Top 21 Eligibility worker Jobs in San Diego, Ca

Eligibility Coordinator
Medical Oncology Associates of San Diego —San Diego, CA
- $21 - $24 an hour
- Full-time
- Medical office experience
- HIPAA
- Mid-level
Quick Apply
Eligibility Specialist
CRA MSO LLC —Chula Vista, CA
- $19 - $21 an hour
- Weekends as needed
- Research
- Mid-level
Quick Apply
Medicare Membership & Eligibility Analyst (Temporary)
Central California Alliance for Health (Remote) —San Diego, CA
- $34 - $48 an hour
- Temporary
- Hybrid work
- Adults
- Research
- Mid-level
- Wellness program
- Paid holidays
Quick Apply
Education Instructor
Maritime Museum of San Diego —San Diego, CA
- $19 - $24 an hour
- Part-time
- Classroom
- Cooking
- English
Quick Apply
Cost Analyst
Booz Allen Hamilton —San Diego, CA
- $61,900 - $141,000 a year
- Full-time
- PMP
- Mid-level
- Office
- Disability insurance
- Health insurance
Spanish Teaching Opportunities
Concorde Education —Encinitas, CA
- $50 - $100 an hour
- Contract
- School experience
- Classroom
- Spanish
Quick Apply
Bistro Attendant
Courtyard San Diego Mission Valley/Hotel Circle —San Diego, CA
- $18 an hour
- Part-time
- Bar
- Fast casual restaurant
- English
- 401(k)
- Opportunities for advancement
Quick Apply
Product Content Specialist
Workiz —San Diego, CA
- $71,000 a year
- Full-time
- Hybrid work
- Google Workspace
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Japanese Language Teaching Opportunities
Concorde Education —San Diego, CA
- $50 - $100 an hour
- Contract
- Classroom
- High school
- Organizational skills
Quick Apply
Enrichment Instructor - STEM
arc After School and Experiential Education —San Diego, CA
- $22 - $35 an hour
- Part-time
- Classroom
- Computer Science
- High school
Quick Apply
4d
Cost Analyst, Senior
Booz Allen Hamilton —San Diego, CA
- $69,300 - $158,000 a year
- Full-time
- PMP
- 5 years
- Office
- Disability insurance
- Health insurance
American Sign Language Instructor
Athletes Global Corporation —San Diego, CA
- $25 - $30 an hour
- Part-time
- School experience
- Classroom
- Mid-level
Quick Apply
Spanish Teacher
Athletes Global Corporation —San Diego, CA
- $25 - $30 an hour
- Part-time
- Background check
- Classroom
- Spanish
Quick Apply
Camp Carmel Creek - Science Camp Specialist
San Diego Jewish Academy (SDJA) —San Diego, CA
- $22 - $30 an hour
- Full-time
- Background check
- 18 years or older
- CPR Certification
- Paid training
Quick Apply
Enrichment Coordinator (Gardening and Art)
Empower Language Academy —Linda Vista, CA
- $24 - $26 an hour
- Part-time
- Classroom
- Cooking
- Bachelor's degree
- Paid time off
Quick Apply
4h
Eligibility Specialist 1 (Bilingual Required)
Savista, LLC —National City, CA
- $23 - $24 an hour
- Full-time
- Hospital
- HIPAA
- Inpatient
- Health savings account
- Paid holidays
Quick Apply
Senior Healthcare Integration Consultant - EDI 834 & Eligibility
Proactive Logic Consulting Inc —United States
- $75 - $110 an hour
- Contract
- Remote
- System design
- HIPAA
- Java
Quick Apply

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Onsite Medicaid Eligibility Representative
Revenue Group —Columbus, OH
Hospital Referral Services on-sites screen and help patient’s bedside to see what assistance programs the uninsured or underinsured may be eligible to receive.
$17.50 an hour
Quick Apply
Team Lead - Eligibility & Enrollment
Firstsource Healthcare —Columbus, OH
He or She will assist with employee training, answering questions, and tracking time/attendance, while maintaining their own assigned workload.
Up to $24 an hour

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Eligibility Coordinator

Medical Oncology Associates of San Diego -
San Diego, CA

Quick Apply

Job Details

Full-time
$21 - $24 an hour

Qualifications

Managed care
High school diploma or GED

Full Job Description

Medical Oncology Associates of San Diego is a proud partner of One Oncology's network of the nations leading oncology practices.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job Description:

The Eligibility Coordinator is responsible for ensuring patients meet insurance coverage and authorization requirements prior to office visits. This position serves as a liaison between patients, providers, payers, and internal teams to ensure office visits meet payer requirements and minimize avoidable claim denials.

Patient-Centered Care

MOASD is committed to delivering compassionate, coordinated, and patient-centered care. The Eligibility Coordinator supports this mission by proactively identifying and resolving insurance coverage, referral, and office visit authorization barriers before they impact patient care. Through accurate eligibility verification and collaboration with internal and external partners, this role helps ensure patients have timely access to scheduled services while minimizing avoidable delays and claim denials.

Key Areas of Responsibility:

Coverage Verification

Verify active insurance coverage, effective dates, IPA assignment, and specialist copayment requirements prior to scheduled office visits.
Update patient insurance information within applicable systems to ensure accurate claim submission.
Identify coverage discrepancies and coordinate resolution prior to the patient's appointment.

Referrals & Office Visit Authorizations

Verify office visit authorizations requirements.
Submit and track office visit authorization and referral requests in accordance with payer requirements.
Follow up with payers, IPAs, and referring offices to obtain required approvals prior to scheduled appointments.
Document authorization status, referral information, and payer communications within designated systems.

Documentation & Denial Prevention

Maintain accurate eligibility, referral, and authorization documentation to support clean claim submission.
Provide supporting documentation to billing for claim appeals involving eligibility verification or office visit authorization determinations.
Identify trends contributing to authorization or coverage-related denials and communicate findings to leadership.

Collaboration

Collaborate with Financial Counselors, Authorization Specialists, Schedulers, Billing, and Clinical Teams to ensure patients meet payer requirements before services are rendered.
Prioritizes work to ensure office visit coverage verification and authorization requirements are completed prior to scheduled appointments.
Escalate eligibility and authorization barriers that may impact patient access or appointment scheduling.
Ensure compliance with HIPAA regulations by safeguarding patient information during all stages of processing.
Promote a positive, inclusive and supportive team culture across all teams, consistently demonstrating professionalism and integrity.
Meets quality and productivity standards.

This job description is not designed to cover an exhaustive list of duties. Other duties may be assigned

and activities may change any time with or without notice, as applicable. Furthermore, job descriptions

do not establish a contract or change the at-will nature of employment.

Experience, Qualifications, Education

Minimum 1 year of experience in insurance verification, referrals, authorizations, revenue cycle, or medical office operations.
Knowledge of insurance verification processes
Knowledge of managed care referral and authorization processes
Ability to multitask efficiently in a fast-paced environment and a capacity to handle high volumes while maintaining attention to detail.
High School Diploma, required

Knowledge, Skills, and Abilities

Excellent verbal and written communication skills.
Proficiency in computer processing functions and other standard office equipment.
Ability to effectively manage and prioritize multiple tasks.
Ability to calmly and professionally resolve issues with diplomacy and tact.
Ability to work independently with minimal supervision.
Strong organizational skills.
Visual acuity to read a computer screen and paper documents; close and distance vision, peripheral vision depth perception, ability to adjust focus.
Hearing acuity to converse with staff and customers in person and by phone.
Ability to stoop, bend, kneel, reach with hands, and lift and move 10 pounds on a regular basis, and up to 25 pounds occasionally; ability to sit for hours at a time.

Working Conditions:

This position functions indoors in a medical/business environment. Employee will be exposed to moderate noise levels and interruptions. Visual acuity to read and compute screen and paper documents; close and distance vision, peripheral vision depth perception, ability to adjust focus; hearing acuity to converse with staff and customers. Ability to sit for hours at a time. Employee will be exposed to moderate noise levels and interruptions.

Travel:

Travel between local offices when necessary.

Pay:

$21-$24

Quick Apply

Refine Your Search

eligibility worker jobs in san diego, ca

Eligibility Coordinator

Eligibility Specialist

Medicare Membership & Eligibility Analyst (Temporary)

Education Instructor

Cost Analyst

Spanish Teaching Opportunities

Bistro Attendant

Product Content Specialist

Japanese Language Teaching Opportunities

Enrichment Instructor - STEM

Cost Analyst, Senior

American Sign Language Instructor

Spanish Teacher

Camp Carmel Creek - Science Camp Specialist

Enrichment Coordinator (Gardening and Art)

Eligibility Specialist 1 (Bilingual Required)

Senior Healthcare Integration Consultant - EDI 834 & Eligibility

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