Medi-Cal Specialist Role

New

Skills

Attention to detail Bilingual communication Case processing accuracy Client documentation gathering Customer service skills Healthcare regulations knowledge Medi-Cal application assistance Medi-Cal eligibility Outreach and enrollment collaboration Redetermination processes

The Medi-Cal Specialist will play a crucial role in supporting Medi-Cal eligibility and redetermination for participants. This position involves assisting prospective participants with Medi-Cal applications and collaborating with Outreach & Enrollment and Health Plan teams to ensure accurate and timely processing of cases.

Key Responsibilities
  • Support Medi-Cal eligibility and redetermination for participants.
  • Assist prospective participants with Medi-Cal applications.
  • Collaborate with Outreach & Enrollment and Health Plan teams.
  • Triage Medi-Cal status issues affecting PACE eligibility.
  • Gather and process Medi-Cal documentation and submissions.
  • Ensure accuracy and timely processing of cases.
Required Skills & Qualifications
  • Minimum 3 years direct experience with Medi-Cal eligibility and redetermination with DPSS.
  • Experience gathering documentation for Medi-Cal applications.
  • Knowledge of Medi-Cal rules, processes, and redetermination options.
  • Excellent verbal and written communication skills.
  • Customer service oriented with strong attention to detail.
  • Bilingual (Spanish/English) strongly preferred.

No forms. Your profile is generated instantly.

Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: Months

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