Enrollment & Eligibility Specialist
Job description
Thank you for your interest in careers at EBNHC!
Everywhere you turn, you can feel it. There's an immeasurable level of enthusiasm at East Boston Neighborhood Health Center (EBNHC), one of the largest community health centers in the country. From the nurses and physicians on the front line of patient care, to the managers who shape our policies, to the customer service representatives who keep our facilities running smoothly - everyone here has a role in making medicine better.
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Time Type:
Full timeDepartment:
PACE AdministrationAll Locations:
RevereDescription:
Under the direction of the Neighborhood PACE Business Office Supervisor, the Enrollment and Eligibility Specialist will be responsible for the oversight of various services and insurance-related tasks that contribute to a frail elder’s initial and continued enrollment in Neighborhood PACE by completing MassHealth applications and gathering all income, assets and health insurance verifications in a timely manner. Visits are conducted in person in the frail elder’s home, assisted living programs, Neighborhood PACE sites and long term care facility (after enrollment). Strong knowledge of MassHealth eligibility required, as well as strong knowledge of the overall Medicare eligibility of Part A, B and D. We serve members in the following communities; East Boston, Chelsea, Winthrop, Revere, Everett, Malden, Medford, Melrose, Stoneham and Boston’s North End.Essential Duties & Responsibilities:
- Verifying all insurances prior to and throughout the participant’s enrollment with Neighborhood PACE, this includes: online eligibility checks, initial and annual MassHealth applications and Medicare Secondary Payers Surveys
- Ensuring that all Medicare Part D YTD Explanation of Benefits are received and scanned into the system prior to enrollment.
Qualifications and Requirements:
- High Diploma/GED
- 2 years’ experience in health care office setting performing health insurance enrollment functions
- Valid Massachusetts driver’s license and reliable transportation
- Achieve full bilingual fluency by passing EBNHC requirement for Bilingual Evaluation
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