Eligibility Specialist III - MISP

Applications will be reviewed in the order in which it was received

The bilingual Eligibility Specialist III is a lead-level position within RUHS Medical Center's Patient Access/Eligibility Services team.

This role is responsible for auditing the work Eligibility Specialists I and II to ensure compliance with applicable policies, procedures, and regulatory requirements.

The incumbent provides on-the-job training to both new and experienced staff, offering technical guidance and support to promote accuracy and efficiency in eligibility determinations.

This position plays a key role in conducting face-to-face interviews and screenings with patients and the public to determine eligibility for a wide range of healthcare and public assistance programs, including County, State, and Federal programs.

Proficiency in using electronic health record systems such as EPIC is highly desirable, as is familiarity with Medi-Cal, Covered California, and other government assistance programs.

Although a background in a hospital setting is not required, it is considered a highly desirable.

The bilingual Eligibility Specialist III also coordinates and assigns daily tasks to eligibility staff, ensuring adequate coverage and timely processing of applications.

The role requires strong organizational skills and the ability to monitor workloads and adjust assignments as needed.

In addition, this position serves as a liaison with the Department of Public Social Services (DPSS), Case Management, and other internal departments to ensure effective communication and coordination in case handling.

This position assists the Eligibility Supervisor with routine operational tasks, special projects, and may serve as a lead in the Supervisor's absence.

The incumbent is expected to prepare clear and concise reports related to audit findings, eligibility metrics, and productivity trends.

Strong communication skills, knowledge of healthcare eligibility requirements, and the ability to work independently and as part of a team are essential for success in this role.
Schedule: Monday through Friday - 8:00 am-4:30 pm

Location: 26520 Cactus Ave.

Moreno Valley CA 92555

Bilingual: Spanish/English, required

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?• 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 incom...