Hybrid role with regular onsite presence required to support team and operational needs. At WelbeHealth, we’re transforming the reality of senior care by providing an all-inclusive healthcare option to our most vulnerable senior population, functioning as both a care provider and care plan to those we serve.Working as the liaison between participants and the WelbeHealth center team, the Eligibility & Coverage Advocate assists enrolled participants in maintaining eligibility for state and federal benefits they are entitled to such as SSI, Medicaid, and Medicare. The Advocate supports the Eligibility & Reconciliation (E&R) team to ensure accurate and timely resolution of eligibility issues and manages daily scope of work requests, inquiries, turn‑around times, and escalation.Essential Job DutiesProactively identify participants coming up for Medi-Cal redetermination.Educate and assist participants with the completion of all necessary forms and ensure appropriate signatures are obtained.Conduct visits to participants’ homes to complete forms when necessary.Assist with obtaining all documentation required for eligibility determination or redetermination.Complete and file applications by initiating and maintaining proper follow‑ups with participants, center staff, and government agencies to ensure timely processing and completion of all mandated applications and accompanying documentation.Maintain a strong working relationship with the Department of Public and Social Services (DPSS) to ensure compliance with DHCS and CMS policies and procedures.Job RequirementsHigh school diploma or equivalency.Comfortable working a hybrid schedule with regular onsite presence at our Modesto and Stockton Welbe Centers.Minimum of three (3) years of relevant Medi-Cal/Medicaid enrollment experience, including share of cost, spousal impoverishment protections, and appeals processes.Experience working directly with county DPSS submitting, managing,
and appealing Medi-Cal enrollments.In-depth experience with complex Medi-Cal enrollment case management and knowledge of Medi-Cal rules, processes, and practices.Bilingual (Spanish/English) strongly preferred.Strong interpersonal skills, comfortable speaking to seniors in a caring manner.BenefitsApply your healthcare expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in an encouraging and loving environment where every person feels uniquely cared for.401(k) + employer match.Medical insurance coverage (Medical, Dental, Vision) starting day one of employment.Work‑life balance – 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days.Extra benefits.Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications.Salary Range: $25.61 – $33.80 USD.COVID-19 Vaccination PolicyIn this spirit, proof of vaccination or a vaccine declination form is required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.Commitment to Diversity, Equity and InclusionAt WelbeHealth, we embrace and cherish the diversity of our team members and are committed to building a culture of inclusion and belonging. We are an equal‑opportunity employer. People seeking employment are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or any protected status under applicable law.Beware of ScamsPlease ensure your application is submitted through a WelbeHealth‑sponsored site only. Our emails come from @welbehealth.Com addresses. You will never be asked to purchase your own employment equipment. Report suspected scam activity to
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📌 Eligibility And Coverage Advocate - $25.6 - $33.8 An Hour (Winnipeg)
🏢 WelbeHealth
📍 Winnipeg