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Member Relations Representative
3 weeks ago
The Member Relations Representative is responsible for acting as a liaison between members, health plans, and physicians. Individuals are required to perform at minimum 120 outbound attempts per day to Medi-Medi, Medicare, Commercial, POS and Medi-Cal members who are existing members with enrollment errors or are identified as potential terminations and other services necessary to ensure member healthcare satisfaction, wellness, and retention is accomplished.
Complete all outbound retention effort campaigns as assigned Complete all inbound retention calls. Track outcome of all retention efforts Assist with member inbound calls as needed. 100% thorough documentation of every call. Thoroughly verify HIPAA requirements to ensure account accuracy. Follow-up on all open issues. Communicate recurring issues and trends to management. All other duties as assigned.Minimum Education: Bachelor's Degree preferred. High School Diploma or equivalent required.
Minimum Experience: A minimum of two years of customer service experience in a call center environment required. A minimum of two (2) to three (3) years of IPA/HMO experience. Ability to project excellent customer service, negotiation, and conflict resolution skills via telephone in a fast-pace environment while maintaining a professional demeanor. Bi-lingual preferred. Advanced working knowledge in Microsoft Programs (PowerPoint, Word and Excel). Ability to multi-task, prioritize, and work in a fast pace environment. Knowledge of IPA/HMO. Proficiency in Microsoft Office Excel and Outlook applications.
Req. Certification/Licensure: None.
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Member Service Representative
3 weeks ago
Orange, California, United States Astiva Health, Inc Full timeJob Title: Member Services Representative Target Compensation Range: $20.00-$28.00/hour, depending on the level of relevant qualifications and experience. About Us: Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our...
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route sales representative
3 weeks ago
Orange, California, United States State of California Full timeJob Posting: Route Sales Representative - Permanent Intermittent CA State Lottery JC Route Sales Representative - Permanent Intermittent ROUTE SALES REPRESENTATIVE $3, $4,830.00 per Month Final Filing Date: 6/3/2024 Application Methods: Electronic (Using your CalCareer Account) By Mail Drop-off Job Description and Duties Under the general...
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Call Center Representative
3 weeks ago
Orange, California, United States Cogent Infotech Corporation Full timeJob DescriptionJob DescriptionTitle: Call Center Representative / CSR Location: Orange County CA 92868Duration: Contract (6 Month)ONSITEDescription of Work:The Customer Service Representative (CSR) will be the first line of contact for the client's members and providers. The incumbent will assist members and providers with questions and/or complaints related...
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Call Center Representative
3 weeks ago
Orange, California, United States Midtown Personnel Full timeJoin Our Team as a Customer Service Representative at a Reputable Healthcare Company in California! Looking for Customer Service Representatives (Non-Bilingual) to join our team Act as the initial point of contact for members and providers Provide assistance to organization's stakeholders
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Sales Representative
3 weeks ago
Orange, California, United States Experiential Group Full timeJoin Our Sales Team as a Sales RepresentativeWe are thrilled to be seeking enthusiastic individuals to join our growing sales team as Sales Representatives! At our company, you will have the chance to be part of a journey filled with continuous development and endless opportunities, both locally and nationally.What You'll Do:Learn and implement entry-level...
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Team Member
1 month ago
Orange, California, United States Circle K Full timeStore : 2504 E Chapman Ave, Orange, California 92869Availability - Shift/Days Full time Evening Shift - All Days (ranging from 2pm to 11pm)Customer Service RepresentativeWe want you to join our team as a Customer Service Representative. If you have the desire to be challenged, work in a fast-paced, fun environment and to grow your career - look no further.As...
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Customer Service Representative
3 weeks ago
Orange, California, United States Infojini Full timeJob DescriptionJob DescriptionCustomer Service Representative (Non-Bilingual)6+ months Orange, CADuties & Responsibilities: 80% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Maintains departmental productivity and quality standards....
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Territory Field Sales Representative
3 weeks ago
Orange, California, United States BASEMAKERS Full timeWho is Basemakers? Basemakers is one of the most trusted retail sales management companies in the food and beverage industry. After hitting the INC 500/5000 list of the fastest growing privately-held companies in America three consecutive times, we're expanding our sales services to continue our growth. At the heart of our success is our unwavering belief in...
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Program Representative I, Department of Consumer
3 weeks ago
Orange, California, United States Department of Consumer Affairs Full timeUnder the general supervision of the Program Representative III, the Program Representative I (PR I) enforces the laws and regulations governing auto repair and smog check and independently investigates consumer complaints. The PR I performs the full range of duties, as specified in the Bureau of Automotive Repair's Enforcement Policies and Procedures...
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workers' compensation insurance representative
3 weeks ago
Orange, California, United States State Compensation Insurance Fund Full timeJob Description and Duties This is a reposting. If you have already applied you will still be considered. No need to reapply. Are you looking to join an organization that truly cares about its employees, customers and the communities it serves? Imagine working for an organization that has over 100 years of service to the employers of California. ...
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Customer Service Representative
3 weeks ago
Orange, California, United States The Midtown Group Full timeJob DescriptionJob DescriptionHourly Rate: $ $29.00/hr Client will make an offer based upon experienceJob SummaryOne of our most prestigous clients is seeking a highly motivated an experienced Program Assistant to join their team. Under general supervision, the Program Assistant will assist with specialized services relevant to the Grievance and Appeals...
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Medical Office Representative
1 month ago
Orange, California, United States tapwage Full timeThis position functions as an interface with patients, physicians, staff and is responsible for handles all incoming calls screening, transferring, and answering appropriately, timely, and efficiently. Takes accurate and appropriate messages. Greets patients/visitors, check patients in and out, distributes mail, faxes, etc. Assists department with various...
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Territory Sales Representative
3 weeks ago
Orange, California, United States Mancini Companies Full timeJOB SUMMARY:Consistently achieve Sales Growth Objectives and Business Driver goals through the effective management of all key activities within the accounts. Plan, organize and execute the sales and marketing activities of all brands in assigned accounts.Core Job Functions Achieve all the Sales Goals and Business Driver Objectives in the assigned accounts...
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TEMP - Grievance & Appeals Nurse Specialist
3 weeks ago
Orange, California, United States Cogent Infotech Corp Full timeJob Description : The client is seeking a highly motivated an experienced TEMP - Grievance & Appeals Nurse Specialist to join the team. The Grievance and Appeals Nurse Specialist participates in managing the client's medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests. The incumbent will...
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Undergraduate Admission Counselor
3 weeks ago
Orange, California, United States Chapman University Full timePosting DetailsPosition InformationPosition Title Undergraduate Admission CounselorPosition Type RegularJob Number SA28624Full or Part Time Full-Time 40 Hours WeeklyFair Labor Standard Act Classification ExemptAnticipated Pay Range $66,560 Pay Range Information Chapman University is required to provide a reasonable estimate of the compensation range for this...
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Assistant General Manager
1 month ago
Orange, California, United States Buffalo Wild Wings Full timeIn most jobs, everyone doesn't spontaneously erupt into applause and start raining down high-fives. At Buffalo Wild Wings, that's just a Thursday night. This is the place to start the next phase of your restaurant management career. Whether you grow in our system here or your game-plan takes you elsewhere, we want you to have an experience that lasts a...
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Orange, California, United States Providence Service Full timeDescriptionUnder the direction of the Manager, Business Office, this position is responsible for verification of insurance benefits for all patient accounts.Providence caregivers are not simply valued – they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding,...
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Welcome Center Campus Safety
3 weeks ago
Orange, California, United States Orange Lutheran High School Full timeJob DetailsJob Location High School - Orange, CA Position Type Full-time/ 10 months Education Level High School Travel Percentage None Job Shift Day Job Category Education DescriptionPOSITION SUMMARY This position is responsible for the management of foot traffic entering Orange Lutheran's campus during school operating hours. Areas of focus include the...
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Estimating Administrator
3 weeks ago
Orange, California, United States Marina Landscape Full timeJOB DESCRIPTION:ESTIMATING ADMINISTRATORCLASSIFICATION PURPOSEThis non-exempt job classification is responsible for completing the pre-qualification process associated with project estimates, maintaining all appropriate databases, and demonstrating sufficient detail related to documentation, customer contact, and computer usage; performs other work as...
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Concierge Navigator
3 weeks ago
Orange, California, United States Alignment Healthcare Full timeJob Number6774Workplace Type:Fully RemoteRemote - CA,California By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors From member experience professionals and clinicians, to data scientists and operations...