Medicare Services Coordinator & Aging Services

Work Boldly. Live Brilliantly.

At AltaMed, we don’t just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It’s the calling of our lives and it compels us to keep moving forward.

Job Overview

The Medicare Services Coordinator for senior members will provide member-centric services to newly enrolled members of senior plans to increase retention and engagement. The Medicare Services Coordinator is the point of contact for an in-depth orientation and services coordination in the first 90 days following enrollment including making welcome calls, explaining and providing coordination of the health plan benefits and services available; providing explanation of plan benefits, identifying service needs such as transportation to and from appointments and ensuring the member more easily accesses needed care with minimal barriers. This position will require coordination of services required by regulation such as Health Risk Assessment/Medicare Health Assessment, identification of problem areas or concerns, appropriate interventions/services to be arranged, any additional plan specific requirements and maintaining a comprehensive and progressive record of all coordination activities including need for escalating problems or issues. Responsibilities include liaising with providers and staff responsible for coordinating follow up and ensuring systematic check-ins with the member during the onboarding process. This position will require providing warm hand-offs with assistance services and identifying opportunities to improve efficiencies and customer service. The Medicare Services Coordinator ensures the best member experience possible from beginning to end.

Minimum Requirements

High School diploma or equivalent required. 3 years’ experience working in a healthcare customer service/ care coordination environment; knowledge of plan benefits and regulations governing Medi-Cal, Commercial, Medicare and other government and commercial programs. Bachelor’s in social work (or related field) with senior plans and patient-centric experience, or Medical Assistant or LVN desirable. Minimum 3 years of experience in a managed health care environment, preferably IPA, HMO, or Health Plan preferred in addition to experience working with an ethnically diverse population. Bilingual English/Spanish preferred.

Benefits & Career Development

Medical, Dental and Vision insurance403(b) Retirement savings plans with employer matching contributionsFlexible Spending AccountsCommuter Flexible SpendingCareer Advancement & Development opportunitiesPaid Time Off & HolidaysPaid CME Days Malpractice insurance and tail coverageTuition Reimbursement ProgramCorporate Employee DiscountsEmployee Referral Bonus ProgramPet Care Insurance

Salary Range

$24.00 - $28.15 hourly