Eligibility Specialist

WelbeHealth(1 month ago)

California, United StatesOnsiteFull TimeMedior$68,640 - $77,519Enrollment & Eligibility

About this role

The Eligibility Specialist at WelbeHealth ensures vulnerable seniors maintain seamless access to PACE services by resolving complex coverage and eligibility issues with CMS, DHCS, and county Medicaid offices. The role supports organizational knowledge through training and documentation, and works across outreach, enrollment, and revenue cycle functions to minimize gaps in participant coverage. It emphasizes participant advocacy and collaboration with internal teams and external agencies.

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Required Skills

Medicare Eligibility
Medicaid Eligibility
Social Security
Eligibility Troubleshooting
Regulatory Compliance
Stakeholder Communication
Training Delivery
Process Documentation
Data Analysis
Enrollment Monitoring

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Qualifications

Associate's Degree

About WelbeHealth

welbehealth.com

WelbeHealth is a full‑service senior health care provider that operates PACE (Program of All‑Inclusive Care for the Elderly) programs to deliver comprehensive, coordinated care for frail and vulnerable older adults. Its interdisciplinary teams deliver medical, behavioral, rehabilitative and social services — including primary care, nursing, therapy, home care, transportation and adult day services — so participants can remain safely and independently at home. The organization emphasizes quality, compassion and value while integrating Medicare and Medicaid benefits to manage care and costs for seniors.