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Program & Resource Specialist - San Marcos

TrueCare
San Marcos, CA Full Time
POSTED ON 1/15/2025
AVAILABLE BEFORE 4/8/2025

TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. We are committed to making healthcare accessible to everyone, regardless of income or insurance status. With a focus on culturally sensitive, affordable services, TrueCare aims to improve the health of diverse communities. Our vision is to be the premier healthcare provider in the region, delivering exceptional patient experiences through innovative, integrated care. Under the direction of the Program Manager, Program and Resource Specialist (PRS) will screen TrueCare patients for eligibility for all available programs and episodic coverage and enroll into the appropriate program. The Program and Resource Specialist ensures patients have the most appropriate financial resources to continue seeking care at TrueCare on a continued basis. Program and Resource Specialist will screen for programs such as Medi-Cal, Covered CA, FPACT, CHDP, CDP, Homeless, Ryan White, and Diabetes cash plan. Additionally, Program and Resource Specialist will explain the program specifics to each patient as necessary. Responsibilities :   Work closely with TrueCare staff to effectively schedule appointments and adhere to workflow schedule. Assist in filling out applications for programs such as Medi-Cal, Covered CA, and CalFresh Strictly follow and adhere to federal laws regarding coaching of potential Medi-Cal / Covered CA customers.  Actively participate in promoting Medi-Cal and Covered CA internally as well as externally. Duplicate all appropriate information to complete and process all applications. Follow-up on applications to ensure confirmation of case and acceptance into health coverage. Track renewal dates and contact patients to ensure maintenance of health coverage. Responsible for producing, tracking and reporting retention efforts for case load.  Screen individuals for episodic coverage such as FPACT, CHDP, etc.  Assist eligible TrueCare patients to apply for episodic program coverage.  Actively find new sources of referrals that would lead to increasing newly insured patients.  Refer patients as appropriate for other TrueCare services. Smile and welcome patients. Answer questions promptly and maintain eye contact while speaking. Be able to answer patient’s frequently asked questions promptly and accurately. Responsible for producing, reporting, and tracking on application assistance, application status, retention and self-pay client’s conversion. Comply with other tracking and reporting processes as requested. Communicate pertinent information in a timely manner to department management.  Implement strategies that aim to identify individuals in need of assistance with health insurance and other resources as given by management. Work closely with other TrueCare staff to collaborate and participate in promotional campaigns and enrollment activities such as enrollment events and classes.  Qualifications : High School Diploma or equivalent Knowledge of medical terminology Experience in a healthcare setting Bilingual in Spanish and English Preferred Qualifications :   Experience conducting outreach and working with community-based organizations Experience in needs assessments and community mobilization Certified Enrollment Counselor or eligible for certification within 3 months of hire Benefits :   Competitive Compensation Generous Time Off Low-cost health, dental, vision & life insurance Tuition Reimbursement, Employee Assistance program 3% 403b match (after 1 year of service) The pay range for this role is $21 - $26 on an hourly basis.   TrueCare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin, ancestry, sex, gender, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state, or local law. Our goal is to promote and ensure authentic inclusion, belonging and support for all team members recruited or employed here. In the spirit of pay transparency, we are excited to share the base salary range for this position. If you are hired at TrueCare, your final base salary (within the pay range), will be determined based on factors such as education, knowledge, skills, and experience. In addition to those factors, we believe in the importance of pay equity and consider the internal equity of our current team members when determining any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical to allow for future and continued salary growth. We also offer generous benefits and retirement plans. Powered by JazzHR

Salary : $21 - $26

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