Bilingual Community Outreach Specialist (English/Spanish) (National City, CA)

About the role

Outreach Specialists represent Medi-Cal managed care in California by educating beneficiaries and guiding them through enrollment into a managed care health plan.

Responsibilities

• Coordinate and process intake referrals received via incoming calls, voicemail, email, or other designated channels.
• Respond to inquiries, provide general program information, and refer clients or providers to appropriate agencies or resources in accordance with established guidelines.
• Perform initial eligibility screening for services using defined criteria and procedures.
• Review and screen applications and supporting documentation for completeness and accuracy.
• Enter, update, and maintain application, intake, and case information in applicable databases and systems.
• Research, verify, and document information by accessing approved internal or external systems, including government agency systems as applicable.