Eligibility and Coverage Coordinator jobs in United States
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WelbeHealth · 19 hours ago

Eligibility and Coverage Coordinator

positionUnited States
timeFull-time
remoteRemote
seniorityEntry Level
money$24.39/hr - $32.20/hr
date2+ years exp

WelbeHealth is dedicated to serving vulnerable seniors with a focus on compassion and community. The Eligibility and Coverage Coordinator plays a crucial role in assisting the Outreach and Enrollment team by resolving eligibility discrepancies and collaborating with various agencies to ensure participants can access needed services without interruption.

Health CareHealth DiagnosticsHospital

Responsibilities

Resolve any enrollment and eligibility issues with SSI, Medi-Cal, and Medicare
Collaborate proactively with the county Medi-Cal, Social Security Administration staff, and Department of Health Services staff to resolve eligibility challenges
Comprehend, monitor, and use state systems (e.g., POS and AEVS, MARx) effectively
Monitor WelbeHealth participants’ benefit statuses for application denials, eligibility discontinuances, and annual redetermination dates
Oversee participant placement transitions and obtain changes in benefits from SSA and/or Medi-Cal as applicable
Collaborate with O&E, Reconciliation leadership, and Eligibility Specialists to provide feedback on revenue collection, cap recovery, and retroactive payment projections

Qualification

Healthcare administrative supportMedi-Cal experienceMedicare experienceMicrosoft ExcelMicrosoft WordMicrosoft OutlookCustomer service skillsSelf-directedMotivatedOrganizational skillsCommunication skills

Required

High school diploma or equivalency
Minimum of two (2) years of experience in a healthcare administrative support role
Proficiency with Microsoft Excel, Word, and Outlook
Highly motivated, self-directed, able to execute tasks in a quickly changing environment, and make sound decisions in emergency situations
Excellent organizational, customer service, and communication skills in settings with seniors

Preferred

Experience with local government Medicaid or Social Security agencies

Benefits

Medical insurance coverage (Medical, Dental, Vision)
Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
401K savings + match
Comprehensive compensation package including base pay, bonus, and equity

Company

WelbeHealth

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Glassdoor3.3
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Unlocking the full potential of our most vulnerable seniors with empathy and love.
dateFounded in 2015
location
Menlo Park, California, USA
people-size501-1000 employees
web-link
http://welbehealth.com/

Funding

Current Stage
Late Stage
Total Funding
$61.23M
2020-02-10Series C· $30M
2018-06-29Series B· $15M
2017-02-08Series A· $15M

Leadership Team

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Si France
Founder & CEO
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Becca Miller Rose
Chief Operating Officer
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Recent News

PR Newswire
WelbeHealth Expands PACE Access in Sacramento and San Bernardino Counties
2025-09-02
PR Newswire
WelbeHealth Names Dr. David Hirota as Chief Medical Officer
2025-07-08
citybiz
Q&A with Sam Wald, CEO of CareMore Health
2025-06-27
Company data provided by crunchbase