Top 27 Eligibility worker Jobs in San Diego Ca

Medi-Cal Eligibility Resolution Specialist - San Diego
Libertana —San Diego, CA
- $27 - $30 an hour
- Full-time
- Mid-level
- Analysis skills
- Communication skills
Quick Apply
Child Care Eligibility Specialist I
Child Development Associates —Bonita, CA
- $30.01 an hour
- Weekends as needed
- Hybrid work
- Spanish
- Office
- Administrative experience
- Paid holidays
- Disability insurance
2d
Eligibility Specialist 1
Savista, LLC —National City, CA
- $22 - $24 an hour
- Full-time
- Hospital
- HIPAA
- Inpatient
- Health savings account
- Paid holidays
Quick Apply
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
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
Eligibility Specialist
CRA MSO LLC —Chula Vista, CA
- $19 - $21 an hour
- Weekends as needed
- Research
- Mid-level
Quick Apply
NCAA Compliance & Eligibility Specialist (Student Services Professional III)
San Diego State University —San Diego, CA
- $5,540 - $7,893 a month
- Temporary
- Background check
- Doctoral degree
- Mid-level
- Paid holidays
- Disability insurance
NCAA Compliance & Eligibility Specialist (Student Services Professional III)
California State University —San Diego, CA
- Full-time
- Background check
- Doctoral degree
- Mid-level
- Paid holidays
- Disability insurance
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
Front Desk Agent
Courtyard by Marriott Mission Valley/Hotel Circle —San Diego, CA
- $19 an hour
- Part-time
- Microsoft Excel
- Writing skills
- Hotel
- Opportunities for advancement
- Referral program
Quick Apply
Education Instructor
Maritime Museum of San Diego —San Diego, CA
- $19 - $24 an hour
- Part-time
- Classroom
- Cooking
- English
Quick Apply
2d
Spanish Teaching Opportunities
Concorde Education —Encinitas, CA
- $50 - $100 an hour
- Contract
- School experience
- Classroom
- Spanish
Quick Apply
1d
Japanese Language Teaching Opportunities
Concorde Education —San Diego, CA
- $50 - $100 an hour
- Contract
- Classroom
- High school
- Organizational skills
Quick Apply
1d
Cost Analyst
Booz Allen Hamilton —San Diego, CA
- $61,900 - $141,000 a year
- Full-time
- PMP
- Mid-level
- Office
- Disability insurance
- Health insurance
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
5d
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
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
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
Senior Consultant - Finance Operate - UX / Product Design
Deloitte —San Diego, CA
- $105,400 - $207,800 a year
- Full-time
- Bachelor's degree
- Travel
- Senior level

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Medi-Cal Eligibility Resolution Specialist - San Diego

Libertana -
San Diego, CA

Quick Apply

Job Details

Full-time
$27 - $30 an hour

Qualifications

Mid-level
Analysis skills
Communication skills

Full Job Description

JOB DESCRIPTION

Position: Medi-Cal Eligibility Resolution Specialist

Pay Range: $27.00-$30.00 PER HR

Reporting To: Lead Medi-Cal Eligibility Resolution Specialist

Work Type: Remote/Field

POSITION SUMMARY:

The Medi-Cal Eligibility Resolution Specialist is responsible for identifying, resolving, and preventing Medi-Cal eligibility issues that impact member access to services or hinder reimbursement. This role ensures timely coordination of Medi-Cal redeterminations, collaborates with county eligibility offices, and supports members through complex eligibility processes. The position is primarily remote, with required field visits to county Medi-Cal offices when in-person resolution is more effective. Specialists are assigned to specific counties or regions to build strong local relationships and expedite issue resolution.

QUALIFICATIONS:

Strong knowledge of Medi-Cal eligibility and public benefit programs

Knowledge of Medi-Cal eligibility rules and redetermination processes.

Experience in working with electronic healthcare systems, and state eligibility systems.

familiar with Microsoft Word and Excel programs.

Strong analytical, organizational and communication skills.

Strong communication skills.

Experience in a health plan, county eligibility office or healthcare revenue cycle.

Bilingual in Spanish preferred.

Experience resolving insurance denials or appeals.

Preferably, has a bachelor’s degree in healthcare, business administration or related field.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The following is a representation of the major duties and responsibilities of this position. The agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.

Investigate and resolve Medi-Cal eligibility barriers that prevent members from accessing services or disrupt reimbursement workflows.

Conduct eligibility verification using state systems, EMR platforms, and insurance databases.

Communicate with county eligibility workers to clarify case status and resolve pending or denied actions.

Oversee and coordinate Medi-Cal redetermination submissions.

Track redetermination cycles and proactively engage members.

Contact members to gather required information and explain eligibility requirements.

Build relationships with county Medi-Cal offices.

Collaborate with internal departments including Member Services, Revenue Cycle, Clinical Teams, and Compliance.

Maintain accurate, audit-ready documentation.

Conduct in-person visits to county offices when necessary.

Track and report eligibility trends and case outcomes.

Driving will be required to county offices.

Maintain confidentiality, HIPAA compliance, and knowledge of mandated reporting requirements.?

Uphold agency standards, policies, and procedures as outlined in the Employee Handbook.

Participate in departmental meetings and trainings as required.?

Performs other duties as assigned.?

PHYSICAL REQUIREMENTS:

Stand, sit, talk, hear, and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis up to 40% of the time.

Reach, stoop, kneel and bend up to 20% of the time

Moderate amount of walking up to 15% of the time.

Moderate amount of driving up to 25% of the time.

Close vision requirements due to computer work on a frequent basis

Light to moderate lifting may be required up to 25lbs on a frequent basis.

Pushing and pulling up to 25lbs.

Quick Apply

Refine Your Search

eligibility worker jobs in san diego ca

Medi-Cal Eligibility Resolution Specialist - San Diego

Child Care Eligibility Specialist I

Eligibility Specialist 1

Eligibility Coordinator

Medicare Membership & Eligibility Analyst (Temporary)

Eligibility Specialist

NCAA Compliance & Eligibility Specialist (Student Services Professional III)

NCAA Compliance & Eligibility Specialist (Student Services Professional III)

Product Content Specialist

Front Desk Agent

Education Instructor

Spanish Teaching Opportunities

Japanese Language Teaching Opportunities

Cost Analyst

Bistro Attendant

American Sign Language Instructor

Spanish Teacher

Cost Analyst, Senior

Camp Carmel Creek - Science Camp Specialist

Senior Consultant - Finance Operate - UX / Product Design

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