Current jobs related to Healthcare Member Services Specialist - Long Beach - Dental Health Services
-
Healthcare Network Specialist
2 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare is seeking a skilled Healthcare Network Specialist to join our team. As a key member of our Provider Network Administration team, you will be responsible for ensuring the accuracy and timeliness of critical provider information on all claims and provider databases.Key ResponsibilitiesReceive and review information from external...
-
Member Services Support Specialist
4 weeks ago
Long Beach, California, United States SCAN Health Plan Full timeMember Services Support SpecialistJob Category: Member ServicesRequisition Number: SCANT006235Position Overview: At SCAN Group, we are dedicated to addressing the most significant challenges faced by older adults in the United States. As a not-for-profit organization, we pride ourselves on being the sole corporate member of SCAN Health Plan, a leading...
-
Senior Member Service Specialist
4 weeks ago
Long Beach, California, United States LBS Financial Credit Union Full timeJob OverviewAre you skilled in providing exceptional customer support within a financial institution, particularly in credit unions or banks?We are seeking a Senior Member Service Specialist dedicated to ensuring a superior experience for both existing and prospective Members. This role is pivotal in delivering personalized service by consistently embodying...
-
Healthcare Enrollment Specialist
3 days ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare is seeking a skilled Marketplace Facilitated Enroller to join our team. As a key member of our enrollment team, you will play a critical role in identifying prospective members who do not have health insurance and assisting with the enrollment process.Key ResponsibilitiesConduct interviews and screens to identify potentially...
-
Clinical Lead, Healthcare Services
1 day ago
Long Beach, California, United States Molina Healthcare Full timeJob Title: Lead, Healthcare ServicesMolina Healthcare is seeking a highly skilled and experienced Lead, Healthcare Services to join our team. As a key member of our Healthcare Services Department, you will be responsible for overseeing the daily administrative functions, including staffing schedules, productivity, and work quality.Key Responsibilities:Assist...
-
Customer Service Specialist
4 weeks ago
Long Beach, California, United States 4MDental Management Services Full timeJob OverviewPosition: Customer Service SpecialistWe are looking for a dedicated and customer-focused individual to fill the role of Customer Service Specialist at 4MDental Management Services. In this position, you will play a crucial role in delivering outstanding support to our clients through various communication channels.Key Responsibilities:Responding...
-
Customer Service Specialist
3 weeks ago
Long Beach, California, United States 4MDental Management Services Full timeJob OverviewPosition: Customer Service SpecialistWe are looking for a dedicated and enthusiastic Customer Service Specialist to enhance our customer support operations. In this role, you will be tasked with delivering outstanding service to our clientele through various communication channels.Key Responsibilities:Responding to incoming inquiries with...
-
Clinical Lead, Healthcare Services
4 days ago
Long Beach, California, United States Molina Healthcare Full timeJob Title: Clinical Lead, Healthcare ServicesMolina Healthcare is seeking a highly skilled Clinical Lead to join our Healthcare Services team. As a Clinical Lead, you will be responsible for overseeing the daily administrative functions of the HCS Department, including staffing schedules, productivity, and work quality.Key Responsibilities:Assist in training...
-
Bilingual Member Services Specialist
4 weeks ago
Huntington Beach, California, United States VERDA HEALTHCARE, INC. Full timePosition OverviewVerda Healthcare, Inc. is seeking a dedicated Bilingual Member Services Specialist to enhance our customer support operations. This role is pivotal in delivering exceptional service to our members, ensuring their inquiries and concerns are addressed with utmost professionalism.Key ResponsibilitiesCustomer Engagement: Provide outstanding...
-
Healthcare Billing Specialist
4 weeks ago
Long Beach, California, United States JOSEPH VARDAYO MD INC Full timeBenefits:• 401(k) Plan• Comprehensive Health Insurance• Paid Time Off• Competitive Compensation Package• Positive Work Environment• Opportunities for Career AdvancementJob Overview:We are looking for a dedicated Healthcare Billing Specialist to become a vital part of our team. In this role, you will engage closely with clients to address...
-
Member Engagement Specialist
4 weeks ago
Long Beach, California, United States Jewish Federation of Greater Long Beach and West O Full timePosition OverviewThe following descriptions aim to outline the general nature and scope of work associated with this role. They are not intended to be an exhaustive list of all responsibilities or qualifications required for this position. Employees may be expected to perform additional functions as assigned to support the organization's mission.About the...
-
Healthcare Enrollment Specialist
3 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryThe Marketplace Facilitated Enroller (MFE) is a key member of our team at Molina Healthcare, responsible for identifying prospective members who do not have health insurance and assisting with the enrollment process. This role is crucial in making it easier for individuals to connect with the care they need.Key ResponsibilitiesConduct interviews...
-
Member Engagement Specialist
4 weeks ago
Long Beach, California, United States Jewish Federation of Greater Long Beach and West O Full timePosition OverviewThe following outlines the general responsibilities and expectations associated with this role. This is not an exhaustive list of all duties or qualifications required for this position. Employees may be asked to perform additional tasks to support the mission of the organization.About the OrganizationEstablished in 1948, the Jewish...
-
Healthcare Billing Specialist
4 weeks ago
Long Beach, California, United States THE CHILDREN'S CLINIC Full timeJob OverviewAre you dedicated to supporting the health and well-being of your community? Do you possess strong organizational and communication skills, along with a positive attitude? If you are an experienced Billing Specialist, The Children's Clinic dba TCC Family Health offers an excellent opportunity for you to join our dynamic team.About UsTCC Family...
-
Healthcare Nurse Specialist
3 weeks ago
Long Beach, California, United States Bizzell Group Full timeJob OverviewThe Bizzell Group is seeking a dedicated Healthcare Nurse Specialist to join our team in delivering essential health services. This role is integral to supporting the Center Wellness Director in promoting student health and wellness.Key Responsibilities:Administer prescribed medications to students.Conduct physical assessments for all new...
-
Healthcare Reception Specialist
4 weeks ago
Long Beach, New York, United States Acupuncture Office Full timePosition OverviewRole Summary: The Healthcare Reception Specialist is responsible for providing essential reception support within our acupuncture office.Key Responsibilities:Welcome patients and manage incoming calls in a courteous and professional manner.Direct inquiries to the appropriate personnel and take messages as needed.Coordinate and schedule...
-
Dietary Cook
2 weeks ago
Long Beach, California, United States Healthcare Services Group, Inc. Full timeJob SummaryWe are seeking a skilled Dietary Cook to join our team at Healthcare Services Group, Inc. As a Dietary Cook, you will be responsible for preparing and serving food to our residents, ensuring that our high standards of quality and safety are met.Key ResponsibilitiesPrepare and serve food, including texture modified and therapeutic diets, following...
-
Healthcare Customer Service Representative
3 weeks ago
Long Beach, California, United States Covenant Physician Partners Full timeCovenant Physician Partners is actively looking for a dedicated Patient Services Specialist to become a vital part of our team. This role is designed for individuals who are passionate about providing exceptional service in a healthcare environment.Position Overview:Standard working hours are Monday to Friday, from 8:00 am to 5:00 pm.Weekend rotations are...
-
Long Beach, California, United States Long Beach Memorial Medical Center Full timePosition Overview Role: Healthcare Support Specialist Location: Long Beach, CA Department: Patient Observation, Adult Care Employment Type: Full-time Work Schedule: Night Shifts (12 hours) Compensation Range: $21.05/hr - $24.40/hr At Long Beach Memorial Medical Center, we are committed to delivering exceptional healthcare services to our...
-
Member Services Advocate
2 weeks ago
Long Beach, California, United States HealthCHEC Full timeAbout the RoleWe are seeking a highly skilled and compassionate Member Services Advocate to join our team at HealthCHEC. As a Member Services Advocate, you will play a critical role in ensuring our members receive exceptional service and support.Key ResponsibilitiesMember Advocacy: Serve as a point of contact for member questions and concerns regarding...
Healthcare Member Services Specialist
3 months ago
You will contribute
- the strength of our team ap
oach to collaborative denta
health.
- you value making
- impact and doin
- eaningful work
- re you ready
- be a difference
- aker at a
- stablished i
- pendent E
- oyee-Owned speci
ed healthca
- company? If you enjoy working with
team of caring and
- icated people, this could be you
new home *Job Summ
- The Member Service Specialist addresses member inquiries, q
tions and concerns in al
areas including enrollment, claims, benefit interpretation, and referrals/authorizations for dental care. Responsible for receiving, responding to, and directing member phone calls, or written questions. Provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. *Essential Responsibilities*
- Provides information and guidance in response to telephone inquiries from members, dentists, brokers and group contacts in a professional and supportive manner.
- Acts as a mediator for member, groups, providers and others to resolve problems and concerns, and answer questions based upon Dental Health Services company plans, policies and procedures.
- Maintains daily and pending phone logs for maintaining accurate department records and follow ups.
- Assists dental offices and members in verifying and communicating member eligibility. Makes arrangements for member second opinions and authorizes emergency referrals.
- Answer questions member may have regarding treatment and charges.
- Provides plan benefit information to existing members. Assists in keeping all member information updated in data systems.
- Researches files, checks billing and interface with other departments to collect data necessary to respond to inquiries.
- Assist UTU Trust Fund with member eligibility and communicating eligibility to dental offices.
- Actively seeks to identify member problems and work to resolve them in a timely manner and confirms caller satisfaction in all interactions.
- Performs any and all additional duties as requested and directed for this position. *Basic Qualifications* Experience
- Minimum of 1-2 years of related experience Education
- High school diploma or equivalent
- Some college preferred License, Certification, Registration
- N/A *Additional Requirements*
- Excellent interpersonal, oral and written communication skills
- Computer literacy is required
- Well organized
- Detail-oriented *Preferred Qualifications*
- Knowledge of dental terminology and procedures
- Bilingual English/Spanish
- Previous experience in a customer service call center *Position Details*
- Primary Location: Long Beach, California
- Job Schedule: Full time
- Scheduled Weekly Hours: 40
- Shift: Monday - Friday between the hours of 8:00 am to 6:00 pm, Overtime as needed
- Travel: No We look forward to having you on our team Pay: $19.00 - $23.00 per hour Expected hours: 40 per week Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance Schedule:
- 8 hour shift
- Day shift
- Monday to Friday Experience:
- Customer service: 1 year (required) Ability to Commute:
- Long Beach, CA 90806 (preferred) Ability to Relocate:
- Long Beach, CA 90806: Relocate before starting work (required) Work Location: In person
