Member Relations Representative
3 months 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.
"Location-Based Pay Adjustment"
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Member Services Representative
1 month ago
Orange Park, United States Planet Fitness Full timeThe 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
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Member Service Representative
2 months ago
Orange, United States Astiva Health, Inc Full timeJob 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...
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Member Service Representative
3 months ago
Orange, United States Astiva Health, Inc Full timeJob 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...
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Customer Service Representative
2 months ago
Orange, United States The Judge Group Full timeThe 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...
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Field Sales Representative
1 month ago
Orange, California, United States HD Supply Full timeJob SummaryHD Supply is seeking a highly motivated and results-driven Field Account Representative to join our team. As a Field Account Representative, you will be responsible for selling MRO supplies and healthcare-related products to an established portfolio of customers, driving sales growth and maintaining strong relationships with key decision...
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Customer Service Representative
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Orange, California, United States Alignment Healthcare Full timeDiscover a career at Alignment Healthcare, a pioneering healthcare company revolutionizing care for seniors. We're seeking a highly motivated and detail-oriented Customer Service Representative to join our Member Experience Team.As a Customer Service Representative, you'll be the face of our company, ensuring our over 1,300 employees experience exceptional...
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Customer Service Representative
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Orange, California, United States Planned Parenthood Full timeJob SummaryWe are seeking a highly skilled and customer-focused Call Center Representative to join our team at Planned Parenthood/Orange and San Bernardino Counties. As a key member of our customer service team, you will be responsible for providing exceptional service to our patients and clients, answering calls efficiently, and scheduling appointments...
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Customer Service Representative
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Orange, United States Circle K Full timeCircle K - 2504 E Chapman Ave [Retail Associate / Team Member] As a Customer Service Representative at Circle K, you'll: Provide prompt, courteous customer service and resolve customer issues on shift; Ring up all sales on cash register properly; Perform multi-function operation of fuel console, lottery machine, etc.; Inspect store facilities and equipment...
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Patient Representative
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Insurance Sales Representative
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Customer Service Representative I
3 months ago
Orange, United States Alta Hospitals Full timeThis position is responsible for answering telephone calls in a prompt, courteous, professional manner and acting as a liaison between Prospect Medical/ProMed Healthcare and: members; contracted and non-contracted care providers, ancillary providers; health plans; billing companies; collection companies, to provide assistance and respond to service requests....
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Customer Service Representative I
1 month ago
Orange, United States Prospect Medical Holdings Full timeJob Description This position is responsible for answering telephone calls in a prompt, courteous, professional manner and acting as a liaison between Prospect Medical/ProMed Healthcare and: members; contracted and non-contracted care providers, ancillary providers; health plans; billing companies; collection companies, to provide assistance and respond to...
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Provider Relations Coordinator
3 weeks ago
Orange, United States Astiva Health, Inc Full timeJob Title: Provider Relations Coordinator (Bilingual - Korean)Target Compensation Range: $23.00 - $30.00/hour, depending on the 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...
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Provider Relations Coordinator
5 months ago
Orange, United States Astiva Health, Inc Full timeJob Title: Provider Relations Coordinator (Bilingual - Korean)Target Compensation Range: $22.00 - $26.00/hour, depending on the 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...
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Provider Relations Network Manager
4 months ago
Orange, United States Regal Medical Group Full timeJob Description We are looking to hire a Provider Relations Network Manager to help support our Provider Relations Network Management team in Southern California in Orange County and surrounding areas. Position Summary: The Provider Relations Network Manager is responsible for general management of the provider network as assigned by the Director of Network...
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Customer Service Representative
1 week ago
Orange, California, United States Keith Wolfe Full timeCustomer Service RepresentativeWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative. As a key member of our team, you will be responsible for establishing and maintaining strong relationships with our customers, providing exceptional service, and identifying opportunities to grow our...
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Restaurant Team Member
1 month ago
Orange, California, United States Graffius Food Services, Inc Full timeJob Title: Restaurant Team MemberWe are seeking a highly motivated and customer-focused Restaurant Team Member to join our team at Graffius Food Services, Inc. As a key member of our restaurant staff, you will be responsible for delivering exceptional guest experiences by providing excellent service, preparing high-quality food, and maintaining a clean and...
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Cashier & Front End Services Representative
1 month ago
Orange, Massachusetts, United States Wal-Mart Stores , Inc. Full timeAbout the RoleWe are seeking a highly motivated and customer-focused Cashier & Front End Services Representative to join our team at Walmart. As a key member of our store team, you will play a vital role in delivering exceptional customer service and ensuring a seamless shopping experience for our customers.Key ResponsibilitiesProvide exceptional customer...
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Customer Service Representative
2 months ago
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Assistant Office Manager
2 months ago
Orange, United States Alex Mora - State Farm Agent Full timeROLE DESCRIPTION:Alex Mora - State Farm Agent is seeking an organized and efficient specialist to fulfill administrative duties and support insurance agents in gaining and keeping customers. As Assistant Office Manager - State Farm Agent Team Member with our agency, your attention to detail, dedication to client relations, and sales-mindedness equip you for...