Eligibility Continuity Specialist

5 days ago


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

We 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 Responsibilities
  • Conduct Outbound Calls: You will conduct outbound calls to IEHP members to help them understand the Medi-Cal Redetermination of Eligibility (RE) process and complete the RE application upon members' request.
  • Eligibility Maintenance: You will help members prepare and submit any documentation required for the purpose of eligibility maintenance.
  • Process Knowledge: You will develop a thorough understanding of the Medi-Cal eligibility process and resources offered by the state, county, and within IEHP, including reporting tools.
  • Customer Service: You will provide best customer service that reflects our Mission, Vision, and Values (MVV) to IEHP members.
  • Improvement Opportunities: You will proactively identify opportunities for improvements, including frictionless processes.
  • Documentation: You will document call results in a Customer Relationship Management (CRM) database and document and submit information using an online portal.
Commitment to Quality

The IEHP Team is committed to incorporating IEHP's Quality Program goals, including HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits
  • Competitive Salary: You will receive a competitive salary.
  • Hybrid Schedule: You will have a hybrid schedule.
  • CalPERS Retirement: You will be eligible for CalPERS retirement.
  • State-of-the-Art Fitness Center: You will have access to a state-of-the-art fitness center on-site.
  • Medical Insurance: You will receive medical insurance with dental and vision.
  • Life, Short-Term, and Long-Term Disability Options: You will have access to life, short-term, and long-term disability options.
  • Career Advancement Opportunities: You will have career advancement opportunities and professional development.
  • Wellness Programs: You will have access to wellness programs that promote a healthy work-life balance.
  • Flexible Spending Account: You will have a flexible spending account for healthcare and childcare.


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