Welcome to Montage Health’s application process! Job Description: Purpose of Position The Customer Service Representative I is the friendly, knowledgeable front line for our local Medicare Advantage health plan members a…
Skills: Customer service, Call center, Communication skills, Active listening, Problem solving
Welcome to Montage Health’s application process! Job Description: Position Summary The Clinical Educator, Telemetry reports directly to the Nursing Clinical Education Manager. This role is responsible for providing forma…
Welcome to Montage Health’s application process! Job Description: Position Summary Under the leadership of the department director and assistant director, the Cardiac Ultrasound Technologist is responsible for the comple…
Registered Nurse (Night Shift)- Inpatient Psychiatric Unit
Monterey, California, United States · On-site
$72/hr–$97/hr
Entry level
Welcome to Montage Health’s application process! Job Description: Under the leadership of the department director, assistant director, nursing supervisor, and/or charge nurse, the registered nurse is responsible and acco…
Skills: Nursing care, Psychiatric nursing, Chemical dependency treatment, Patient assessment, Clinical guidance
Welcome to Montage Health’s application process! Job Description: Under the leadership of the Patient Access Supervisor, the Patient Access Representative I is responsible for performing check-in (including updating sche…
Skills: Patient Registration, Customer Service, Medical Terminology, Insurance Verification, Data Entry
Welcome to Montage Health’s application process! Job Description: Position Summary Under the leadership of the department director, assistant director, nursing supervisor, and/or charge nurse, the registered nurse is res…
Skills: Nursing Care, Patient Assessment, Critical Thinking, Rehabilitation Nursing, Teamwork
Welcome to Montage Health’s application process! Job Description: Under the leadership of the Director of Nutrition Services and Clinical Nutrition Manager, the Outpatient Clinical Dietitian is responsible for providing …
Operating Room Registered Nurse - Outpatient Surgery Center (Per Diem)
Monterey, California, United States · On-site
$83/hr–$111/hr
Mid level
Welcome to Montage Health’s application process! Job Description: Position Summary Under the leadership of the department director, assistant director, nursing supervisor, and/or charge nurse, the registered nurse is res…
Welcome to Montage Health’s application process! Job Description: Position Summary Under the department leadership, the Instrument Technician is responsible to provide support services in the perioperative setting, inclu…
Skills: Sterile Processing, Instrument Sterilization, Disinfection, Material Management, Equipment Assembly
Welcome to Montage Health’s application process! Job Description: Position Summary Under the leadership of the assistant director and/or charge nurse, the orderly is responsible for performing routine cleaning duties, ha…
Welcome to Montage Health’s application process! Job Description: Position Summary The Physical Therapist Assistant is an educated, licensed health care provider who assists the Physical Therapist in the provision of phy…
Outpatient Behavioral Health Technician (Medical Assistant) Per Diem
Monterey, California, United States · On-site
$35/hr–$47/hr
Entry level
Welcome to Montage Health’s application process! Job Description: Under the leadership of the Administrative Manager and Assistant Director of Behavioral Health Services, and under the direction and clinical supervision …
Certified Nursing Assistant (CNA) - Westland House (Per Diem)
Monterey, California, United States · On-site
$35/hr–$47/hr
Entry level
Welcome to Montage Health’s application process! Job Description: Under the leadership of the Director and Assistant Director and the direct supervision of the RN, the certified nursing assistant will take vital signs an…
Skills: Vital Signs Monitoring, Activities Of Daily Living, Patient Comfort Measures, Medical Terminology, Patient Care
Welcome to Montage Health’s application process! Job Description: Position Summary Under the leadership of the Department Director and Assistant Director, the Clinical Nurse Supervisor assists with planning, supervising,…
Skills: Nursing Supervision, Patient Care, Leadership, Problem Solving, Organizational Skills
Primary Care Ambulatory Registered Nurse - Montage Medical Group
United States · On-site
$65/hr–$71/hr
Mid level
Welcome to Montage Health’s application process! Job Description: MMG Ryan Ranch Bldg. A - Primary Care Pay Range: $65-$71 The Primary Care Ambulatory RN serves as a clinical partner to MMG physicians and advanced practi…
Assistant Nurse Director, Surgical Services (Short Stay Unit, PACU, Outpatient Surgery Pre-Post Op & Perioperative Clinic
Monterey, California, United States · On-site
Senior
Welcome to Montage Health’s application process! Job Description: Position Summary Under the leadership of the department director, the Assistant Director collaborates with the Director of Surgical Services in planning, …
Registered Nurse - Admitting/PACU - Outpatient Surgery Center
Monterey, California, United States · On-site
$72/hr–$97/hr
Mid level
Welcome to Montage Health’s application process! Job Description: Position Summary Under the leadership of the department director, assistant director, nursing supervisor, and/or charge nurse, the Registered Nurse is res…
Skills: Nursing Care, Patient Assessment, Pre-procedure Interviewing, Post-procedure Recovery, Telemetry
Welcome to Montage Health’s application process! Job Description: Under the leadership of the department director, assistant director, nursing supervisor, and/or charge nurse, the registered nurse is responsible and acco…
Skills: Nursing Care, Psychiatric Nursing, Chemical Dependency Treatment, Patient Assessment, Clinical Guidance
El Dorado Hills, California, United States · On-site
$49/hr–$66/hr
Mid level
Welcome to Montage Health’s application process! Job Description: The Family Care Manager (FCM) reports to the Assistant Director of Outpatient and is responsible for assessing the social and psychosocial needs of child …
Skills: Psychosocial Assessment, Care Coordination, Case Management, Crisis Intervention, Psychoeducation
Healthcare Services Coordinator - Aspire Health Plan
Monterey, California, United States · Remote OK
$20/hr–$26/hr
Mid level
Welcome to Montage Health’s application process! Job Description: Position Summary The Utilization Management (UM) Health Services Coordinator provides operational and administrative support for Health Services and Utili…
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$21/hr–$23/hr
Full-time
associate degree
Competitive benefit package
Posted 1d ago
~40 hrs/week
Responsibilities
The representative serves as the primary point of contact for health plan members, handling inquiries regarding eligibility, benefits, and claims. They are responsible for documenting communications, resolving issues, and coordinating appeals while providing compassionate support.
Requirements
Candidates must have at least one to three years of experience in customer service or a call center environment. An associate degree or equivalent professional experience is required, along with strong communication and computer skills.
Full job description
Welcome to Montage Health’s application process!
Job Description:
Purpose of Position
The Customer Service Representative I is the friendly, knowledgeable front line for our local Medicare Advantage health plan members and healthcare partners. In this role, you’ll handle inbound calls and inquiries related to eligibility, benefits, and claims—while serving as a trusted advocate for the people who live, work, and age in the same communities we do.
Our members aren’t just voices on the phone—they’re our neighbors, friends, and family members. That’s why this role is so critical. We’re looking for someone who genuinely enjoys helping people of all ages, brings patience and empathy to every conversation, and takes pride in delivering support that feels personal, respectful, and meaningful. We’re looking for naturally curious, solution-oriented problem solvers who can balance compassion with professionalism in a fast-paced environment.
Responsibilities
Serve as a primary point of contact for members, providers, and clients via phone, email, and occasional in‑person interactions
Assist with questions related to eligibility, benefits, claims status, prior authorization requirements, and appeals
Provide accurate, timely, and compassionate responses to all customer inquiries
Proactively educate members and providers based on their specific needs and inquiries, helping them better understand available benefits and next steps
Thoroughly document all communications and actions in the appropriate system of record
Research issues and work diligently to bring each inquiry to resolution within established timeframes
Coordinate member appeals and grievances in collaboration with appropriate internal teams
Provide support and coverage for interdepartmental staff as needed to ensure continuity of service
Perform other duties and responsibilities as assigned
Position Requirements
Excellent verbal and written communication skills, including active listening.
Minimum three years’ experience in customer service, call center, or similar.
Service-oriented; Ability to resolve customer complaints and issues while maintaining a professional and calm demeanor.
Ability to operate spreadsheet, word processing programs and computer equipment required to fulfill position responsibilities.
Exceptional diplomacy skills to effectively resolve issues under sometimes tense and stressful circumstances.
Excellent phone manner
Ability to use sound judgement, identify next steps to be taken, and develop appropriate solutions.
English and Bilingual Spanish/English desired.
Competencies
Accountability and Dependability: Assumes responsibility for accomplishing duties in an effective and timely manner.
Integrity: Consistently honors commitments and takes responsibility for actions and words.
Software and Computer Skills: Proficient in the use of Microsoft Office Suite, skilled at using the Internet. Type by touch. Must learns effectively with computer-based and/or online training.
Flexibility: Demonstrates adaptability and openness to alternative solutions and flexibility when interacting with others, understanding their attitudes, needs, interests, and perspectives.
Inclusiveness: The ability to network and partner with all internal and external stakeholders including broad and diverse representation of private/public and traditional/non-traditional community organizations.
Skills and Education
Associates degree, or applicable professional experience, required.
Minimum 1 to 3 years experience in a customer service, hospitality, or call center.
Benefits Competitive benefit package
Salary Commensurate with experience $21.00 - $23.00
Shift differential paid for evening and weekend hours
Equal Opportunity Employer
Assigned Work Hours:
Various schedules. May include evenings (to 8pm) and weekends.
Position Type:
Regular
Related keywords
Customer ServiceMedicare AdvantageHealthcareEligibilityBenefitsClaimsPrior AuthorizationAppealsGrievancesMicrosoft OfficeData EntryCommunicationProblem SolvingBilingualHealth Plan
Montage Health is a locally owned, non-profit healthcare organization.
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Headquarters
Monterey, California
LinkedIn followers
12,092
Montage Health is a nonprofit healthcare organization with deep roots in Monterey County dating back more than 90 years. Independent and locally owned, Montage Health was created by Community Hospital of the Monterey Peninsula to deliver exceptional care to more people. Centered at the hospital, the Montage Health network includes MoGo Urgent Care, Montage Orthopedics and Sports Medicine Center, Montage Wellness Center, Montage Medical Group for primary and specialty care, Aspire Health Plan, and Ohana, a family-focused youth mental health program. Montage Health is continually investing in healthcare innovations to make the highest standard of care accessible to everyone in Monterey County.
Offices: 23625 Holman Hwy, Monterey, California 93940, US
Montage Health is a locally owned, non-profit healthcare organization.
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Headquarters
Monterey, California
LinkedIn followers
12,092
Montage Health is a nonprofit healthcare organization with deep roots in Monterey County dating back more than 90 years. Independent and locally owned, Montage Health was created by Community Hospital of the Monterey Peninsula to deliver exceptional care to more people. Centered at the hospital, the Montage Health network includes MoGo Urgent Care, Montage Orthopedics and Sports Medicine Center, Montage Wellness Center, Montage Medical Group for primary and specialty care, Aspire Health Plan, and Ohana, a family-focused youth mental health program. Montage Health is continually investing in healthcare innovations to make the highest standard of care accessible to everyone in Monterey County.
Offices: 23625 Holman Hwy, Monterey, California 93940, US