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WelbeHealth · 1 month ago

Eligibility & Coverage Advocate

Rosemead, CA, USA

Full-time

Hybrid

Mid Level

$25.61/hr - $30.73/hr

3+ years exp

WelbeHealth is transforming the reality of senior care by providing an all-inclusive healthcare option to vulnerable seniors. The Eligibility & Coverage Advocate serves as the liaison between participants and the WelbeHealth center team, assisting them in maintaining eligibility for state and federal benefits such as SSI, Medicaid, and Medicare.

Health CareHealth DiagnosticsHospital

Responsibilities

Proactively identify participants coming up for Medi-Cal redetermination

Educate and assist participants with the completion of all necessary forms, and ensure appropriate signatures are obtained

Conduct visits to participants’ homes to complete forms when necessary

Assist with obtaining all documentation required for eligibility determination or redetermination

Complete and file applications by initiating and maintaining proper follow-ups with participants, center staff, and government agencies to ensure timely processing and completion of all mandated applications and accompanying documentation

Maintain a strong working relationship with the Department of Public and Social Services (DPSS) to ensure compliance with DHCS and CMS policies and procedures

Qualification

Medi-Cal enrollment experienceMedi-Cal case managementMedi-Cal rulesBilingual (Mandarin/English)Interpersonal skills

Required

Must be comfortable with working a hybrid schedule and working in Rosemead 3x a week

High school diploma or equivalency

Minimum of three (3) years of relevant Medi-Cal/Medicaid enrollment experience, including share of cost, spousal impoverishment protections, and appeals processes

Experience working directly with the county DPSS submitting, managing, and appealing Medi-Cal enrollments

Demonstrate in-depth experience with complex Medi-Cal enrollment case management, and knowledge of Medi-Cal rules, processes, and practices

Strong interpersonal skills, comfortable speaking to seniors in a caring manner