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Skills: Data Entry, Eligibility Verification, Reconciliation, Customer Service, Regulatory Compliance
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$17/hr–$21/hr
Full-time, Temporary
high school
Medical Benefits, Paid Sick Time, 401(k) Retirement Saving Plan, Employee Recognition Program
Posted 8d ago
~40 hrs/week
Responsibilities
The Eligibility Coordinator is responsible for maintaining the core eligibility system by reconciling, entering, and updating member information. They also provide customer service through outbound calls and ensure regulatory compliance by verifying enrollment data.
Requirements
Candidates must have a High School Diploma or equivalent and 0-3 years of related experience. Proficiency in Microsoft Office and strong verbal and written communication skills are required.
Full job description
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.
Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.
Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.
At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.
The Job
The Eligibility Coordinator - SCAN Temp will maintain SCAN Health Plan's core eligibility system by reconciling, entering, correcting, and deleting member information.
You Will
Processes member applications by reviewing data for deficiencies; assigning codes to data; establishing data entry priorities, and resolving discrepancies by using departmental policies and procedures Research eligibility rejected transactions by identifying discrepancies and report findings to the appropriate business area
Enter member data by inputting alphabetic and numeric information into IKA system according to screen format including benefit assignment, group affiliation, and provider selection, billing information, revenue codes and appropriate cross references Ensure regulatory compliance by following departmental desktops, policies and procedures, by adhering to state and Federal regulations and requirements
Verify eligibility for enrollment using state and Federal websites Assist co-workers by training, updating processes, and assisting with job duties
Provide excellent customer services by making a high volume of outbound calls to members to clarify, obtain, and or confirm information needed to successfully complete member’s enrollment request Represent the department by attending meetings, trainings, and process improvement teams The ability to accurately interpret and explain eligibility and CMS regulations and requirements in person, via email or telephonically
Complete requests received through Enterprise, Department Inbox, and Department Queue by responding appropriately and in a timely fashion to internal and external customers; by answering telephonic and written inquiries concerning eligibility issues; following department policies and procedures; by professionally representing the department to others Maintain professional and technical knowledge by utilizing access to SCAN University on-line trainings, attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies
Prepare eligibility report mailings by generating, reviewing and distributing eligibility information to providers within defined timelines Contribute to team effort by accomplishing related results as needed
Prepare member correspondence by creating, triggering, printing, reviewing and mailing
Assure accurate data from regulatory system reply by utilizing Federal systems and other departmental systems to run reports and collect and analyze data for any necessary updates
Responsible for daily reconciliations, in an effort to resolve member eligibility Issues by analyzing, correcting or updating data received on daily claims error report, unassigned PCP list and Incomplete Queue
Reconcile discrepancies, between member data and various systems
We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
Actively support the achievement of SCAN’s Vision and Goals.
Other duties as assigned.
Your Qualifications
High School Diploma or equivalent experience required.
0-3 years of related experience.
Performs work under minimal supervision.
Handles complex issues and problems, and refers only the most complex issues to higher-level staff.
Possesses comprehensive knowledge of subject matter.
Provides leadership, coaching, and/or mentoring to a subordinate group. May act as a lead or first-level supervisor.
Technical expertise - Basic technical skills for functional area. MS Office - Word, Excel, Outlook, Teams, PowerPoint experience required.
Problem Solving - Basic problem solving skills.
Communication - Good verbal and written communication and interpersonal skills.
SCAN Temp
What's in it for you?
This is a temporary opportunity for a limited period of time
Base Pay Range: $17.00 to $21.00 per hour
Work Mode: Mostly Remote
Medical Benefits
Paid Sick Time
Excellent 401(k) Retirement Saving Plan
Robust employee recognition program
An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
#LI-MS1
#LI-Hybrid
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
SCAN is a mission-driven organization that is tackling some of the biggest issues in health care for older adults.
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Founded
1977
Headquarters
Long Beach, California
LinkedIn followers
52,574
About SCAN
Keeping Seniors Healthy and Independent–that’s been our mission for more than 40 years. Founded in Long Beach, CA in 1977 by a group of senior activists committed to improving access to the care and services they needed as they aged, SCAN is a recognized leader in senior care. As one of the nation’s largest not-for-profit Medicare Advantage plans, SCAN also provides a range of community services, including the innovative programs of Independence at Home and robust community education and community giving.
The SCAN mission is not something that just hangs on the wall, it’s a commitment understood and embraced by every employee. We believe in supporting our employees so they, in turn, can support our members as well as seniors and caregivers in the communities we serve. That means providing training, tools and opportunities for growth—and rewarding jobs well done.
Our employees enjoy:
- A competitive compensation and benefits program
- An annual employee bonus program
- Generous paid-time-off (PTO)
- Ten paid holidays per year
- Excellent 403(b) Saving Plan, providing up to 4% match and vesting after
three years
- Casual attire . . . wear jeans every day!!
- A work-life balance and much more!
Want to learn more about SCAN? Visit us at scanhealthplan.com
Offices: Long Beach, California 90806, US
Senior healthcareHealth CareElder CareMedicalHome Health Care
How many Healthcare jobs are open in Long Beach, CA right now?
There are currently 725 open healthcare positions in Long Beach, CA listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Long Beach, CA?
Companies currently hiring include Molina Healthcare, SCAN, Lorian Health, St. Mary Medical Center, TruCare Community, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Long Beach, CA?
Yes — 182 of the 725 open healthcare positions offer remote or hybrid work (71 remote, 111 hybrid).
How do I apply for Healthcare jobs in Long Beach, CA?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.