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Medicare Inbound Jobs in California (NOW HIRING)

Senior Care Advisor

Los Angeles, CA · On-site +1

$26.89 - $35.50/hr

Other tasks will include answering inbound and doing follow-up calls, as well as outbound calls to ... Medicare Advantage or PACE experience preferred * Medi-Cal knowledge preferred Benefits of Working ...

Sales Specialist

La Jolla, CA · On-site

$57K - $107K/yr

... Medicare Advantage/Supplemental plans that meet their specific needs. You'll be responsible for outbound (warm leads provided to you) and inbound calls, building relationships, and effectively ...

Sales Specialist

La Jolla, CA · On-site

$57K - $107K/yr

... Medicare Advantage/Supplemental plans that meet their specific needs. You'll be responsible for outbound (warm leads provided to you) and inbound calls, building relationships, and effectively ...

Other tasks will include answering inbound and doing follow-up calls, as well as outbound calls to ... Medicare Advantage or PACE experience preferred * Medi-Cal knowledge preferred Benefits of Working ...

Other tasks will include answering inbound and doing follow-up calls, as well as outbound calls to ... Medicare Advantage or PACE experience preferred * Medi-Cal knowledge preferred Benefits of Working ...

Senior Care Advisor

Los Angeles, CA · On-site

$26.89 - $35.50/hr

Other tasks will include answering inbound and doing follow-up calls, as well as outbound calls to ... Medicare Advantage or PACE experience preferred * Medi-Cal knowledge preferred Benefits of Working ...

Other tasks will include answering inbound and doing follow-up calls, as well as outbound calls to ... Medicare Advantage or PACE experience preferred * Medi-Cal knowledge preferred Benefits of Working ...

Handle inbound and outbound patient calls and provide accurate, satisfactory answers to their ... Knowledge about insurance plans as well as Medi-cal/Medicare strongly preferred. Knowledge of

Handle inbound and outbound patient calls and provide accurate, satisfactory answers to their ... Knowledge about insurance plans as well as Medi-cal/Medicare strongly preferred. Knowledge of:

Handle inbound and outbound patient calls and provide accurate, satisfactory answers to their ... Knowledge about insurance plans as well as Medi-cal/Medicare strongly preferred. * Bilingual ...

Handle inbound and outbound patient calls and provide accurate, satisfactory answers to their ... Knowledge about insurance plans as well as Medi-cal/Medicare strongly preferred. * Bilingual ...

Handle inbound and outbound patient calls and provide accurate, satisfactory answers to their ... Knowledge about insurance plans as well as Medi-cal/Medicare strongly preferred. Knowledge of:

Showing results 21-40

Medicare Inbound information

What is a Medicare Inbound representative?

Medicare Inbound representatives are customer service professionals who handle incoming calls from individuals seeking information about Medicare plans, enrollment, and benefits. They assist callers—often seniors or those approaching eligibility—with understanding plan options, coverage details, and the enrollment process. Their role is crucial in providing accurate, clear information to help people make informed healthcare decisions. These representatives often work for insurance companies or third-party agencies that support Medicare beneficiaries.

What skills and qualifications are needed to thrive as a Medicare Inbound representative?

To excel as a Medicare Inbound Representative, you typically need strong knowledge of Medicare plans, excellent customer service skills, and a high school diploma or equivalent. Familiarity with CRM systems, call center software, and sometimes a health insurance license are important technical qualifications. Outstanding communication, patience, and problem-solving abilities help representatives build trust and effectively address client needs. These competencies ensure accurate information delivery, regulatory compliance, and a positive customer experience for Medicare beneficiaries.

What is the difference between Medicare Inbound vs Medicare Customer Service Representative?

AspectMedicare InboundMedicare Customer Service Representative
CertificationsKnowledge of Medicare policies, possibly required certificationsSame certifications, focus on Medicare knowledge
Work EnvironmentCall centers, remote or office-basedCall centers, remote or office-based
Employer & IndustryHealth insurance companies, Medicare providersHealth insurance companies, Medicare providers
Job FocusHandling inbound calls about Medicare plans and coverageAssisting customers with Medicare inquiries and issues

Both roles involve assisting Medicare beneficiaries via inbound calls, requiring similar certifications and work environments. The main difference lies in job titles used by employers, but their responsibilities and industry context are closely aligned.

What are common challenges faced by Medicare Inbound representatives, and how can they be managed?

Medicare Inbound representatives often encounter challenges such as handling high call volumes, addressing complex customer inquiries about benefits and coverage, and staying current with frequently changing Medicare regulations. To manage these challenges, it's important to develop strong organizational skills, utilize internal resources and knowledge bases, and actively participate in ongoing training. Effective communication and patience are also key, as representatives regularly interact with seniors who may need extra assistance understanding their options.
What cities in California are hiring for Medicare Inbound jobs? Cities in California with the most Medicare Inbound job openings:
Infographic showing various Medicare Inbound job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

CSR Medication Therapy Management Services Bilingual Mandarin or Spanish (Remote)

Molina Healthcare

Long Beach, CA • On-site

$16.25 - $20.50/hr

Other

Re-posted 10 days ago


Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 198 frontline employees who took The Breakroom Quiz

163rd of 304 rated insurance


Job description

Job Title

Molina Healthcare is hiring for a CSR for our Medication Therapy Management department.

Job Description

This role will be working Monday through Friday 10am to 6:30pm Mountain Standard Time. Highly qualified candidates will have exceptional customer service skills, great skills navigating Windows based software, excellent typing skills, able to multitask, ie notate the system while navigating through systems. Candidates must also have a high speed internet connection (at least 100 Mbps download and 20 Mbps upload).

Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.

Essential Job Duties:

  • Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met.
  • Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence.
  • Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations.
  • Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated.
  • Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required.
  • Utilizes appropriate resources to ensure member contact information is current and up-to-date.
  • Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members.
  • Interacts with appropriate primary care providers to ensure member registry is current and accurate.
  • Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation.
  • Proactively identifies ways to improve member relations.
  • Supports goal to achieve and maintain industry-leading Medicare STAR ratings.

Required Qualifications:

  • At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience.
  • Excellent customer service skills.
  • Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc.
  • Ability to multi-task applications while speaking with members.
  • Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
  • Ability to meet established deadlines.
  • Ability to function independently and manage multiple projects.
  • Excellent verbal and written communication skills, including excellent phone etiquette.
  • Microsoft Office suite, and applicable software program(s) proficiency.

Preferred Qualifications:

  • Health care industry experience.
  • Pharmacy related experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V


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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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