Medicaid Eligibility Coordinator — Senior Home Care

myPlace Care Partners, P.C.

Los Angeles (CA)

On-site

USD 70,000 - 80,000

Full time

14 days+
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Benefits offered by this job

Annual bonus program
Medical, Dental, and Vision coverage
Generous PTO
11 paid holidays + 1 floating holiday
401(k) with employer match
Wellness program

Job summary

myPlace Health in Los Angeles County is seeking a Medicaid Specialist to help underserved frail seniors apply for Medi-Cal or Medicare, enabling them to stay at home as long as possible. You will manage Medi-Cal applications, conduct home visits, and support enrollment outreach.

The role requires knowledge of the California Medi-Cal system, 2–4 years of relevant experience, and collaboration with state/county eligibility workers. Bilingual ability is preferred.

Qualifications

  • Knowledge of California Medi-Cal system and Social Security process.
  • 2–4 years of relevant experience.
  • Experience with state/county eligibility workers.
  • Experience with frail elderly.
  • Bilingual in Spanish, Cantonese, Mandarin, or Vietnamese preferred.

Responsibilities

  • Initiate and manage Medi-Cal applications for participants.
  • Conduct home visits to complete Medi-Cal applications.
  • Assist participants, families, and caregivers with Medicaid re-determination or new applications.
  • Maintain enrollment documentation in CRM and ensure compliance.
  • Adhere to DHCS and CMS regulations for PACE marketing practices.
  • Collaborate with Finance to prepare reports for data analysis.
  • Validate Medicaid payments in support of Finance.
  • Monitor and renew participants' Medicaid eligibility (recertification).
  • Support the Enrollment and Outreach Specialist as needed.
  • Provide community resources to participants or families and caregivers.
  • Coordinate with county/state specialists to submit required documentation.

Skills

Medi-Cal knowledge
Eligibility worker experience
Elderly care experience
Bilingual preferred

Job description

myPlace Health in Los Angeles County is seeking a Medicaid Specialist to help underserved frail seniors apply for Medi-Cal or Medicare, enabling them to stay at home as long as possible. You will manage Medi-Cal applications, conduct home visits, and support enrollment outreach.

The role requires knowledge of the California Medi-Cal system, 2–4 years of relevant experience, and collaboration with state/county eligibility workers. Bilingual ability is preferred.

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