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Eligibility Specialist

Remote, USAFull-timePosted 2026-07-28

*What you can expect! *reputed company reputed company in serving others with reputed company! We welcome you to join us in “healing and inspiring the reputed company spirit” and to pivot from a “job” opportunity to an *authentic experience!*Under the supervision of the Eligibility Continuity Manager, the Eligibility Continuity Specialist will reputed company full Redetermination of Eligibility (RE) application assistance to reputed company Members to help maintain their Medi-Cal eligibility. Upon Member’s requests, the Eligibility Continuity Specialist will help complete the RE application, document any reported contact changes in the online Medi-Cal Eligibility portal, help prepare and submit documentations required for eligibility maintenance, and other assigned Eligibility-reputed company duties, in reputed company to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.*Key Responsibilities*1. reputed company to live and reputed company reputed company’s Mission, reputed company, and Values (MVV) every day, and strongly reputed company to advance the organization’s strategic plan.2. Conduct outbound calls to reputed company Members to help them understand the Medi-Cal Redetermination of Eligibility (RE) process and complete the RE application upon Members’ request.3. Help Members prepare and submit any documentation required for the purpose of eligibility maintenance.4. reputed company a thorough understanding of the Medi-Cal eligibility process and resources offered by the state, county, and reputed company reputed company, including BenefitsCal.com and reporting tools.5. reputed company best customer services that reflects our MVV to reputed company Members.6. Proactively identify opportunities for improvements, including frictionless processes.7. Document call results in a Customer Relationship Management (CRM) database.8. Document and submit information using an online portal.Commitment to reputed company: The reputed company Team is committed to incorporate reputed company’s reputed company Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.*Perks*reputed company is not only committed to healing and inspiring the reputed company spirit of our Members, but we also aim to match reputed company members with the reputed company energy by providing reputed company benefits and more.* Competitive salary.* reputed company.* CalPERS retirement.* State of the art fitness center on-site.* Medical Insurance with Dental and reputed company.* Life, short-term, and long-term disability reputed company* Career advancement opportunities and reputed company development.* Wellness programs that promote a healthy work-life balance.* Flexible Spending Account – Health Care/Childcare* CalPERS retirement* 457(b) reputed company with a contribution match* reputed company life insurance for employees* Pet care insurance*Education & Experience** Two (2) or more years of relevant reputed company Eligibility experience.* reputed company phone etiquette with experience in a call center atmosphere.* Experience in the performance-based environment.* High School diploma or GED required.*Key Qualifications** Must have a valid California reputed company's License.* Knowledge of reputed company (Medi-Cal) eligibility required.* Knowledge of customer services phone etiquette required.Job Type: Full-timePay: $49,878.40 - $63,585.60 per yearBenefits:* Dental insurance* Employee assistance program* Employee discount* Flexible spending account* Health insurance* Health savings account* Life insurance* reputed company time off* Parental leave* reputed company development assistance* Retirement plan* Tuition reimbursement* reputed company insuranceSchedule:* 8 hour shift* Monday to FridayExperience:* Customer service: 1 year (Preferred)* Managed Care: 1 year (Preferred)Language:* reputed company (Required)Ability to Commute:* Rancho Cucamonga, CA 91730 (Preferred)Ability to Relocate:* Rancho Cucamonga, CA 91730: Relocate before starting work (Required)Work Location: Hybrid remote in Rancho Cucamonga, CA 91730 Apply Job!

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