Medi-Cal Enrollment Specialist

CARDEA HEALTH•Oakland, CA

2d•$28 - $36•Remote

About The Position

We are seeking a detail-oriented and knowledgeable Medi-Cal Enrollment Specialist to support our healthcare team in assisting residents with Medi-Cal eligibility, enrollment, and benefits coordination. This role involves working closely with residents, care coordinators, and county agencies to ensure timely and accurate Medi-Cal enrollment and coverage verification. Cardea Health is a non-profit organization dedicated to providing compassionate health care to marginalized populations. Our mission is to create and support programs that protect the health and autonomy of vulnerable individuals and promote equity and social justice to improve the well-being of our entire community. Cardea is dedicated to creating a workplace that celebrates diversity and actively seeks to include underrepresented communities. We believe that diversity drives innovation and fosters a more dynamic, inclusive, and productive work environment. We value unique perspectives, experiences, and talents, and we are committed to providing equitable opportunities for growth and advancement. Our Cardea CARE(S) Values include: Compassion, Accountability, Respect, Engagement, and Support. These values guide how we care for residents, collaborate with colleagues, and represent Cardea Health in the community.

Requirements

Medi-Cal enrollment experience: Minimum 1 year experience
Excellent communication and customer service skills
Experience with online portals such as BenefitsCal, Medi-Cal Provider Portal, and Alameda Alliance Provider Portal
Ability to manage multiple tasks efficiently and maintain organized records
Proficiency using Microsoft office: Word, Excel, Teams, Outlook
Familiarity with electronic health records (EHR)
Self-directed and able to work with minimal supervision
Knowledge of Medi-Cal eligibility requirements, application processes, and managed care plans
Strong organizational skills and attention to detail
Strong critical thinking abilities
Ability to work independently and collaboratively in a fast-paced environment
Experience working with the homeless population
Familiarity with Alameda County Medi-Cal processes and resources

Nice To Haves

Medi-Cal enrollment experience: 2 years preferred
Experience working in a medical respite or social services setting
Bilingual in Spanish, Cantonese, or another commonly spoken language in the community
Knowledgeable in Harm reduction, De-escalation, Motivational interviewing, and Trauma informed care

Responsibilities

Serve as the primary point of contact for Medi-Cal enrollment inquiries and application tracking
Achieve maximum reimbursement for services provided
Assist residents in completing Medi-Cal applications, renewals, and eligibility verifications
Verify Medi-Cal and managed care plan status through online portals such as BenefitsCal, Medi-Cal Provider Portal, and Alameda Alliance Provider Portal
Coordinate with county Medi-Cal offices to resolve application or coverage issues.
Maintain accurate records and update internal tracking systems
Educate residents about Medi-Cal benefits and managed care plans
Work closely with care coordinators, enrollment specialists, and billing specialists to ensure seamless coverage transitions
Stay up to date on Medi-Cal policy changes and communicate relevant updates to the team
Provide general administrative support related to Medi-Cal applications, including follow-ups and documentation submission
Other duties as assigned