Grow Healthy
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.
Minimum Requirements
High School Diploma or GED required.
A BS/BA degree in healthcare or business administration, social work, psychology, or a related field of study is preferred.
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.
Compensation
$27.68 - $34.60 hourlyCompensation Disclaimer
Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.
Benefits & Career Development
Job Advertisement & Application Compliance Statement
AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.