Job Description Summary The Patient Relations Representative serves as a trusted advocate and resource for CareMore patients, helping them navigate healthcare services, insurance coverage, and access to care. This role…
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$29/hr–$43/hr
Full-time
high school, bachelor degree
Posted 37d ago
~40 hrs/week
Responsibilities
The Patient Relations Representative acts as a trusted advocate to help patients navigate healthcare services, insurance benefits, and access to care. They collaborate with clinical teams to resolve barriers to care and ensure a high-quality patient experience.
Requirements
Candidates must have a High School Diploma or GED and at least 3 years of experience in healthcare operations, patient relations, or customer service. Proficiency in Microsoft Office and strong interpersonal skills are required, with experience in Medicare or Medicaid preferred.
Full job description
Job Description Summary
The Patient Relations Representative serves as a trusted advocate and resource for CareMore patients, helping them navigate healthcare services, insurance coverage, and access to care. This role is responsible for delivering an exceptional patient experience by supporting patient engagement, resolving barriers to care, and collaborating closely with clinical and operational teams to ensure patients receive coordinated, high-quality service throughout their healthcare journey. The Patient Relations Rep acts as a liaison between patients, providers, health plans, and community resources while supporting operational initiatives that improve patient satisfaction, retention, and overall care outcomes.
How will you make an impact & Requirements
Benefit Navigation
Serve as a primary point of contact for patients regarding insurance, benefits, and access-to-care questions
Assist patients in understanding Medicare, Medicaid, and health plan benefits, eligibility, and coverage options
Help resolve patient concerns related to appointments, referrals, billing, and care coordination
Advocate for patients by identifying and addressing barriers to healthcare access and treatment adherence
Educate patients on available public assistance and healthcare support programs
Assist patients with applications and documentation for eligible programs and services
Patient Experience
Support patient onboarding and orientation to CareMore services and programs
Build strong relationships with patients and caregivers to foster trust and satisfaction
Promote preventative care and encourage participation in health management programs
Serve as a resource for insurance and benefit-related questions
Participate in team meetings, case reviews, and patient experience initiatives
Support organizational goals related to patient satisfaction, retention, and quality outcomes
Operational & Administrative Support
Partner with clinic leadership and interdisciplinary teams to improve patient workflows and service delivery
Support scheduling coordination, documentation, reporting, and operational processes as needed
Maintain accurate patient records and ensure confidentiality in compliance with HIPAA standards
Participate in quality improvement initiatives focused on patient experience and operational excellence
Community Engagement
Partnerwith SHIP/HICAP to educate SHIP on CareMore resources and understand available to our patients/Medicare beneficiaries
Identify key community organizations who can contribute to the overall wellbeing of our membership
Participate in community outreach to support organizational net growth
Qualifications
Required Qualifications
High School Diploma or GED
3+ years of experience in healthcare operations, patient relations, customer service, or care coordination
Experience working with Medicare, Medicaid, or managed care populations preferred
Strong communication, interpersonal, and problem-solving skills
Ability to manage multiple priorities in a fast-paced healthcare environment
Proficiency in Microsoft Office Suite and healthcare systems/platforms
Comfortable with public speaking, possess effective presentation skills
Preferred Qualifications
BA/BS in a related Field
Bilingual skills preferred (Spanish)
Experience in patient advocacy, community outreach, or health plan operations
Knowledge of healthcare compliance and patient privacy regulations
CA health insurance license
Core Competencies
Patient-centered service
Relationship building and communication
Organizational and operational excellence
Collaboration and teamwork
Problem-solving and conflict resolution
Adaptability and initiative
Confidentiality and professionalism
Compensation Range:
$29.04
to
$43.56
The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.
Related keywords
Patient RelationsHealthcare OperationsMedicareMedicaidManaged CarePatient AdvocacyCare CoordinationHIPAACommunity OutreachInsurance BenefitsCustomer ServicePatient ExperiencePublic SpeakingMicrosoft OfficeHealth Plan OperationsPreventative Care
For more than 30 years, CareMore Health has delivered highly integrated, personalized care that has led the industry with exceptional clinical outcomes proven to lower the cost of care.
We specialize in managing complex and chronically ill patients and providing life-changing care wherever they are – in the home, virtually, in our Care Centers, mobile units, at skilled nursing facilities and hospitals.
CareMore was an early advocate of value-based care and has a successful history of full-risk capitation, risk sharing and accountability for cost and outcomes.
With health plan experience, we understand the challenges of fully managing complex populations. We are agile and can flex to meet your needs in the following areas:
Complex Care — A team-based care model that delivers integrated whole-person care to address all aspects of the patient’s needs
Full Population Health — A whole-health care model that coordinates care for Medicare and Medicaid populations, whether members are healthy, at risk, or in need of palliative care
Commercial – We specialize in managing complex and chronic patients, improving outcomes and reducing the cost of care.
Offices: 12900 Park Plaza Drive, Cerritos, CA 90703, US
Medicare Advantage & MedicaidDualsManaged CareCoordinated CareComplex Health NeedsInnovationHealthcare LeadershipPublic HealthMedical ClinicDoctors and Nurses
How many Customer Service & Support jobs are open in Long Beach, CA right now?
There are currently 765 open customer service & support positions in Long Beach, CA listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Customer Service & Support roles in Long Beach, CA?
Companies currently hiring include Starbucks, Molina Healthcare, Allied Universal, Lowe's Companies, Inc., H&R Block, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Customer Service & Support jobs in Long Beach, CA?
Yes — 74 of the 765 open customer service & support positions offer remote or hybrid work (40 remote, 34 hybrid).
How do I apply for Customer Service & Support jobs in Long Beach, CA?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.