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Medi Cal Jobs (NOW HIRING)

The Director of Medi-Cal Billing is a strategic and operational leader responsible for overseeing all aspects of Cardea Health's Medi-Cal billing, enrollment, and revenue optimization functions. This ...

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Work with uninsured population w/Government programs in a hospital setting Screen uninsured individual at hospital bedside to determine potential third party linkage i.e.,(Medi-Cal, Cal VCB, WC, etc ...

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Medi Cal information

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How much do medi cal jobs pay per hour?

As of Jun 22, 2026, the average hourly pay for medi cal in the United States is $18.14, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.19 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Medi Cal position, and why are they important?

To thrive in a Medi-Cal specialist or coordinator role, you need a strong understanding of healthcare eligibility, medical billing, and public health insurance programs, often supported by experience in healthcare administration or social services. Familiarity with Medi-Cal management systems, electronic health records (EHRs), and relevant California state regulations is highly beneficial. Excellent communication, empathy, attention to detail, and organizational skills set top performers apart in this field. These competencies enable efficient processing of Medi-Cal applications, ensure accurate eligibility assessment, and foster positive interactions with patients and healthcare providers.

What is a Medi-Cal job?

A Medi-Cal job typically involves working within California’s Medicaid program, which provides healthcare services to low-income individuals and families. Roles in this field can include case workers, eligibility specialists, billing coordinators, and healthcare administrators who help applicants enroll, manage benefits, and navigate the system. These jobs are often found in state agencies, healthcare facilities, or insurance organizations. Duties may involve reviewing applications, verifying eligibility, processing claims, and assisting beneficiaries with their healthcare needs.

What does a typical day look like for someone working in a Medi-Cal specialist or coordinator position?

A typical day for a Medi-Cal specialist or coordinator involves reviewing and processing patient eligibility applications, verifying insurance coverage, collaborating with clinical staff, and providing assistance to patients regarding benefits or required documentation. You may spend time updating records in electronic health systems, communicating with state agencies, and resolving billing or coverage issues. The role often requires balancing independent administrative work with teamwork and frequent patient interaction. You will also stay up to date on policy changes and ensure compliance with state and federal regulations, helping patients access the care they need efficiently.

More about Medi Cal jobs
What cities are hiring for Medi Cal jobs? Cities with the most Medi Cal job openings:
What are the most commonly searched types of Medi Cal jobs? The most popular types of Medi Cal jobs are:
What states have the most Medi Cal jobs? States with the most job openings for Medi Cal jobs include:
Infographic showing various Medi Cal job openings in the United States as of June 2026, with employment types broken down into 4% As Needed, 92% Full Time, and 4% Part Time. Highlights an 85% In-person, 11% Hybrid, and 4% Remote job distribution, with an average salary of $37,739 per year, or $18.1 per hour.
Medi-Cal Eligibility Resolution Specialist - Fresno

Medi-Cal Eligibility Resolution Specialist - Fresno

Libertana

Fresno, CA

$27 - $30/hr

Full-time

Posted 16 days ago

Be an early applicant


Job description

JOB DESCRIPTION

Position: Medi-Cal Eligibility Resolution Specialist

Pay Range: $27.00-$30.00 PER HR

Reporting To: Lead Medi-Cal Eligibility Resolution Specialist

Work Type: Remote/Field

POSITION SUMMARY:

The Medi-Cal Eligibility Resolution Specialist is responsible for identifying, resolving, and preventing Medi-Cal eligibility issues that impact member access to services or hinder reimbursement. This role ensures timely coordination of Medi-Cal redeterminations, collaborates with county eligibility offices, and supports members through complex eligibility processes. The position is primarily remote, with required field visits to county Medi-Cal offices when in-person resolution is more effective. Specialists are assigned to specific counties or regions to build strong local relationships and expedite issue resolution.

QUALIFICATIONS:

  1. Strong knowledge of Medi-Cal eligibility and public benefit programs
  2. Knowledge of Medi-Cal eligibility rules and redetermination processes.
  3. Experience in working with electronic healthcare systems, and state eligibility systems.
  4. familiar with Microsoft Word and Excel programs.
  5. Strong analytical, organizational and communication skills.
  6. Strong communication skills.
  7. Experience in a health plan, county eligibility office or healthcare revenue cycle.
  8. Bilingual in Spanish preferred.
  9. Experience resolving insurance denials or appeals.
  10. Preferably, has a bachelor’s degree in healthcare, business administration or related field.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The following is a representation of the major duties and responsibilities of this position. The agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.

  1. Investigate and resolve Medi-Cal eligibility barriers that prevent members from accessing services or disrupt reimbursement workflows.
  2. Conduct eligibility verification using state systems, EMR platforms, and insurance databases.
  3. Communicate with county eligibility workers to clarify case status and resolve pending or denied actions.
  4. Oversee and coordinate Medi-Cal redetermination submissions.
  5. Track redetermination cycles and proactively engage members.
  6. Contact members to gather required information and explain eligibility requirements.
  7. Build relationships with county Medi-Cal offices.
  8. Collaborate with internal departments including Member Services, Revenue Cycle, Clinical Teams, and Compliance.
  9. Maintain accurate, audit-ready documentation.
  10. Conduct in-person visits to county offices when necessary.
  11. Track and report eligibility trends and case outcomes.
  12. Driving will be required to county offices.
  13. Maintain confidentiality, HIPAA compliance, and knowledge of mandated reporting requirements.?
  14. Uphold agency standards, policies, and procedures as outlined in the Employee Handbook.
  15. Participate in departmental meetings and trainings as required.?
  16. Performs other duties as assigned.?

PHYSICAL REQUIREMENTS:

  • Stand, sit, talk, hear, and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis up to 40% of the time.

  • Reach, stoop, kneel and bend up to 20% of the time

  • Moderate amount of walking up to 15% of the time.

  • Moderate amount of driving up to 25% of the time.

  • Close vision requirements due to computer work on a frequent basis

  • Light to moderate lifting may be required up to 25lbs on a frequent basis.

  • Pushing and pulling up to 25lbs.