Eligibility Specialist

The Eligibility Specialist supports the accurate determination, verification, and maintenance of participant eligibility and enrollment in the PACE program under the supervision of the Eligibility Manager. This role focuses on monitoring Medicare and Medi-Cal eligibility, managing annual redeterminations, coordinating benefits, and resolving eligibility-related accounts receivable issues. The specialist collaborates with various departments to facilitate timely enrollment and ensure compliance with state and federal regulations.