Medicare Services & Aging Coordinator

Job Description

Job DescriptionMedicare Services Coordinator

• Pay: $24.00–$26.00 per hour
• Location: Commerce, CA
• Schedule: Monday–Friday, 8:00 AM–5:30 PM
• Assignment Length: Temp to hire based on performance and need (ongoing)

Job Summary: We are seeking a bilingual Medicare Services Coordinator to support Medicare and Medi-Cal senior members with healthcare services, benefits coordination, and access to care. This role serves as a primary point of contact for newly enrolled members, providing personalized assistance, answering questions, coordinating appointments, and helping resolve barriers to healthcare services. The ideal candidate has strong customer service skills, experience in managed healthcare, and a passion for supporting senior populations.
Key Responsibilities:

• Conduct inbound and outbound calls to assist members with healthcare needs, appointments, prescriptions, authorizations, and referrals.
• Complete welcome calls and coordinate services for newly enrolled members during their first 45 days.
• Educate members on Medicare/Medi-Cal benefits, available services, and community resources.
• Coordinate transportation, appointments, and other services to improve access to care.
• Assist with Health Risk Assessments and identify member needs requiring additional support.
• Communicate with healthcare providers, clinic staff, and external service providers to coordinate care.
• Maintain accurate documentation of member interactions and services in EHR and CRM systems.
• Track onboarding activities, follow-up calls, and service coordination efforts.
• Escalate complex member concerns and assist with problem resolution.
• Follow up with members to ensure services are being delivered and needs are being met.

Qualifications
Required:

• High school diploma or equivalent.
• Minimum 3 years of experience in healthcare customer service or care coordination.
• Bilingual in English and Spanish.
• Knowledge of Medicare, Medi-Cal, and healthcare benefits.
• Strong communication, organizational, and problem-solving skills.
• Proficiency in Microsoft Office and electronic documentation systems.
• Understanding of HIPAA regulations and patient confidentiality.

Preferred:

• Bachelor's degree in Social Work or a related field, or Medical Assistant/LVN background.
• At least 3 years of experience in a managed healthcare environment, such as an IPA, HMO, or health plan.
• Experience working with senior populations and culturally diverse communities.
• Knowledge of senior healthcare benefits and community resources.
• Experience using EHR and CRM systems.

Skills and Abilities:

• Excellent customer service skills with a compassionate, patient-centered approach.
• Ability to manage multiple priorities and work independently.
• Strong attention to detail and accurate documentation.
• Ability to collaborate with interdisciplinary healthcare teams.
• Effective problem-solving skills and ability to escalate complex issues appropriately.
• Comfortable working in a fast-paced healthcare environment.

Work Environment:

• Office-based position.
• Ability to perform general office duties, including extended computer and telephone use.
• Occasional travel to meetings or healthcare sites may be required.

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