Medi-Cal Eligibility Resolution Specialist - San Diego

Job description

JOB DESCRIPTION: Position: Medi-Cal Eligibility Resolution Specialist: Pay Range: $27.00-$30.00 PER HR: Reporting To: Lead Medi-Cal Eligibility Resolution Specialist Work Type: Remote/Field: POSITION SUMMARY: The Medi-Cal Eligibility Resolution Specialist is responsible for identifying, resolving, and preventing Medi-Cal eligibility issues that impact member access to services or hinder reimbursement. This role ensures timely coordination of Medi-Cal redeterminations, collaborates with county eligibility offices, and supports members through complex eligibility processes. The position is primarily remote, with required field visits to county Medi-Cal offices when in-person resolution is more effective. Specialists are assigned to specific counties or regions to build strong local relationships and expedite issue resolution. QUALIFICATIONS: - Strong knowledge of Medi-Cal eligibility and public benefit programs - Knowledge of Medi-Cal eligibility rules and redetermination processes. - Experience in working with electronic healthcare systems, and state eligibility systems. - familiar with Microsoft Word and Excel programs. - Strong analytical, organizational and communication skills....