Job Information
East Boston Neighborhood Health Center Enrollment & Eligibility Specialist in Revere, Massachusetts
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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 time
Department:
PACE Enrollment and Eligibility
All Locations:
Revere
Description:
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
There’s a reason East Boston Neighborhood Health Center is ranked as one of the “Top Places to Work” by The Boston Globe. It is because we are committed to maintaining a truly supportive and welcoming environment — for both our employees and our patients — that reflects our mission and culture. A huge focus of which is to offer important benefits so you can be your best inside and outside of work.
Striving to be an employer of choice, we offer progressive benefits, a variety of schedules, and the satisfaction of working with a diverse workforce whose unity of purpose is a real force for achievement. Plus, our Education & Training Institute is an attractive resource for many of our employees who seek to broaden their skill base and advance their careers.
Medical & Dental Coverage
Life and Disability Insurance
Privileges at Boston Medical Center for Providers
401(K) Retirement Plan
Educational Assistance
Flexible Spending & Transportation Accounts
Paid Holidays, Vacations, Sick and Personal Time
A Generous Staff Development Benefit
Excellent Malpractice Coverage
A Designated Medical Staff Office for Physician Support
Free Parking
And Much More…