Eligibility Specialist III - MISP

Eligibility Specialist III - MISP

Salary

$54,284.37 - $75,340.71 Annually

Location

Moreno Valley

Job Type

Regular

Job Number

26-15923-01

Department

RUHS-Medical Center

Division

Eligibility - MISP

Opening Date

09/09/2026

Closing Date

9/13/2026 11:59 PM Pacific

• Description
• Benefits
• Questions

For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section.

ABOUT THE POSITION

Riverside University Health System (RUHS) Medically Indigent Services Program (MISP) is currently recruiting to fill a Bilingual Eligibility Specialist III. The incumbent will support the Medically Indigent Services Program in Moreno Valley and may travel to various locations throughout Riverside County.

The Bilingual Eligibility Specialist III plays a key role in performing comprehensive insurance verification, cost estimation, financial assistance screening, and meticulous record keeping across the Medical Center's inpatient, emergency room, outpatient, and MSC Lead areas. This position provides essential support to departments including the Emergency Department, Inpatient units, Outpatient MISP Team, Case Management, Admitting, and other operational areas. The specialist conducts face-to-face patient screenings and onsite interviews, including bedside assessments for programs such as Medi-Cal, Hospital Presumptive Eligibility, Newborn Gateway, MCIEP for inmates, MISP, and Financial Assistance/Charity Care, while auditing daily application intake and program screenings for accuracy. Responsibilities include verifying insurance eligibility, benefits, and pre-authorizations prior to services, supervising complex eligibility issues, training and developing Eligibility Specialists and other staff, and coordinating procedural updates resulting from changes in state, county, or federal regulations, including the preparation and maintenance of office procedure manuals.

Schedule: Monday through Friday - 8:00 AM - 4:30 PM

Location: 26520 Cactus Ave. Moreno Valley CA 92555

Bilingual: Spanish/English, Levels I & II required

Under supervision, determines initial and continuing eligibility for one or more public social service aids or medical assistance programs in accordance with established procedures; performs complex and specialized eligibility work such as quality control and quality assurance of previously processed aid applications or the review, evaluation, investigation, and justification of eligibility determinations that have been appealed by clients; refers applicants and recipients who appear to be in need of social services to the appropriate staff members; performs other related duties as required.

The Eligibility Specialist III is the advanced working level in the Eligibility Specialist series. The Eligibility Specialist III is distinguished from the Eligibility Specialist II by assignments, which require an advanced knowledge of the eligibility determination process. This may include auditing work of the Eligibility Specialist I and II levels, working with preventive fraud or serving in a lead capacity over subordinate staff to coordinate and assign work and assist the supervisor in preparing reports and evaluating and training staff.

Meet the Team!

Founded in 1893, Riverside University Health System Medical Center has grown into a cornerstone of healthcare excellence and medical education in the region. Our highly skilled healthcare professionals and dedicated support staff are committed to delivering exceptional, state-of-the-art care to the diverse populations of Riverside County.

Located in Moreno Valley, our 439-bed Medical Center is home to a Level I Trauma Center, a Level II Pediatric Trauma Center, and the county's only Pediatric Intensive Care Unit (PICU). If you're passionate about making a meaningful difference and helping others, RUHS Medical Center is the place for you!

For more information about RUHS Medical Center, please visit www.ruhealth.org

EXAMPLES OF ESSENTIAL DUTIES

• Initially participate in a training program consisting of formalized training and on-the-job training which would give instruction to learn the typical duties performed by the journey level classes.
• Interview applicants for and recipients of one or more aid categories to assist them in the completion and clarification of the application and declaration forms upon which eligibility decisions are based; conduct such interviews in the Medically Indigent Services Program (M.I.S.P.) offices, clinics or in the hospitals.
• Obtain pertinent information concerning such items as income, other financial resources and financial obligations/debts from applicants and recipients; obtain additional information to resolve discrepancies in the applications and declarations by telephone, correspondence or personal interviews.
• Determine eligibility in accordance with established procedures; record information for case records; interpret program regulations and other pertinent material to applicants, recipients and the general public.
• Compute amount of grant authorized and perform other similar required computations; may prepare and maintain other documents associated with the eligibility determining process.
• On the basis of observation, or of need expressed by applicant orally or in specified locations on the applications and declaration forms, refer all applicants and recipients who appear to need social services to designated staff members after completing the appropriate referral forms.
• Review, evaluate and investigate selected cases to determine the accuracy and completeness of all statements of fact given by applicants or recipients during initial and continuing eligibility determinations.
• Contact and interview applicants, recipients, individuals and representatives of business or government organizations for the purpose of verifying facts and/or resolving discrepancies pertinent to the correct determination of eligibility.
• Prepare written reports with recommendations for appropriate corrective action when additional facts affecting eligibility are established and/or prepare written reports justifying the eligibility determination made by the Department in cases appealed by clients.
• Interpret policies, rules and regulations to public officials, clients and the general public; write correspondence.

MINIMUM QUALIFICATIONS

Education: Graduation from high school; possession of a certificate of proficiency issued by the California State Board of Education; or a GED diploma.

Experience: One year of performing duties comparable to Riverside County Health Services Agencys Eligibility Specialist II classification in the Medically Indigent Services Program.

Knowledge of: The goals of public social service agencies, hospitals and health care facilities; the basic laws, rules, and regulations governing eligibility and grant determinations for public assistance programs; interviewing and record keeping techniques; problems requiring referral to the staff; standard office procedures and practices.

Ability to: Interview effectively in a variety of settings; accurately gather, record, and correctly evaluate data necessary for the determination of eligibility for various public assistance programs, correctly interpret the rules and regulation governing eligibility determinations to applicants, recipients, and general public; speak and write effectively; maintain accurate and systematic records identify problems requiring referral to other Department staff.

SUPPLEMENTAL INFORMATION

County of Riverside Human Resources Contact:

For more information regarding this position, please contact the recruiter, Jammie Smith, at jasmith@rivco.org or (951) 955-6965. Please allow one-to-two business days for a response to general inquiries.

____

APPLICATION INFORMATION

Veterans Preference

The County has a Veterans Preference Policy applicable to new hires. To qualify, attach the required documents to your job application. Documents include a copy of your (or your spouses) Member-4 Form DD-214 indicating dates of service. For spousal preference, and as applicable, the following documents: a copy of your marriage certificate, spouses death certificate, a letter of spouses disability and/or letter of service-related death (if available) from the U.S. Veterans Administration. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans preference. For complete details and documentation requirements, please review the Veterans Preference Policy, C-3 here: https://rivcocob.org/board-policies

Reasonable Accommodations

The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: https://rc-hr.com/disability

Work Location and Telework

In-person attendance is the standard work expectation for County of Riverside assignments. Certain assignments may be eligible for a hybrid telework schedule; however, telework arrangements are subject to management approval, operational needs, and/or may be modified or discontinued at any time. Employees who telework are expected to be able to report to their assigned worksite on short notice or as operational needs require. Unless otherwise specified for a particular position, employees are expected to reside in California following appointment. Limited exceptions may apply. Applicants should contact the assigned recruiter for additional information regarding work location expectations, telework eligibility, and residency requirements.

Proof of Education

If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.

If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators, Inc. (AICE).

Work Authorization Requirement

Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs, including H1-B visas, and will not provide sponsorship for any employment-based visas.

Equal Opportunity Employer

The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.

Pre-Employment

All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.

Probationary Period

As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

General Information

Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.

Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.

Please read and follow any special application instructions on this posting. Click the Apply link located on this page to submit your application. For additional instructions on the application process, examinations, Veterans preference, pre-employment accommodation or other employment questions, please refer to our web site, www.rc-hr.com.

If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at support@governmentjobs.com or toll-free 1-855-524-5627.

BENEFIT PROGRAM: UPE

MEDICAL/DENTAL/VISION INSURANCE: A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable LIUNA Memorandum of Understanding to contribute towards the cost of these plans.

Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list here.

MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees Retirement System (CalPERS).

• Tier I (Classic Member - Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.
• Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.
• Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. Effective July 1, 2023 employee contributions are 7.25% and will increase to 7.75% effective July 1, 2024.

A new member is defined as any of the following:

• A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who has no prior membership in any California Public Retirement System.
• A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who was a member with another California Public Retirement System prior to that date, but who is not subject to reciprocity upon joining CalPERS.
• A member who first established CalPERS membership prior to January 1, 2013, and who is rehired by a different CalPERS agency after a break in service of greater than six (6) months.

CalPERS refers to all members that do not fit within the definition of a new member as "classic members".

Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.

Note:

This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to retirement@rivco.org or by calling the Benefits Information Line at (951) 955-4981,

Option 2.

If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees Retirement Law. The Retirement Law is complex and subject to change. If theres any conflict between this summary and the law, the law will prevail over this summary.

DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.

VACATION ACCRUAL (Bi-Weekly Accrual):

0 < 3 year = 80 Hours (10 Days)

4 < 9 years = 120 Hours (15 Days)

10 or more years = 160 Hours (20 Days)

Maximum Vacation leave accumulation is 480 hours.

SICK LEAVE: Four (4) hours Sick Leave accrual per pay period with unlimited accrual.

HOLIDAYS: Normally 12 paid holidays per year

BEREAVEMENT LEAVE: Allowed 5 days (3 days are County paid; 2 additional days can be taken from accrued Sick Leave balance)

BASIC LIFE INSURANCE: Equal to one times annual base salary not to exceed $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.

DISABILITY:

Employees contribute to State Disability Insurance (SDI), which provides wage replacement benefits for those unable to work due to non-work-related illness, injury, or pregnancy. SDI also includes Paid Family Leave benefits. The wage replacement rate, as defined by current law, is between 60-70% of wages earned during the SDI eligibility period. Benefits can be coordinated with other available leave balances to provide up to 100% of regular pay.

POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the applicable Memorandum of Understanding.

OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding. Please contact the recruiter listed on the job posting directly for more information.

01

Are you currently working on a contract assignment or through a registry agency at Riverside University Health System (RUHS)? If you answered "YES," you are required to inform the recruiter. Failure to disclose this information may affect your eligibility for employment.

• Yes
• No

02

Do you possess a high school diploma, a certificate of proficiency issued by the California State Board of Education, or a GED?

• Yes
• No

03

How many years of experience do you have performing duties comparable to Riverside County Health Services Agency's Eligibility Specialist II classification within the Medically Indigent Services Program? Please ensure this experience is clearly documented on your resume or application.

• None
• Less than 12 months
• 1 year or more, but less than 2
• 2 years or more, but less than 3
• 3 years or more

04

How many years of experience do you have performing medical insurance verification? Please ensure this experience is clearly documented on your resume or application.

• None
• Less than 12 months
• 1 year or more, but less than 2
• 2 years or more, but less than 3
• 3 years or more

05

How many years of experience do you have conducting cost estimations for medical services? This experience must be reflected on your resume or application.

• None
• Less than 12 months
• 1 year or more, but less than 2
• 2 years or more, but less than 3
• 3 years or more

06

How many years of experience do you have screening patients for financial assistance programs? Be sure this experience is clearly listed on your resume or application.

• None
• Less than 12 months
• 1 year or more, but less than 2
• 2 years or more, but less than 3
• 3 years or more

07

How many years of experience do you have maintaining detailed record keeping in a healthcare or similar environment? Please confirm this is clearly stated on your resume or application.

• None
• Less than 12 months
• 1 year or more, but less than 2
• 2 years or more, but less than 3
• 3 years or more

08

How many years of hospital experience do you possess, including work in inpatient, outpatient, emergency department, or medical center settings? This experience must be clearly identified on your resume or application.

• None
• Less than 12 months
• 1 year or more, but less than 2
• 2 years or more, but less than 3
• 3 years or more

09

If you meet the minimum requirements, you will need to pass a Spanish assessment (either proctored or unproctored) before proceeding with the screening process. I understand that I must meet these minimum requirements before moving forward in the screening process.

• Yes
• No

10

What is your proficiency level in Spanish?

• I am not bilingual in Spanish
• I speak Spanish, but cannot read or write
• I can speak, read, and write in Spanish

Required Question

Employer County of Riverside

Address County Admin. Center P.O. Box 1569

4080 Lemon St., 7th floor

Riverside, California, 92502-1569

Phone Contact Recruiter for Job Information

Website http://www.rc-hr.com