Eligibility Training Specialist

Position Summary:

The Eligibility Training Specialist position is responsible for developing and conducting employee training programs for the Eligibility Department to ensure that an optimal level of member implementation is provided to all customers. Design and maintain training course for all materials and develop appropriate computer applications for manuals and handouts under the supervision of the Management Team. Ensure optimal levels of customer satisfaction are met and compile all feedback to analyze work of employees.

Essential Duties and Responsibilities include the following:

• Develops teaching aids, including manuals, written exercises and presentation slides, to teach eligibility coordinators the essential functions of their jobs.
• Works independently and is able to take on multiple tasks.
• Follow HIPAA guidelines with all information pertaining to member medical information and privacy.
• Display professionalism, good judgment, maturity, and fairness when interacting with others.
• Prioritize assignments, audit reports and other work functions in order to maintain workflow.
• Maintain or exceed quality and productivity standards for the Eligibility Coordinator

• Ability to audit and maintain accuracy of database.

• Timely response to eligibility inquiries.

• Ability to generate management reports with accuracy.

• All other duties as directed by management.

The pay range for this position at commencement of employment is expected to be between $27-$30 per hour however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physician office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)
• Behavioral Health Services

Savings and Retirement:

• 401k Retirement Savings Plan
• Income Protection Insurance

Other Benefits:

• Vacation Time
• Company celebrations
• Employee Assistance Program
• Employee Referral Bonus
• Tuition Reimbursement
• License Renewal CEU Cost Reimbursement Program
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Education and/or Experience:

• College education.
• Working knowledge of standard practices.
• At least 2 years of previous supervisory experience or lead position in a medical/healthcare setting.
• Previous experience with EZ-Cap eligibility system.
• Knowledge on health plans' member eligibility and enrollment.
• Computer skills, Word and Excel.