Eligibility Continuity Specialist

4 days ago


Rancho Cucamonga, California, United States Inland Empire Health Plan Full time
Job Summary

We are seeking a highly skilled Eligibility Continuity Specialist to join our team at Inland Empire Health Plan. As a key member of our team, you will play a critical role in ensuring the continuity of healthcare services for our members.

Key Responsibilities
  • Provide full Redetermination of Eligibility (RE) application assistance to IEHP members to help maintain their Medi-Cal eligibility.
  • Conduct outbound calls to IEHP members to help them understand the Medi-Cal Redetermination of Eligibility (RE) process and complete the RE application upon member request.
  • Help members prepare and submit any documentation required for the purpose of eligibility maintenance.
  • Develop a thorough understanding of the Medi-Cal eligibility process and resources offered by the state, county, and within IEHP.
  • Provide best customer service that reflects our organization's values to IEHP members.
  • Proactively identify opportunities for improvements, including frictionless processes.
  • Document call results in a Customer Relationship Management (CRM) database.
  • Document and submit information using an online portal.
Requirements
  • Two (2) or more years of relevant Medicaid Eligibility experience.
  • Professional phone etiquette with experience in a call center atmosphere.
  • Experience in the performance-based environment.
  • High School diploma or GED required.
  • Must have a valid California Driver's License.
  • Knowledge of Medicaid (Medi-Cal) eligibility required.
  • Knowledge of customer services phone etiquette required.
What We Offer
  • Competitive salary.
  • Hybrid schedule.
  • CalPERS retirement.
  • State of the art fitness center on-site.
  • Medical Insurance with Dental and Vision.
  • Life, short-term, and long-term disability options.
  • Career advancement opportunities and professional development.
  • Wellness programs that promote a healthy work-life balance.
  • Flexible Spending Account Health Care/Childcare.
  • CalPERS retirement.
  • 457(b) option with a contribution match.
  • Paid life insurance for employees.
  • Pet care insurance.


  • Rancho Cucamonga, California, United States Inland Empire Health Plan Full time

    Job SummaryWe are seeking a highly skilled Eligibility Continuity Specialist to join our team at Inland Empire Health Plan. As an Eligibility Continuity Specialist, you will play a critical role in ensuring the continuity of healthcare services for our members by providing full Redetermination of Eligibility (RE) application assistance.Key...


  • Rancho Cucamonga, California, United States Inland Empire Health Plan Full time

    OverviewWe are seeking a highly skilled Eligibility Continuity Specialist to join our team at Inland Empire Health Plan (IEHP). As a key member of our team, you will play a critical role in ensuring the continuity of healthcare services for our members.Key ResponsibilitiesProvide full Redetermination of Eligibility (RE) application assistance to IEHP members...


  • Rancho Cucamonga, California, United States Inland Empire Health Plan Full time

    Job SummaryWe are seeking a highly skilled Eligibility Continuity Specialist to join our team at Inland Empire Health Plan (IEHP). As a key member of our team, you will play a critical role in ensuring the continuity of healthcare services for our members.Key ResponsibilitiesConduct outbound calls to IEHP members to assist with the Medi-Cal Redetermination...


  • Rancho Cucamonga, California, United States Inland Empire Health Plan Full time

    OverviewWe are seeking a highly skilled Eligibility Continuity Specialist to join our team at Inland Empire Health Plan (IEHP). As a key member of our team, you will play a critical role in ensuring the continuity of healthcare services for our members.Key ResponsibilitiesConduct Outbound Calls: You will conduct outbound calls to IEHP members to help them...


  • Rancho Cucamonga, California, United States Inland Empire Health Plan Full time

    {"Overview": "At Inland Empire Health Plan, we are committed to delivering exceptional healthcare services to our members. As an Eligibility Continuity Specialist, you will play a vital role in ensuring that our members maintain their Medi-Cal eligibility.Your primary responsibility will be to provide full Redetermination of Eligibility (RE) application...


  • Rancho Cucamonga, California, United States InsideHigherEd Full time

    Athletic Eligibility Specialist Job DescriptionThis is a full-time, 12-month, classified bargaining unit position at Chaffey College. The Athletic Eligibility Specialist will provide support to the Dean and the P.E./Athletic program, performing a broad range of secretarial, administrative, and technical assistance functions.Key Responsibilities:Serve as...


  • Rancho Mirage, California, United States Desert Cities Allergy-ENT Inc Full time

    Job Title: Eligibility SpecialistWe are seeking a highly skilled Eligibility Specialist to join our team at Desert Cities Allergy-ENT Inc. The successful candidate will be responsible for verifying patient eligibility for appointments and services, as well as creating accurate charge slips for patient visits.Key Responsibilities:Verify patient eligibility...


  • Rancho Mirage, California, United States Desert Cities Allergy-ENT Inc Full time

    Job Title: Eligibility SpecialistWe are seeking a highly skilled Eligibility Specialist to join our team at Desert Cities Allergy-ENT Inc. The successful candidate will be responsible for verifying patient eligibility for appointments and services, as well as creating charge slips for patient visits.Key Responsibilities:Verify patient eligibility for...


  • Rancho Mirage, California, United States Desert Cities Allergy-ENT Inc Full time

    Job SummaryWe are seeking a highly skilled Eligibility Specialist to join our team at Desert Cities Allergy-ENT Inc. The successful candidate will be responsible for verifying patient eligibility for appointments and services, as well as creating and managing charge slips for patient visits.Key ResponsibilitiesVerify patient eligibility for appointments and...


  • Rancho Mirage, California, United States Desert Cities Allergy-ENT Inc Full time

    Job OpportunityDesert Cities Allergy-ENT Inc is seeking a highly skilled Eligibility Specialist to join our team. The successful candidate will be responsible for verifying patient eligibility for appointments and services, as well as creating accurate charge slips for patient visits. This is a full-time position that requires strong attention to detail and...


  • Rancho Cucamonga, California, United States Concentra Full time

    Physiatrist / Physical Medicine and Rehabilitation SpecialistConcentra, a leading healthcare company, is seeking a skilled Physiatrist / Physical Medicine and Rehabilitation Specialist to join our team as an independent contractor.About the RoleThis contract position is designed to complement your current practice, offering a flexible schedule with a typical...


  • Rancho Cucamonga, California, United States Alura Workforce Solutions Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Assistant Authorization Coordinator to join our team at Alura Workforce Solutions. As a Medical Assistant Authorization Coordinator, you will play a critical role in ensuring timely processing of authorization requests, verifying eligibility, and obtaining additional information as...


  • Rancho Cordova, California, United States Health Advocates Full time

    Job SummaryWe are seeking an Eligibility Worker I to join our team at Health Advocates. As an Eligibility Worker I, you will play a critical role in helping patients qualify for governmental benefits and third-party programs.ResponsibilitiesConduct telephone or bedside screenings to determine patient eligibilityComplete applications and follow up with...


  • Rancho Cucamonga, California, United States Alura Workforce Solutions Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Assistant Authorization Coordinator to join our team at Alura Workforce Solutions. As a Medical Assistant Authorization Coordinator, you will play a critical role in ensuring timely processing of authorization requests, verifying eligibility, and obtaining additional information as...


  • Rancho Cucamonga, California, United States CDM Smith Full time

    Job Title: FEMA Engineering SpecialistWe are seeking a highly skilled FEMA Engineering Specialist to join our team at CDM Smith. As a key member of our Public Assistance team, you will play a critical role in supporting the delivery of disaster relief efforts across the West Zone.Key Responsibilities:Conduct site inspections to validate and record...


  • Rancho Cucamonga, California, United States Concentra Full time

    {"Overview": "Concentra, a leading healthcare company, seeks a Physiatrist / Physical Medicine and Rehabilitation Specialist to provide on-site services as an independent contractor. This contract role complements your existing practice, offering a flexible schedule with a typical 4-hour shift per week or biweekly.", "Responsibilities": "Key responsibilities...


  • Rancho Cucamonga, California, United States Daevon Parks - State Farm Agent Full time

    Insurance Sales SpecialistWe are seeking a highly motivated and organized Insurance Sales Specialist to join our team at Daevon Parks - State Farm Agent. As a key member of our team, you will be responsible for establishing customer relationships, providing exceptional customer service, and promoting insurance products to meet the needs of our...

  • Janitorial Specialist

    2 weeks ago


    Rancho Cucamonga, California, United States Compass Group Careers Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Janitorial Specialist to join our team at Compass Group Careers. As a key member of our facilities maintenance team, you will be responsible for ensuring the cleanliness and organization of our buildings.Key Responsibilities:Collect and dispose of trash and recyclables in a safe and efficient...


  • Rancho Cucamonga, California, United States Sevita Full time

    Job Title: Administration Funds SpecialistMentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Our mission is to empower individuals to live well and have a fulfilling career. As an Administration Funds Specialist, you will join a mission-driven team and...


  • Rancho Cucamonga, California, United States Wm Bolthouse Farms Inc Full time

    Job Title: Senior Packaging Operations SpecialistWe are seeking a highly skilled Senior Packaging Operations Specialist to join our team at Wm Bolthouse Farms Inc. This role will be responsible for operating packaging machinery, ensuring quality and safety standards, and leading a team of machine operators.Key Responsibilities:Operate packaging equipment...