Medi-Cal Enrollment Specialist

Description

About Cardea Health:  

Cardea Health is a non-profit organization dedicated to providing compassionate health care to marginalized populations. Our mission is to create and support programs that protect the health and autonomy of vulnerable individuals and promote equity and social justice to improve the well-being of our entire community. We provide medical support to populations that experience homelessness.  

At Cardea, we are dedicated to creating a workplace that celebrates diversity and actively seeks to include underrepresented communities. We believe that diversity drives innovation and fosters a more dynamic, inclusive, and productive work environment. We actively encourage individuals from underrepresented backgrounds to apply for our open positions. We value your unique perspectives, experiences, and talents, and we are committed to providing equitable opportunities for growth and advancement. Join us in building a team that reflects the rich diversity of our society and let's make a positive impact together. 

Primary Work Location:  Hybrid, supporting all our physical clinical supportive housing sites 

Job Summary:   

We are seeking a detail-oriented and knowledgeable Medi-Cal Enrollment Specialist to support our healthcare team in assisting residents with Medi-Cal eligibility, enrollment, and benefits coordination. This role involves working closely with residents, care coordinators, and county agencies to ensure timely and accurate Medi-Cal enrollment and coverage verification. The position is hybrid, requiring three days of on-site work per week. 

Qualifications & Responsibilities

Responsibilities:  

• Serve as the primary point of contact for Medi-Cal enrollment inquiries and application tracking 

• Achieve maximum reimbursement for services provided 

• Assist residents in completing Medi-Cal applications, renewals, and eligibility verifications 

• Verify Medi-Cal and managed care plan status through online portals such as BenefitsCal, Medi-Cal Provider Portal, and Alameda Alliance Provider Portal 

• Coordinate with county Medi-Cal offices to resolve application or coverage issues. 

• Maintain accurate records and update internal tracking systems 

• Educate residents about Medi-Cal benefits and managed care plans 

• Work closely with care coordinators, enrollment specialists, and billing specialists to ensure seamless coverage transitions 

• Stay up to date on Medi-Cal policy changes and communicate relevant updates to the team 

• Provide general administrative support related to Medi-Cal applications, including follow-ups and documentation submission 

• Other duties as assigned 

Minimum Required Skills & Qualifications:  

• Medi-Cal enrollment experience: Minimum 1 year experience  

• Excellent communication and customer service skills 

• Experience with online portals such as BenefitsCal, Medi-Cal Provider Portal, and Alameda Alliance Provider Portal 

• Ability to manage multiple tasks efficiently and maintain organized records 

• Proficiency using Microsoft office: Word, Excel, Teams, Outlook 

• Familiarity with electronic health records (EHR)  

• Self-directed and able to work with minimal supervision 

• Knowledge of Medi-Cal eligibility requirements, application processes, and managed care plans  

• Strong organizational skills and attention to detail 

• Strong critical thinking abilities 

• Ability to work independently and collaboratively in a fast-paced environment 

• Experience working with the homeless population 

• Familiarity with Alameda County Medi-Cal processes and resources 

Preferred Skills & Qualifications: 

• Medi-Cal enrollment experience: 2 years preferred 

• Experience working in a medical respite or social services setting 

• Bilingual in Spanish, Cantonese, or another commonly spoken language in the community 

• Knowledgeable in Harm reduction, De-escalation, Motivational interviewing, and Trauma informed care 

Physical Requirements:  

• Frequent walking, standing, and moving between different areas to assist residents and coordinate with staff 

• Occasional lifting of up to 25 lbs., such as carrying files, supplies, or assisting with workstation setup 

• May require bending, reaching, and kneeling to retrieve or organize documents and materials 

• Ability to sit for extended periods while working on a computer or handling paperwork 

• On-site work will require interacting with residents in a healthcare or community setting, which may involve exposure to varying environmental conditions 

Work Environment:  

• Hybrid schedule: 3 days on-site, 2 days remote 

• On-site work required at various Cardea Health sites in the Bay Area 

• Remote work requires reliable internet and access to necessary systems 

Compensation and Benefits: 

• Competitive Rate of Pay (Hourly Pay range $28-$36) 

• Excellent Benefits Package (Health, Dental, Vision, Life & 401K) 

Cardea Health is an Equal Opportunity Employer 

Cardea Health is committed to diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, genetic information, marital status, national origin, disability, citizenship or veteran status. We will consider qualified candidates with criminal histories in a manner consistent with the requirements of the state of California and San Francisco Fair Chance Ordinance. 

This job description is not designed to contain a comprehensive list of activities, duties, or responsibilities for this role. Activities, duties, or responsibilities may change, or a new job description may be assigned at any time with or without notice. 

Salary : $28 - $36