Representative, Edinger Pediatrics

Patient Services Representative - Front Desk - Seal Beach, CA

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

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

Hyper Wellness Representative

Patient Care & Reimbursement Specialist (Customer Service Call Center)

Facility and Rep Experience Representative

Dental Front Desk Receptionist

Insurance Department Administrative Assistant

Patient Access Coordinator

Medical Receptionist

Medical Front Desk Receptionist

(Part Time) Front Desk Receptionist / Patient Coordinator

Patient Services Rep. (Admitting) - PT 8hr Nights

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