Program and Resource Specialist

TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. We are committed to making healthcare accessible to everyone, regardless of income or insurance status. With a focus on culturally sensitive, affordable services, TrueCare aims to improve the health of diverse communities. Our vision is to be the premier healthcare provider in the region, delivering exceptional patient experiences through innovative, integrated care.

Under the direction of the Enrollment Supervisor, Program and Resource Specialist (PRS) will screen patients for eligibility for all available programs and episodic coverage and enroll into the appropriate program. The Program and Resource Specialist ensures patients have the most appropriate financial resources to continue seeking care at TrueCare on a continued basis. Program and Resource Specialist will screen for programs such as Medi-Cal, Covered CA, FPACT, CHDP, and any other episodic programs available at TrueCare. Additionally, Program and Resource Specialist will explain the program specifics to each patient as necessary.

Responsibilities :

• Work closely with TrueCare staff to effectively schedule appointments and adhere to workflow schedule.
• Assist in filling out applications for programs such as Medi-Cal, Covered CA, and CalFresh
• Strictly follow and adhere to federal laws regarding coaching of potential Medi-Cal / Covered CA customers.
• Actively participate in promoting Medi-Cal and Covered CA internally as well as externally.
• Duplicate all appropriate information to complete and process all applications.
• Follow-up on applications to ensure confirmation of case and acceptance into health coverage.
• Track renewal dates and contact patients to ensure maintenance of health coverage.
• Responsible for producing, tracking and reporting retention efforts for case load.
• Screen individuals for episodic coverage such as FPACT, CHDP, etc.
• Assist eligible TrueCare patients to apply for episodic program coverage.
• Actively find new sources of referrals that would lead to increasing newly insured patients.
• Refer patients as appropriate for other TrueCare services.
• Smile and welcome patients. Answer questions promptly and maintain eye contact while speaking. Be able to answer patients frequently asked questions promptly and accurately.
• Responsible for producing, reporting, and tracking on application assistance, application status, retention and self-pay clients conversion. Comply with other tracking and reporting processes as requested.
• Communicate pertinent information in a timely manner to department management.
• Implement strategies that aim to identify individuals in need of assistance with health insurance and other resources as given by management. .
• Work closely with other TrueCare staff to collaborate and participate in promotional campaigns and enrollment activities such as enrollment events and classes.
• Flexibility to work as interim PRS at different locations based on need and department goals.
• Assess and provide age-appropriate education and assistance to patients.
• Adhere strictly to appointment schedule and honor patients time by advising supervisor when unable to make appointment.
• Contribute to the success of TrueCare by participating in quality improvements activities.
• Participate in department meetings and trainings.
• Assist in the collection of information needed for program reports and evaluation. Develop
• monthly / quarterly / yearly progress and final reports, as required.
• Work closely with clinic staff to optimize clinic flow for patients as appropriate.

Job Requirements :

Nice to Have :

Benefits :

The pay range for this role is $21 - $29.40 on an hourly basis.

Pay transparency : If you are hired at TrueCare, your salary will be determined based on factors such as education, knowledge, skills, and experience. In addition to those factors, we believe in the importance of pay equity and consider the internal equity of our current team members when determining an offer.

TrueCare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any characteristic protected by applicable federal, state, or local law. Our goal is to support all team members recruited or employed here.

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Compensation details : 21-29.4 Hourly Wage

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