Medicaid Eligibility Coordinator — Elderly Care (PACE)

myPlace Health; Los Angeles (CA); On-site; USD 70,000 - 80,000; Full time

Benefits offered by this job

Salary range 70k-80k

Onsite work

Annual bonus

Medical, Dental, Vision

PTO

11 holidays + floating holiday

401(k) with employer match

Wellness program

Employee recognition

Job summary

myPlace Health in Los Angeles County is seeking a Medicaid Specialist to help bring the PACE program to underserved frail seniors. You will initiate and manage Medi-Cal applications and assist with the Medicare/Medicaid processes.

The role requires knowledge of the California Medi-Cal system, ability to conduct home visits, and collaboration with the Finance and Enrollment teams. Bilingual candidates are preferred.

Qualifications

• Knowledge of California Medi-Cal System and Social Security process.
• 2-4 years of relevant exp.
• Experience working with State/County eligibilities workers.
• Experiences working with Frail Elderly.
• Bilingual: Spanish, Cantonese, Mandarin, Vietnamese preferred.

Responsibilities

• Initiates, assists, and manages Medi-Cal application for prospective participants, ensuring timely and accurate completion of the process.
• Conduct home visit to complete the Medi-Cal application process. Assist participants, families/caregivers in completing all necessary paperwork needed for Medicaid re-determination or new applications.
• Maintain all documentations and record all enrollment in CRM software and ensure accuracy and compliance
• Strictly adhering to DHCS and CMS regulations and policies regarding marketing practices for the PACE Program
• Collaborate with Finance Department to prepare variety of reports for data analysis purpose. Supports the Finance department to validate Medicaid payment.
• Monitor and maintain participant’s Medicaid eligibility (recertification of Medi-Cal)
• Support the Enrollment and Outreach Specialist as needed. Provide community resources to prospective participants or families/caregivers
• Collaborate with or contact county/state government specialist to ensure the submission of required documentation or to obtain additional.
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
• All other duties as assigned.

Skills

Medi-Cal knowledge

Eligibility processes

Bilingual abilities

Job description

myPlace Health in Los Angeles County is seeking a Medicaid Specialist to help bring the PACE program to underserved frail seniors. You will initiate and manage Medi-Cal applications and assist with the Medicare/Medicaid processes.

The role requires knowledge of the California Medi-Cal system, ability to conduct home visits, and collaboration with the Finance and Enrollment teams. Bilingual candidates are preferred.