Medi-Cal & Medicare Eligibility Specialist

AltaMed•Commerce, CA

9d•$28 - $35

About The Position

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview The Eligibility Specialist - Medi-Cal and Medicare will assist enrolled PACE participants to maintain active benefit status, including Medi-Cal and Medicare, and other public assistance programs. Supports with eligibility, renewal applications, and retro-coverage issues. Will maintain tracking and monitoring systems for redeterminations and holds, to ensure resolution of all benefit issues in a timely manner and to prevent service interruptions. Works closely with participants and families, as well as with government agencies, to troubleshoot and facilitate access to coverage and reduce uncompensated care. Collaborates with PACE site IDT in monitoring and problem-solving benefit-related issues.

Requirements

High School Diploma or GED required.
Minimum of 2 years of experience working with Medi-Cal and Medicare benefit systems.
A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines.
Bilingual English/Spanish required.

Nice To Haves

A BS/BA degree in healthcare or business administration, social work, psychology, or a related field of study is preferred.

Responsibilities

Assist enrolled PACE participants to maintain active benefit status, including Medi-Cal and Medicare, and other public assistance programs.
Supports with eligibility, renewal applications, and retro-coverage issues.
Maintain tracking and monitoring systems for redeterminations and holds, to ensure resolution of all benefit issues in a timely manner and to prevent service interruptions.
Works closely with participants and families, as well as with government agencies, to troubleshoot and facilitate access to coverage and reduce uncompensated care.
Collaborates with PACE site IDT in monitoring and problem-solving benefit-related issues.