Eligibility Specialist III - RUHS

ABOUT THE POSITION

The County of Riverside's Riverside University Health System (RUHS) - Medical Center is seeking a Bilingual Eligibility Specialist III.

This position will support the Medically Indigent Services Program (M.I.S.P.) in Riverside, CA.

The selected candidate will review, evaluate, investigate, and justify eligibility determinations for medical assistance programs.

The Eligibility Specialist III will also be tasked with preparing written reports with recommendations for appropriate corrective action; performing quality control and quality assurance of previously processed aid applications; and serving in a lead capacity over subordinate staff to coordinate and assign work and assist the supervisor in preparing reports and evaluating and training staff.

This position will be located in a hospital setting and will require daily face-to-face interactions, as well as compliance with hospital guidelines.

Additionally, the incumbent will perform other necessary tasks, including traveling to various locations.

The most competitive candidate will possess strong leadership abilities, organizational skills, knowledge of Medi-Cal programs, knowledge of County/State assistance programs, experience with data analysis, and experience working in a hospital setting.

The department also seeks candidates that have experience with Microsoft Office Suite and EPIC.
THIS POSITION REQUIRES THE ABILITY TO SPEAK SPANISH, AS WELL AS ADHERE TO ALL HOSPITAL GUIDELINES.

Meet the Team!

The Riverside University Health System is here for you when you or someone you love is in need of help to achieve and maintain a life of whole health wellness and recovery.

Can you see yourself here?

EXAMPLES OF ESSENTIAL DUTIES
• Initially participate in a training program consisting of formalized training and on-the-job training which would give instruction to learn the typical duties performed by the journey level classes.

• Interview applicants for and recipients of one or more aid categories to assist them in the completion and clarification of the application and declaration forms upon which eligibility decisions are based; conduct such interviews in the Medically Indigent Services Program (M.I.S.P.) offices, clinics or in the hospitals.

• Obtain pertinent information concerning such items as income, other financial resources and financial obligations/debts from applicants and recipients; obtain additional information to resolve discrepancies in the applications and declarations by telephone, correspondence or personal interviews.

• Determine eligibility in accordance with established procedures; record information for case records; interpret program regulations and other pertinent material to applicants, recipients and the general public.

• May compute amount of grant authorized and perform other similar required computations; may prepare and maintain other documents associated with the eligibility determining process.

• On the basis of observation...