Current jobs related to Member Relations Representative - Orange - Prospect Medical

  • Member Services Representative

    2 days ago

    Orange Park, United States Planet Fitness Full time

    The Member Services Representative will be responsible for creating a positive member experience by providing a superior level of customer service to Planet Fitness members, prospective members and guests. Essential Duties and Responsibilities Greet Member Services, Member Service, Representative, Customer Service, Retail, Instructor

  • Member Service Representative 1

    3 months ago

    Orange City, United States Fairwinds Full time

    ** Member Service Representative 1 - Orange City** **Job Category****:** Retail Banking **Requisition Number****:** MSR10001683 Showing 1 location **Job Details** **Description** ***Welcome to FAIRWINDS Credit Union, a company that was built upon the simple philosophy of people helping people since 1949. Helping our members achieve financial freedom, helping...

  • Customer Service Representative

    2 weeks ago

    Orange, California, United States GovernmentJobs Full time

    Customer Service RepresentativeCalOptima Health is seeking a highly motivated and experienced Customer Service Representative to provide exceptional support to our members and providers. As the first point of contact, you will assist with questions and complaints related to the Medi-Cal programs for Orange County.Key Responsibilities:Provide information on...

  • Bilingual Chinese Member Experience Associate

    4 weeks ago

    Orange, California, United States Alignment Healthcare Full time

    Member Experience Associate - Chinese Language SupportAlignment Healthcare is seeking a highly motivated and detail-oriented Member Experience Associate to join our team. As a Member Experience Associate, you will play a critical role in ensuring our members receive exceptional service and support.Key Responsibilities:Provide clear and concise information to...

  • Enrollment Representative

    4 weeks ago

    Orange, California, United States Alignment Healthcare Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Enrollment Representative to join our team at Alignment Healthcare. As an Enrollment Representative, you will be responsible for ensuring seamless enrollment experiences for our members. Your primary focus will be on researching, validating, and reconciling enrollments from error reports and...

  • Customer Service Representative

    2 weeks ago

    Orange, California, United States The Judge Group Full time

    Customer Service Representative Job DescriptionThe Judge Group is seeking a highly skilled Customer Service Representative to join our team in Orange, CA.As a Customer Service Representative, you will be the primary point of contact for members and providers, providing exceptional support and resolving issues in a timely and professional manner.Key...

  • Member Service Representative

    4 weeks ago

    Orange, United States Astiva Health, Inc Full time

    Job Title: Member Service Representative (Bilingual - Vietnamese, Korean, Spanish, or Chinese)Target Compensation Range: $20.00-$25.00/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...

  • Member Service Representative

    4 weeks ago

    Orange, United States Astiva Health, Inc Full time

    Job Title: Member Service Representative (Bilingual - Vietnamese, Korean, Spanish, or Chinese) Target Compensation Range: $20.00-$25.00/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...

  • Membership Representative II

    4 weeks ago

    Orange, California, United States Alignment Healthcare Full time

    Job SummaryWe are seeking a highly skilled Membership Representative II to join our team at Alignment Healthcare. As a key member of our operations team, you will be responsible for ensuring the smooth processing of member disenrollments, retro processing, reinstatements, and Out of Area (OOA) requests.Key ResponsibilitiesProcess daily operations regarding...

  • Customer Service Representative

    1 month ago

    Orange, California, United States Infojini Full time

    Customer Service RepresentativeWe are seeking a highly motivated and experienced Customer Service Representative to assist members and providers with questions and/or complaints related to the Medi-Cal programs. The ideal candidate will provide information regarding eligibility, enrollment, benefits, and services to eligible members and providers.Key...

  • Member Service Representative

    1 month ago

    Orange, United States Astiva Health, Inc Full time

    Job Title: Member Service Representative (Bilingual - Vietnamese, Korean, Spanish, or Chinese)Target Compensation Range: $20.00-$25.00/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...

  • Member Service Representative

    1 month ago

    Orange, United States Astiva Health, Inc Full time

    Job Title: Member Service Representative (Bilingual - Vietnamese, Korean, Spanish, or Chinese)Target Compensation Range: $20.00-$25.00/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...

  • Customer Service Representative

    1 week ago

    Orange, California, United States Astiva Health, Inc Full time

    Job Title: Member Service RepresentativeAstiva Health, Inc. is seeking a highly skilled Member Service Representative to join our team in Orange, CA. As a key member of our healthcare team, you will be responsible for providing exceptional customer service to our members and providers.About UsAstiva Health, Inc. is a premier healthcare provider specializing...

  • Customer Service Representative

    1 week ago

    Orange, California, United States The Judge Group Full time

    Job Title: Customer Service RepresentativeThe Judge Group is seeking a highly skilled and bilingual Customer Service Representative to join our team. As a key member of our client's support team, you will be responsible for providing exceptional customer service to members and providers.Key Responsibilities:Assist members and providers with questions related...

  • Enrollment Representative

    1 month ago

    Orange, California, United States Alignment Healthcare Full time

    Job SummaryAlignment Healthcare is seeking an experienced Enrollment Representative to join our team. As an Enrollment Representative, you will be responsible for ensuring seamless enrollment processes for our members. This role requires strong communication and organizational skills, with the ability to work in a fast-paced environment.Key...

  • Customer Service Representative

    3 days ago

    Orange, United States The Judge Group Full time

    The Judge Group is looking for Full Time Bilingual Customer Service Representatives for a great client of ours in Orange, CA!! Below is a basic overview of the position. Candidates are required to travel on-site to our clients location in Orange. The Customer Service Representative (CSR) will be the first line of contact for members and providers. The...

  • Customer Service Representative

    2 weeks ago

    Orange, California, United States Cogent Infotech Corporation Full time

    Job Title: Customer Service RepresentativeAt Cogent, we are seeking a highly motivated and experienced Customer Service Representative to join our team. The ideal candidate will have a strong passion for delivering exceptional customer service and a proven track record of success in a call center environment.Job Summary:The Customer Service Representative...

  • Partner Experience Representative

    2 weeks ago

    Orange, California, United States Alignment Healthcare Full time

    Job SummaryWe are seeking a highly skilled and experienced Partner Experience Representative to join our team at Alignment Healthcare. As a key member of our Partner Experience Department, you will play a critical role in providing exceptional service to our brokers and agents, ensuring their needs are met and exceeded.Key ResponsibilitiesProvide timely and...

  • Customer Service Representative

    4 weeks ago

    Orange, California, United States The Midtown Group Full time

    Customer Service RepresentativeWe are seeking a highly skilled Customer Service Representative to join our team at The Midtown Group. As a key member of our team, you will be responsible for providing exceptional customer service to our clients and their members.Key Responsibilities:Provide timely and accurate responses to customer inquiries and...

  • Customer Service Representative

    2 weeks ago

    Orange, California, United States The Midtown Group Full time

    Customer Service RepresentativeWe are seeking a highly skilled Customer Service Representative to join our team at The Midtown Group. As a key member of our team, you will be responsible for providing exceptional customer service to our clients and their members.Key Responsibilities:Provide timely and accurate responses to customer inquiries and...

Member Relations Representative

3 months ago

Orange, United States Prospect Medical Full time

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:  Nonee