Public Resource Specialist - Programs & Appeals

Scripps Health • San Diego, SC

1d • Hybrid

About The Position

Join a great team supporting the RAVE/Training department at our Scripps Mercy Hospital Chula Vista as a Public Resource Specialist. In this position, you will be responsible for a variety of tasks involving un-funded or under-funded patients admitted to Scripps Health, including: Assist Scripps unfunded and under-funded patients and their families with applying for Public Assistance by submitting applications to the county, monitoring of the applications, through to the highest level of appeals while adhering to all policies on fraud/abuse and providing excellent customer service to patients and other customers Acting liaison between Scripps, County HHSA/HCSS HOPE and FRC programs Meets productivity and quality standards Acts as a resource to Case Management, Social Work and other hospital staff if patient funding impacts discharge planning and transfers Makes home calls when necessary as part of assisting with application/verification process

Requirements

• Minimum of 5 years of experience as an Eligibility Case Worker with either the County, State or Federal Public Benefits Agency.
• Bilingual in Spanish.
• CA Driver’s License.
• Ability to comprehend and apply knowledge of State, Federal, and County Eligibility Policies.
• Ability to interpret and explain complex processes to a predominant indigent population.
• Excellent organizational and communication skills.
• Experienced in dealing with a socially and economically disadvantaged patient population.

Nice To Haves

• Bachelor’s degree preferred.
• Notary license preferred.
• Appeals experience preferred.

Responsibilities

• Assist Scripps unfunded and under-funded patients and their families with applying for Public Assistance by submitting applications to the county, monitoring of the applications, through to the highest level of appeals while adhering to all policies on fraud/abuse and providing excellent customer service to patients and other customers
• Acting liaison between Scripps, County HHSA/HCSS HOPE and FRC programs
• Meets productivity and quality standards
• Acts as a resource to Case Management, Social Work and other hospital staff if patient funding impacts discharge planning and transfers
• Makes home calls when necessary as part of assisting with application/verification process

Benefits

• You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
• Nearly a quarter of our employees have been with Scripps Health for over 10 years.
• Scripps is a Great Place to Work Certified company for 2025.
• Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
• Becker’s Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
• We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
• Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.

What This Job Offers

• Job Type: Full-time
• Number of Employees: 5,001-10,000 employees