At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve.

Our Health Plan Services team plays a critical role in our participant’s journey and our Eligibility & Reconciliation team help support our prospective and enrolled participants to ensure they establish and maintain eligibility to receive or continue to receive our life-giving services.

Essential Job Duties:

• Assist prospective and enrolled participants in applying for benefits and resolving any eligibility issues with SSI, Medi-Cal and Medicare.
• Develop positive relationships with County Medi-Cal and Social Security Administration staff, CMS and the Department of Health Care Services staff and work proactively and collaboratively to resolve eligibility challenges.
• Oversee enrollment & disenrollment transactions timely in line with CMS regulatory requirements.
• Manage Part A and Part B applications during annual Medicare general enrollment period and age-in periods (Age 65) enabling collection of additional capitations.

Job Requirements:

• Minimum of three years’ experience working in an administrative support role.
• Strong proficiency within Microsoft Excel formulas & State systems such as (e.g., POS and AEVS, MARx, WIPRO, Gentran, RPC, ERPt) effectively.
• Experience interacting with local government Medicaid, Medicare or Social Security agencies preferred.

Benefits of Working at WelbeHealth: Apply your expertise in meaningful ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

• Medical insurance coverage (Medical, Dental, Vison) starting day one of employment
• Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time
• Advancement opportunities - We’ve got a track record of hiring and promoting from within, meaning you can create your own path!
• And additional benefits.

Salary/Wage for this role is $64,480.00 annually + Bonus + Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications.