Healthcare Eligibility Specialist

19 hours ago


Sacramento, California, United States Sacramento Native American Health Center Full time
Job Summary

We are seeking a highly skilled and compassionate Healthcare Eligibility Specialist to join our team at the Sacramento Native American Health Center. As a key member of our clinical front office team, you will be responsible for verifying insurance eligibility for new and existing patients, ensuring accurate and complete demographic information, and providing exceptional customer service.

Key Responsibilities
  • Verify insurance eligibility for patients using electronic health records software and individual payer websites
  • Collect and review demographic information to initiate the enrollment process
  • Assess financial and payer source status for patients
  • Provide support to patients regarding Medi-Cal, Medicare, and managed care systems
  • Refer patients to Certified Enrollment Counselors for enrollment and re-enrollment of Medicaid and other state and federal programs
Requirements
  • 1+ year of experience working in a clinical front office setting
  • Knowledge of Medicare, Medi-Cal, and state/federal funded programs for healthcare enrollment
  • Experience with electronic health records software, preferably NextGen
  • Care and compassion in working with low-income and indigent populations


  • Sacramento, California, United States Pacific Staffing Employment Specialist Full time

    Job Title: Credentialing SpecialistPacific Staffing Employment Specialist is seeking a skilled Credentialing Specialist to support their corporate office in Sacramento. This is an onsite contract to hire opportunity with a progressive organization that specializes in connecting people with superior healthcare services.About the Role:Support the credentialing...

  • Eligibility Specialist

    13 hours ago


    Sacramento, California, United States Bloom Value Full time

    Job SummaryBloom Value Corporation is seeking a highly skilled Eligibility Specialist to join our team. The successful candidate will be responsible for analyzing, reviewing, and overseeing the eligibility lifecycle, ensuring proper loading of all Health Plan eligibility and capitation files, and updating member eligibility as requested.The ideal candidate...


  • Sacramento, California, United States Merit System Services Full time

    Job Title: Eligibility SpecialistJoin Merit System Services as an Eligibility Specialist and play a vital role in determining the eligibility of applicants and recipients for public assistance programs. As a key member of our team, you will be responsible for conducting interactive interviews, gathering and verifying financial and eligibility information,...


  • Sacramento, California, United States Merit System Services Full time

    Job Title: Eligibility Specialist IIIJob Summary:The Eligibility Specialist III is a critical role in the Modoc County Department of Social Services, responsible for determining eligibility for public assistance programs. This position requires a high level of technical knowledge, advanced problem-solving skills, and excellent communication abilities.Key...


  • Sacramento, California, United States Merit System Services Full time

    Job Title: Eligibility Specialist IIIJob Summary:The Eligibility Specialist III is a critical role in the Modoc County Department of Social Services, responsible for determining eligibility for public assistance programs. This position requires a high level of technical knowledge, advanced problem-solving skills, and excellent communication abilities.Key...


  • Sacramento, California, United States InnovAge Full time

    Job Summary:The RN Eligibility Specialist will partner with the local Enrollment team to determine if prospective participants meet the guidelines for enrolling in the PACE program. This role requires strong communication and assessment skills to schedule and conduct home visits, making level of care assessments to determine participant eligibility. The...


  • Sacramento, California, United States IDR Healthcare Full time

    Job SummaryIDR Healthcare is seeking a skilled Healthcare Enrollment Specialist to join our team. As a key member of our enrollment team, you will be responsible for managing new member or group registration information, ensuring accuracy and timely updates. This includes data management, eligibility verification, and stakeholder communication.Key...


  • Sacramento, California, United States Merit System Services Full time

    Job SummaryWe are seeking a highly skilled Eligibility Specialist I/II to join our team at Merit System Services. As an Eligibility Specialist, you will play a critical role in determining the eligibility of applicants and recipients for public assistance programs. This is a challenging and rewarding opportunity to make a difference in the lives of our...


  • Sacramento, California, United States Merit System Services Full time

    Job Title: Eligibility Specialist Trainee/I/IIJob Summary:We are seeking a highly motivated and detail-oriented Eligibility Specialist Trainee/I/II to join our team at Merit System Services. As an Eligibility Specialist Trainee/I/II, you will be responsible for determining the eligibility of applicants and recipients for public assistance programs through...


  • Sacramento, California, United States Merit System Services Full time

    Job Title: Eligibility Specialist Trainee/IIJob Summary:We are seeking a highly motivated and detail-oriented Eligibility Specialist Trainee/II to join our team at Merit System Services. As an Eligibility Specialist Trainee/II, you will be responsible for determining the eligibility of applicants and recipients for public assistance programs through...


  • Sacramento, California, United States Sacramento Native American Health Center Full time

    Job SummaryWe are seeking a highly skilled and compassionate Healthcare Enrollment Specialist to join our team at the Sacramento Native American Health Center. As a key member of our clinical front office team, you will play a critical role in ensuring seamless patient access to healthcare services.Key ResponsibilitiesVerify patient insurance eligibility and...


  • Sacramento, California, United States Merit System Services Full time

    Job Title: Eligibility SupervisorJoin Merit System Services as an Eligibility Supervisor and take on a challenging role in our team. As an Eligibility Supervisor, you will be responsible for providing supervisory, administrative, and technical support to an eligibility work unit engaged in determining initial and continuing eligibility for multiple public...

  • Eligibility Worker I

    3 weeks ago


    Sacramento, California, United States Merit System Services Full time

    Job SummaryWe are seeking a highly skilled Eligibility Specialist I to join our team at Merit System Services. As an Eligibility Specialist I, you will play a critical role in determining the eligibility of applicants and recipients for public assistance programs. This is an exciting opportunity to work in a fast-paced environment and make a meaningful...


  • Sacramento, California, United States InnovAge Full time

    Job Title: RN EligibilityAt InnovAge, we are seeking a skilled and compassionate RN Eligibility to join our In-Home Services team. As a key member of our team, you will play a vital role in determining the eligibility of prospective participants for our Program of All-Inclusive Care for the Elderly (PACE) program.Responsibilities:Conduct home visits to...


  • Sacramento, California, United States Merit System Services Full time

    Job Title: Eligibility SupervisorJoin Merit System Services as an Eligibility Supervisor and take on a challenging role in determining initial and continuing eligibility for multiple public assistance programs. As a key member of our team, you will provide supervisory, administrative, and technical support to an eligibility work unit, ensuring accurate and...


  • Sacramento, California, United States California Correctional Health Care Services Full time

    Job Description and DutiesUnder the general direction of the Staff Services Manager I, the Health Program Specialist I is responsible for providing specialty healthcare service liaison duties in the Registry Network Team. This position is critical to the Department's mission to provide constitutionally adequate and cost-effective healthcare services for...


  • Sacramento, California, United States Department of Health Care Access and Information Full time

    Job Description and DutiesThe Staff Services Manager I (Specialist) serves as a legislative specialist in a challenging and highly-sensitive position for the Department of Health Care Access and Information (HCAI). The incumbent determines potential impact of legislation to HCAI programs, provides guidance to staff and executive management in the development...

  • Healthcare Specialist

    2 weeks ago


    Sacramento, California, United States Department of Health Care Access and Information Full time

    Job Description and DutiesThe Staff Services Manager I (Specialist) serves as a legislative specialist in a challenging and highly-sensitive position for the Department of Health Care Access and Information (HCAI). The incumbent determines potential impact of legislation to HCAI programs, provides guidance to staff and executive management in the development...


  • Sacramento, California, United States Clinicians Connect Care Full time

    Job Overview:We are seeking a highly motivated and experienced Healthcare Marketing Specialist to join our team at Clinicians Connect Care.As a Healthcare Marketing Specialist, you will be responsible for developing and implementing marketing strategies to promote our Home Health Agency services to local hospitals, skilled nursing facilities, assisted living...


  • Sacramento, California, United States State of California Full time

    Job Title: Health Pharmaceutical Consultant SpecialistJoin the California Department of Public Health (CDPH) as a Health Pharmaceutical Consultant Specialist and contribute to the advancement of public health in California. This role involves reviewing and analyzing federal and state laws and legislation related to pharmaceutical services, evaluating and...